Center For Brief Therapy Pc, NPI 1285839480
Prescribing (Medical) Psychologist in Ft. Wayne, IN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1285839480 |
| NPI Entity Type | Organization |
| Provider Name |
Center For Brief Therapy Pc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 423 Airport N. Office Park, Ft. Wayne, IN, US |
| Provider Mailing Address | 423 Airport N. Office Park, Fort. Wayne, IN, US, 468256704 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | PMHCNS-BC Sharon E Freeman Clevenger |
| Official Position | OWNER |
| Phone | 260-969-5583 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Prescribing (Medical) Psychologist |
| Classification | |
| Group | |
| License No. | 70000153A |
| License State | IN |
| Description | A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 20042050A | IN | No | |||
| 35001565A | IN | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 7585825 | IN | AETNA | 01 |
| 376137 | IN | ANTHEM | 01 |
| 386107 | IN | ANTHEM | 01 |
Other Providers in IN, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
|
Nicole M Blauvelt Individual |
11109 Parkview Plaza Dr |
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PA-C Kristin E Pletcher Individual |
3909 New Vision Dr |
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DR. MD David J Wittbrodt Individual |
1169 N Main St Ste 7 |
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D.O. Ellen Szwed Individual |
11050 Parkview Circle Dr |
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MS. Andrea Jo Lynne Adams Individual |
4444 Jamestown Ct Apt F |
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Melissa Lucio Individual |
3512 Stellhorn Rd |
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FNP-C Colleen Conwell Individual |
3909 New Vision Dr |
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MD David E Schleinkofer Individual |
11108 Parkview Circle Dr |
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|
Nicole Heller Individual |
11104 Parkview Circle Dr Ste 20 |
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DR. M.D., Ahmed Zakria Youssef Elmaadawi Individual |
707 N Michigan St Ste 400 |
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Kara Yackee Individual |
3909 New Vision Dr |
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DR. MD Steven W Cohen Individual |
11104 Parkview Circle Dr Ste 310 |
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MD Julie A Tillman Individual |
11123 Parkview Plaza Dr Suite 101 |
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DR. M.D. Rebecca E Minser Individual |
1234 E Dupont Rd Ste 3 |
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Jennifer Vanzant Individual |
2200 Randallia Dr |
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DR. M.D. Dona M Uncheselu Individual |
11109 Parkview Plaza Dr |
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MD Amy K Sadler Individual |
1270 E S.r. 205, Suite 240 |
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MD Kevin K Hart Individual |
11108 Parkview Circle Dr |
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|
MD Megan C. Lemon Individual |
11055 Twin Creeks Cv |
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|
Kelcie Marie Small Individual |
6437 Rucker Rd Ste D |
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