MICHELLE LEIGH CUSHMAN


Address: 431 28th St Ste 204, Des Moines, IA 50312-4400
Phone: (515) 325-4133

MICHELLE LEIGH CUSHMAN (NPI# 1023367018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023367018
Entity Type Individual
Full Name MICHELLE LEIGH CUSHMAN
Other Name MICHELLE LEIGH JOHNSTON
Credential PH.D.
Practice Address 431 28th St Ste 204
Des Moines
IA 50312-4400
Practice Telephone (515) 325-4133
Practice Fax Number 8447996001
Mailing Telephone 5153254133
Mailing Fax Number 8447996001
Enumeration Date 2012-09-05
Last Update Date 2019-01-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
001360 IA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
917 E 1st St Ste F, Ankeny, IA 500212083 5153254133

Office Location

Street Address 431 28TH ST STE 204
City DES MOINES
State IA
Zip Code 50312-4400

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992717672 Arthur H Konar Psychologist 4900 University Ave Ste 210, Des Moines, IA 50311-3342 2006-08-12
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1356441034 W. Allen Hume, Ph.d., Inc, Ps Psychologist 22517 7th Ave S, Des Moines, WA 98198-6820 2006-09-23
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1750392718 Wayne Allen Hume Jr. Psychologist 22517 7th Ave S, Des Moines, WA 98198-6820 2006-08-11
1215944798 Maureen Casandra Pierce Psychologist 22517 7th Ave S, Des Moines, WA 98198-6820 2006-08-01

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1598988024 Eugene R Deisinger Psychologist 2521 Elwood Dr Ste 121, Ames, IA 50010-8229 2007-04-11
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Competitor

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City DES MOINES
Zip Code 50312

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Dataset Information

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.

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