DR. FOREST TU PAVEL (NPI# 1053601724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053601724 |
| Entity Type | Individual |
| Full Name | DR. FOREST TU PAVEL |
| Credential | PSY.D. |
| Practice Address |
1301 N Warehouse Rd Fort Leavenworth KS 66027 |
| Mailing Address |
5613 Nw Raintree Dr Parkville MO 64152-3357 |
| Practice Telephone | 9137583757 |
| Mailing Telephone | 5404212357 |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2019-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
6192 | CO | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810005068 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1061 Harmon Ave, Fort Stewart, GA 313145641 | 9123152205 |
| Street Address |
1301 N WAREHOUSE RD |
| City | FORT LEAVENWORTH |
| State | KS |
| Zip Code | 66027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285847731 | Munson Army Health Center | Clinic/Center | 1301 N Warehouse Rd, Fort Leavenworth, KS 66027-2364 | 2007-05-08 |
| 1154867356 | Jeffrey Bell | Physician Assistant | 1301 N Warehouse Rd, Fort Leavenworth, KS 66027-2364 | 2017-01-11 |
| 1306132592 | Christine A. Jacobs | Psychiatry & Neurology | 1301 N Warehouse Rd, Fort Leavenworth, KS 66027-2364 | 2011-06-25 |
| 1154641561 | Munson Army Health Center | Clinic/Center | 1301 N Warehouse Rd, Tmc #2, Fort Leavenworth, KS 66027-2364 | 2010-06-08 |
| 1063617447 | Munson Army Health Center | Clinic/Center | 1301 N Warehouse Rd, Fort Leavenworth, KS 66027-2364 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376801019 | Sarah M. Galloway | Counselor | 32 Pick Ave, Fort Leavenworth, KS 66027 | 2012-05-01 |
| 1659566750 | Dong S Lee | Dentist | Us Army Dental Health Activity, 520 Pope Avenue, Fort Leavenworth, KS 66027 | 2007-09-11 |
| 1942354998 | Shaun Lydell Kanion | Dentist | 520 Pope Avenue, Us Army Dental Activity, Ft. Leavenworth, KS 66027 | 2007-01-23 |
| 1366518433 | Munson Army Health Center | Clinic/Center | Munson Army Health Center, 550 Pope Avenue, Fort Leavenworth, KS 66027 | 2006-11-28 |
| 1063594158 | Ellen Henley Galloway | Psychologist | 1301 North Warehouse Rd, Usdb-dtp, Ft Leavenworth, KS 66027 | 2006-10-19 |
| 1083666770 | Mary Shancy Francis | Family Medicine | Munson Army Health Center 550 Pope Ave, Leavenworth, KS 66027 | 2006-05-17 |
| 1407139371 | Sashi A Zickefoose | Nurse Practitioner | 550 Pope Ave, Fort Leavenworth, KS 66027 | 2011-09-27 |
| 1821378977 | Kirsty Anne Parvin | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027 | 2011-08-22 |
| 1356670277 | Jessica Dubose | Registered Nurse | 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Mr. Kennedy, Fort Leavenworth, KS 66027 | 2009-12-24 |
| 1629242797 | Willy Clarkson Cornett | Registered Nurse | 550 Pope Avenue, Munson Army Health Center, Fort Leavenworth, KS 66027 | 2008-04-18 |
| Find all providers in zip 66027 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043518673 | Kenya Sade Bryant | Psychologist | 902 Biddle Ave, Fort Leavenworth, KS 66027-0286 | 2011-03-07 |
| 1063614857 | Robert Allen Bischoff | Psychologist | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2007-06-04 |
| 1699843995 | Patrick Jon Armistead-jehle | Psychologist | 550 Pope Ave, Munson Army Health Center/behavioral Health, Fort Leavenworth, KS 66223 | 2006-12-04 |
| 1831180538 | Claudia Elise Cleveland-soter | Psychologist | 550 Pope Ave, Mach/cmh, Fort Leavenworth, KS 66027-2332 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785852 | Freudhawk Psychological Enterprises, LLC | Psychologist | 1307 E Iron Ave, Salina, KS 67401-3231 | 2020-06-23 |
| 1750914321 | Brian Patrick Russell | Psychologist | 730 New Hampshire St Ste 3m, Lawrence, KS 66044-3174 | 2020-02-21 |
| 1700429982 | Carolyn Sue Pepper | Psychologist | 2614 S 25th St, Leavenworth, KS 66048-4338 | 2019-10-21 |
| 1992355143 | Peabody,inc. | Psychologist | 7381 W 133rd St Ste 203, Overland Park, KS 66213-4777 | 2019-09-18 |
| 1174097042 | Heidi Marie Pontinen | Psychologist | 1901 E First St., Newton, KS 67114-0467 | 2019-01-14 |
| 1295232015 | Connection Therapy, LLC | Psychologist | 309 Happy Hollow St, Vermillion, KS 66544-8633 | 2018-04-09 |
| 1902304116 | Psychological Health Services, LLC | Psychologist | 626 Nebraska Ave, Holton, KS 66436-1462 | 2018-01-23 |
| 1588182885 | Glen M. Harnden | Psychologist | 16970 Grandview St, Overland Park, KS 66085-9376 | 2017-09-07 |
| 1063938850 | Lindsey Marie Backer-fulghum | Psychologist | Wichita State University, Counseling & Testing Center, 1845 Fairmount St., Wichita, KS 67260-0091 | 2017-08-14 |
| 1861913659 | Janelle Jeffrey | Psychologist | 1013 W 8th St Ste A, Junction City, KS 66441-2281 | 2017-06-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT LEAVENWORTH |
| Zip Code | 66027 |
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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.