SEISS, LLC (NPI# 1003276643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003276643 |
| Entity Type | Organization |
| Organization Name | SEISS, LLC |
| Other Organization Name | OAKTREE GUIDANCE & WELLNESS CENTER |
| Practice Address |
9910 Dupont Circle Drive Suite 140 Fort Wayne IN 46825 |
| Mailing Address |
119 W. Tenth St Auburn IN 46706-2230 |
| Practice Telephone | 2605704515 |
| Practice Fax Number | 2602090762 |
| Mailing Telephone | 2605704515 |
| Mailing Fax Number | 2602090762 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |
| Authorized Official Name | DR. JENNY SEISS (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2607506461 |
| Authorized Official Credential | PSY. D., HSPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 20042462A | IN | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Oaktree Guidance & Wellness Center | Doing Business As Name - Organization |
| Street Address |
9910 DUPONT CIRCLE DRIVE SUITE 140 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1164880746 | Kandi Denise Dawson | Dietitian, Registered | 2520 E. Dupont Rd, Nutrition Services, Fort Wayne, IN 46825 | 2016-02-10 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457998007 | Ne Psychological LLC | Psychologist | 6343 Constitution Dr, Fort Wayne, IN 46804-1547 | 2019-12-03 |
| 1871032862 | Fort Wayne Neuropsychology LLC | Psychologist | 4306 E State Blvd, Fort Wayne, IN 46815-6915 | 2017-02-23 |
| 1942555628 | Erin R. Bowman | Psychologist | 9910 Dupont Circle Dr E Ste 140, Fort Wayne, IN 46825-1618 | 2012-07-18 |
| 1548420474 | Marla J Souder | Psychologist | 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845-1714 | 2008-06-13 |
| 1891954665 | Rachel Mae Miller | Psychologist | 1300 Airport North Office Park, Fort Wayne, IN 46825-6716 | 2008-06-05 |
| 1265691257 | Cook Behavioral Health Clinic, PC | Psychologist | 7230 Engle Rd Ste 304, Fort Wayne, IN 46804-2209 | 2008-06-04 |
| 1114137080 | Candace Louise Martin | Psychologist | 6319 Constitution Dr, Fort Wayne, IN 46804-1547 | 2007-05-22 |
| 1134344823 | Mary E Locke Phd Hspp LLC | Psychologist | 7337 W Jefferson Blvd Ste 175, Fort Wayne, IN 46804-6286 | 2007-04-16 |
| 1891818126 | John F Newbauer | Psychologist | 10008 Saint Clairs Retreat, Fort Wayne, IN 46825-2025 | 2007-04-10 |
| 1720145774 | Hutner, Inc. | Psychologist | 3240 Mallard Cove Ln, Fort Wayne, IN 46804-2883 | 2007-01-02 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.