WADE BRILL (NPI# 1033523915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033523915 |
| Entity Type | Individual |
| Full Name | WADE BRILL |
| Credential | PSY.D. |
| Practice Address |
1001 Olivesburg Rd Mansfield OH 44905-1228 |
| Practice Telephone | 4195262100 |
| Practice Fax Number | 4195212822 |
| Mailing Telephone | 4195262100 |
| Mailing Fax Number | 4195212822 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
4969 | OH | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4969 | OH | Behavioral Health & Social Service Providers |
| Street Address |
1001 OLIVESBURG RD |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44905-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962622738 | Kenneth Dean Williams | General Practice | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2007-04-26 |
| 1962880328 | Danny Allen Hall | Physician Assistant | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2015-05-18 |
| 1407260292 | Lamont Sapp | Counselor | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2014-06-19 |
| 1346654225 | David Oleski | Psychologist | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2014-06-18 |
| 1952724858 | Rebecca Noggle | Dental Hygienist | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2014-01-28 |
| 1043495542 | Stephanie M. Marok | Nurse Practitioner | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189908 | Beth Ann Sommers-souder | Social Worker | Richland Correctional Institute, 1001 Olivesburg Road, Mansfield, OH 44905 | 2020-06-22 |
| 1790253706 | Alanna Dawn Higgins | Massage Therapist | 981 Ashland Road, Mansfield, OH 44905 | 2018-11-07 |
| 1669991766 | Heather Michelle Hedges | Counselor | 8 Walker Avenue South, Mansfield, OH 44905 | 2017-09-11 |
| 1356699201 | Justin Clark Tolley | Home Health Aide | 1211 Keller Dr., Mansfield, OH 44905 | 2012-08-27 |
| 1891972683 | Theresa Ann Bonnette | Massage Therapist | 812 Park Avenue East, Mansfield, OH 44905 | 2008-01-24 |
| 1730673336 | Kristine King | Pharmacist | 1075 Ashland Road, Mansfield, OH 44905 | 2018-06-18 |
| 1881030849 | Uma Ram | Pharmacist | 1075 Ashland Road, Mansfield, OH 44905 | 2013-05-17 |
| 1982919288 | Monica Sue Medley | Driver | 516 Fleming Falls Rd, Mansfield, OH 44905-1207 | 2010-08-11 |
| 1427389394 | Christina Lyn Willison | Nurse's Aide | 608 Annfield Dr, Mansfield, OH 44905-1302 | 2010-01-15 |
| 1255817250 | Megan Ryan Blevins | Occupational Therapy Assistant | 1462 Troy Dr, Mansfield, OH 44905-1331 | 2018-07-13 |
| Find all providers in zip 44905 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578743696 | Jayme Virginia Smith | Psychologist | 812 N Highway 5, Mansfield, MO 65704-7301 | 2007-11-06 |
| 1053425769 | Loretta Fuge | Psychologist | 827 W Commercial St, Mansfield, MO 65704-9520 | 2006-08-18 |
| 1437182938 | Rural Psychologists & Associates LLC | Psychologist | 812 N Hwy 5, Mansfield, MO 65704 | 2006-07-08 |
| 1366779100 | Greater Ozarks Rural Psychologists LLC | Psychologist | 827 W Commercial St, Mansfield, MO 65704-9520 | 2009-11-16 |
| 1770810269 | Rural Mental Health Services, LLC | Psychologist | 812 N Highway 5, Mansfield, MO 65704-7301 | 2009-11-04 |
| 1093961583 | Bradley Fox | Psychologist | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2008-08-15 |
| 1124169594 | Joseph F Mcnamara | Psychologist | St. James & Third Street, Suite 103a, Mansfield, PA 16933 | 2007-02-09 |
| 1497830285 | Leslie John Brinkerhoff | Psychologist | 270 Sterkel Blvd, Mansfield, OH 44907-1508 | 2006-10-27 |
| 1619076254 | Jolynn Powers | Psychologist | 207 Storrs Rd, Mansfield, CT 06250-0174 | 2006-09-21 |
| 1952400582 | David C Klein | Psychologist | 207 Storrs Rd, Mansfield, CT 06250-0174 | 2006-09-21 |
| Find all providers in MANSFIELD | ||||
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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.