DEACONESS HOSPITAL, INC. (NPI# 1043825664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043825664 |
| Entity Type | Organization |
| Organization Name | DEACONESS HOSPITAL, INC. |
| Practice Address |
120 Se 4th St Evansville IN 47708-1607 |
| Mailing Address |
Po Box 1230 Evansville IN 47706-1230 |
| Practice Telephone | 8124269779 |
| Practice Fax Number | 8124500007 |
| Mailing Telephone | 8124269779 |
| Mailing Fax Number | 8124500007 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | CHERYL ANNETTE WATHEN (CFO) |
| Authorized Official Telephone | 8124503296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Deaconess Cross Pointe - Downtown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548787203 | Deaconess Hospital, Inc. | Clinic/Center | 4949 Healthy Way Ste B, Evansville, IN 47715-1180 | 2017-08-24 |
| 1114315181 | Deaconess Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 3150 Warrick Dr Ste 100, Boonville, IN 47601-8602 | 2014-12-29 |
| 1699174862 | Deaconess Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 2202 Us Highway 41 N, Unit B, Henderson, KY 42420-2399 | 2014-08-13 |
| 1801211602 | Deaconess Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 4482 N 1st Ave, Evansville, IN 47710-3622 | 2014-03-03 |
| 1629097639 | Deaconess Hospital, Inc. | Psychologist | 415 W Columbia St Ste 110, Evansville, IN 47710-1656 | 2006-07-19 |
| 1780290312 | Deaconess Hospital, Inc. | Nurse Practitioner | 340 Starlite Dr, Henderson, KY 42420-6102 | 2020-09-18 |
| 1548875842 | Deaconess Hospital, Inc. | Psychologist | 4209 Gateway Blvd, Newburgh, IN 47630-8900 | 2020-09-14 |
| 1427663079 | Deaconess Hospital, Inc. | Psychologist | 520 Mary St Ste 340, Evansville, IN 47710-1679 | 2020-09-10 |
| 1689289233 | Deaconess Hospital, Inc. | Psychologist | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2020-09-10 |
| 1366830259 | Deaconess Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 2309 W Franklin St, Evansville, IN 47712-5118 | 2014-12-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEACONESS HOSPITAL, INC. | 600 Mary St, Evansville, IN 47747 |
| Street Address |
120 SE 4TH ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47708-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992344071 | Deaconess Clinc Inc | Internal Medicine | 120 Se 4th St, Evansville, IN 47708-1607 | 2020-01-06 |
| 1477160273 | Kristie Watson | Nurse Practitioner | 120 Se 4th St, Evansville, IN 47708-1607 | 2020-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558870550 | Evansville In Homecare, LLC | In Home Supportive Care | 123 Nw 4th St Ste 312, Evansville, IN 47708 | 2017-09-22 |
| 1881094290 | Quad Med LLC | Clinic/Center | 1 Nw Mlk Jr Blvd, Rm 106, Evansville, IN 47708 | 2014-09-04 |
| 1598051948 | Kyle Wesley King | Optometrist | 213 Main St, Evansville, IN 47708 | 2011-06-23 |
| 1306902879 | Roger Marin Haywood | Optometrist | 213 Main St, Evansville, IN 47708 | 2006-12-29 |
| 1528124096 | Kimberly Anne Haywood Pfender | Optometrist | 213 Main St, Evansville, IN 47708 | 2006-12-29 |
| 1902857014 | Stratmans Pharmacy Inc | Pharmacy | 407 Main St, Evansville, IN 47708 | 2006-05-13 |
| 1508994153 | Sycamore Rehabilitation Services-hcarc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 W Lloyd Expy, Evansville, IN 47708-1146 | 2007-03-02 |
| 1669721726 | Klipsch Senior Care LLC | In Home Supportive Care | 223 Nw 2nd St, Suite 310, Evansville, IN 47708-1207 | 2012-09-05 |
| 1083166359 | Terre Haute Senior Care, LLC | In Home Supportive Care | 223 Nw 2nd St, Suite 310, Evansville, IN 47708-1207 | 2016-11-02 |
| 1760037642 | Andrea Crabtree | Behavioral Analyst | 101 Nw 1st St Ste 118, Evansville, IN 47708-1259 | 2019-08-07 |
| Find all providers in zip 47708 | ||||
| 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 |
|---|---|---|---|---|
| 1881116390 | Matt Carson Rebeck | Psychologist | 815 John St Ste 135, Evansville, IN 47713-2746 | 2017-07-17 |
| 1639208309 | Libby L Brown | Psychologist | 7409 Eagle Crest Blvd Ste G, Evansville, IN 47715-9136 | 2007-03-05 |
| 1861571416 | Kenneth Stephen Goldstein | Psychologist | 2301 Se Browning Rd, Evansville, IN 47725-9046 | 2006-11-03 |
| 1629097639 | Deaconess Hospital, Inc. | Psychologist | 415 W Columbia St Ste 110, Evansville, IN 47710-1656 | 2006-07-19 |
| 1366405961 | Developmental Diagnostics, Inc. | Psychologist | 101 Plaza East Blvd, Suite 119, Evansville, IN 47715-2870 | 2006-04-06 |
| 1558359307 | Laurel B Brundage | Psychologist | 7300 E Indiana St Ste 103, Evansville, IN 47715-2794 | 2005-10-06 |
| 1265439012 | Elizabeth Ann Kalb | Psychologist | 315 Mulberry St, Evansville, IN 47713 | 2005-07-07 |
| 1952750606 | St Marys Medical Group, LLC | Psychologist | 3700 Washington Ave, Evansville, IN 47750-0001 | 2016-06-03 |
| 1457767642 | Sarah E. Spurling | Psychologist | 3900 Washington Ave Ste 100, Evansville, IN 47714-0550 | 2014-07-08 |
| 1871905356 | Julie Hoeppner | Psychologist | 421 Chestnut St, Evansville, IN 47713-1227 | 2014-06-02 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47708 |
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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.