DR. KATARZYNA DERLUKIEWICZ (NPI# 1033378708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033378708 |
Entity Type | Individual |
Full Name | DR. KATARZYNA DERLUKIEWICZ |
Credential | M.D. |
Practice Address |
141 Communication Dr Hannibal MO 63401 |
Mailing Address |
900 E. La Harpe St Kirksville MO 63501 |
Practice Telephone | 5737957342 |
Practice Fax Number | 5732483080 |
Mailing Telephone | 6606651962 |
Mailing Fax Number | 6606653989 |
Enumeration Date | 2008-06-06 |
Last Update Date | 2014-05-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2008018541 | MO | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
2008018541 | MO | Allopathic & Osteopathic Physicians |
N | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
2008018541 | MO | Allopathic & Osteopathic Physicians |
Street Address |
141 COMMUNICATION DR |
City | HANNIBAL |
State | MO |
Zip Code | 63401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508857186 | Ellen Sean Meyer | Counselor | 141 Communication Dr, Hannibal, MO 63401-3670 | 2005-11-02 |
1841826435 | Ashanti Anderson | Licensed Practical Nurse | 141 Communication Dr, Hannibal, MO 63401-3670 | 2020-03-16 |
1003454570 | Brittany Widebrook | Licensed Practical Nurse | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-12-16 |
1326696360 | Amy L Bue | Registered Nurse | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-09-03 |
1053968586 | Lindsey Marie Pyse | Dental Hygienist | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-08-20 |
1356994990 | Joanna Barnes | Dentist | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-07-23 |
1841842796 | Michon Lea Hawkins | Dentist | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-07-11 |
1659931491 | Mandy Lee Eisenberg | Social Worker | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-06-14 |
1013576032 | Ailie Joy Powers | Dentist | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-06-12 |
1952968141 | Heather Anne Mahsman | Registered Nurse | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-05-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
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Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407925241 | Manoher Bearelly | Psychiatry & Neurology | 141 Communication Dr, Hannibal, MO 63401-3670 | 2006-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477194645 | Lotus Medical Associates LLC | Psychiatry & Neurology | 5100 Oak St Apt 433, Kansas City, MO 64112-2969 | 2019-09-30 |
1174008023 | East Central Missouri Behavioral Health Services, Inc. | Psychiatry & Neurology | 581 Commons Drive, Fulton, MO 65251 | 2018-09-26 |
1730622929 | Judith Hood Mckelvey | Psychiatry & Neurology | 9861 Copper Hill Rd, Saint Louis, MO 63124-1063 | 2016-11-21 |
1548664964 | Melody Ann Boling | Psychiatry & Neurology | 1 Hospital Dr # Dc067.00, Department of Psychiatry, Columbia, MO 65212-1000 | 2014-10-14 |
1629332259 | Oksana Baram | Psychiatry & Neurology | 10420 Old Olive Street Rd Ste 204, Saint Louis, MO 63141-5938 | 2012-06-28 |
1912293861 | Barbara Buchanan | Psychiatry & Neurology | 16760 S Village Dr, Village of Loch Lloyd, MO 64012-4166 | 2011-06-20 |
1710187539 | Danielle Mcgovern Bradshaw | Psychiatry & Neurology | 1101 E Hw 54, Womens Eastern Reception Diagnostic and Correctional Ce, Vandalia, MO 63382 | 2007-07-19 |
1689881567 | Pearl Fisher Serota | Psychiatry & Neurology | 621 S New Ballas Rd Ste 693a, Saint Louis, MO 63141-8263 | 2007-05-17 |
1154536100 | Rekha Ramanuja | Psychiatry & Neurology | 1220 N Lindbergh Blvd, Saint Louis, MO 63132-1704 | 2007-05-13 |
1649325390 | Clifton A Smith | Psychiatry & Neurology | 5931 S Highway 94, Weldon Spring, MO 63304-5611 | 2007-01-24 |
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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.