Taxonomy Code 103T00000X(103t00000x)
Psychologist. Providers: 15

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Psychologist Providers

NPI Name Type Address

1851376149

MS. PSYD Marie K Udulutch

Individual

707 N Michigan St

Ste. 400

South Bend, IN

1912957689

PHD David Corns

Individual

310 N Ironwood Dr

South Bend, IN

1841308756

DR. PHD Joyce Block

Individual

300 North Michigan St #208

South Bend, IN

1144498353

Academic Solutions Of Michiana, Inc

Organization

2012 Ironwood Circle

South Bend, IN

1194739904

PSY.D. Joann Michelle Jackson

Individual

403 E Madison St

South Bend, IN

1477838704

DR. PH.D. Josephine Ann Dickinson

Individual

919 E Jefferson Blvd

Suite 402

South Bend, IN

1184612137

Family & Children's Center Of Counseling And Development Services Inc

Organization

611 Lincolnway East

South Bend, IN

1790199529

PH.D. Megan Harrity

Individual

919 E Jefferson Blvd

Suite 402

South Bend, IN

1598145484

PSYD William Bruinsma

Individual

1000 S Michigan St

South Bend, IN

1275083768

DR. PSY. D. Heidi Jo Krug

Individual

2955 Mckinley Ave

Suite C

South Bend, IN

1851860878

Afc Psychological Services, Llc

Organization

1251 N Eddy St Ste 200

South Bend, IN

1851491526

DR. PSY.D. John Anthony Petersen

Individual

922 E Wayne St # 205

South Bend, IN

1871195487

Gabrielle E Pointon

Individual

4440 Portage Ave

South Bend, IN

1538470018

MS. PSYD Stacey Rene Le Fevre

Individual

100 Navarre Pl Ste 5550

South Bend, IN

1639847155

HSPP Stephanie Luallin

Individual

1827 E Ireland Rd

South Bend, IN

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Taxonomy Code 103T00000X
Display Name Psychologist
Taxonomy Group Behavioral Health & Social Service Providers
Taxonomy Classification Psychologist
Definition A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Effective Date September 30, 2009
Modification Date September 30, 2009
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Psychologist Codes

Addiction (Substance Use Disorder) Psychologist

103TA0400X • providers: 623

Adult Development & Aging Psychologist

103TA0700X • providers: 215

Clinical Child & Adolescent Psychologist

103TC2200X • providers: 4,646

Clinical Psychologist

103TC0700X • providers: 71,522

Cognitive & Behavioral Psychologist

103TB0200X • providers: 2,097

Counseling Psychologist

103TC1900X • providers: 7,770

Deactivated - Psychologist

103TE1000X • providers: 0

Deactivated - Psychologist Men & Masculinity

103TM1700X • providers: 0

Deactivated - Psychologist Psychotherapy

103TP2700X • providers: 0

Deactivated - Psychotherapy Women

103TW0100X • providers: 0

Exercise & Sports Psychologist

103TE1100X • providers: 92

Family Psychologist

103TF0000X • providers: 337

Forensic Psychologist

103TF0200X • providers: 765

Group Psychotherapy Psychologist

103TP2701X • providers: 552

Health Psychologist

103TH0004X • providers: 432

Health Service Psychologist

103TH0100X • providers: 828

Intellectual & Developmental Disabilities Psychologist

103TM1800X • providers: 886

Prescribing (Medical) Psychologist

103TP0016X • providers: 528

Psychoanalysis Psychologist

103TP0814X • providers: 325

Rehabilitation Psychologist

103TR0400X • providers: 714

School Psychologist

103TS0200X • providers: 8,926