SAMANTHA THIBODEAU (NPI# 1053919738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053919738 |
| Entity Type | Individual |
| Full Name | SAMANTHA THIBODEAU |
| Practice Address |
1000 Lincoln St Emporia KS 66801-2449 |
| Practice Telephone | 6203432211 |
| Practice Fax Number | 6203421021 |
| Mailing Telephone | 6203432211 |
| Mailing Fax Number | 6203421021 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
1000 LINCOLN ST |
| City | EMPORIA |
| State | KS |
| Zip Code | 66801-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205167 | Lily Garcilazo | Psychologist | 1000 Lincoln St, Emporia, KS 66801-2449 | 2020-11-04 |
| 1568075695 | Kaitlyn Jo Connor | Psychologist | 1000 Lincoln St, Emporia, KS 66801-2449 | 2020-08-28 |
| 1427660844 | Stephany Graham | Psychologist | 1000 Lincoln St, Emporia, KS 66801-2449 | 2020-08-18 |
| 1215588124 | Shelley Marie Coughlin | Social Worker | 1000 Lincoln St, Emporia, KS 66801-2449 | 2019-09-23 |
| 1417502816 | Carmen Esch | Licensed Practical Nurse | 1000 Lincoln St, Emporia, KS 66801-2449 | 2019-08-03 |
| 1306499041 | Kelley Lackey | Counselor | 1000 Lincoln St, Emporia, KS 66801-2449 | 2019-07-22 |
| 1073175824 | Josie Danielle Williams | Counselor | 1000 Lincoln St, Emporia, KS 66801-2449 | 2019-07-02 |
| 1760042105 | Timothy Aspleaf | Counselor | 1000 Lincoln St, Emporia, KS 66801-2449 | 2019-06-18 |
| 1962963462 | Katey Elizabeth Staatz | Psychologist | 1000 Lincoln St, Emporia, KS 66801-2449 | 2019-03-27 |
| 1437614856 | Nicole Marie Disalvo | Counselor | 1000 Lincoln St, Emporia, KS 66801-2449 | 2019-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539141 | Tina Marie Andrade | Counselor | 1500 Graphic Arts Road, Emporia, KS 66801 | 2018-02-26 |
| 1669918637 | Paden Bradley Eveland | Physical Medicine & Rehabilitation | 1 Kellogg Circle Emporia State University, Emporia, KS 66801 | 2017-01-13 |
| 1932501467 | Emily Prouse | Dietitian, Registered | 1 Kellogg Circle 250 Se Morse Hall, Emporia, KS 66801 | 2014-09-16 |
| 1407278112 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1215 Merchant St, Emporia, KS 66801 | 2014-01-15 |
| 1508105800 | Smith Agency LLC | In Home Supportive Care | 4245 W. Hwy 50, Emporia, KS 66801 | 2013-02-06 |
| 1891060919 | Gould Coates Garcia | Internal Medicine | 2014 Canterbury Rd, Emporia, KS 66801 | 2012-03-22 |
| 1457511321 | Amanda Lee Ruxton | Family Medicine | 1301 W 12th Ave Ste 101, Emporia, KS 66801 | 2008-06-13 |
| 1821262049 | Qi Qiao Joina Wu | Counselor | 115 West 5th Street, Emporia, KS 66801 | 2008-04-18 |
| 1013189703 | Kelly Elizabeth Long | Counselor | 115 W 5th, Emporia, KS 66801 | 2008-04-02 |
| 1851586275 | Hyun Chan Shin | Counselor | 115 5th Ave, Emporia, KS 66801 | 2007-09-10 |
| Find all providers in zip 66801 | ||||
| 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 |
|---|---|---|---|---|
| 1780961425 | Emporia Psychological Services Inc | Psychologist | 702 Commercial St Ste 3b, Emporia, KS 66801-3093 | 2011-11-09 |
| 1508958992 | Timothy Sippola | Psychologist | 702 Commercial St, Suite 3b, Emporia, KS 66801-3093 | 2006-09-29 |
| 1790740132 | John Michael Griffin | Psychologist | 307 B Dogwood Lane, Emporia, VA 23847 | 2006-04-19 |
| 1962963462 | Katey Elizabeth Staatz | Psychologist | 1000 Lincoln St, Emporia, KS 66801-2449 | 2019-03-27 |
| 1720518517 | Eric Michael Sears | Psychologist | 1000 Lincoln St, Emporia, KS 66801-2449 | 2017-06-14 |
| 1316473929 | Melchizedek Ntim Gyakari | Psychologist | 1000 Lincoln St, Emporia, KS 66801-2449 | 2017-05-03 |
| 1487020251 | Alexandria Lara | Psychologist | 1000 Lincoln St, Emporia, KS 66801-2449 | 2015-08-17 |
| 1124404652 | Kristi Gildner | Psychologist | 1000 Lincoln St, Emporia, KS 66801-2449 | 2015-08-06 |
| 1982080834 | Lauren Rickner | Psychologist | 1000 Lincoln St, Emporia, KS 66801-2449 | 2015-08-03 |
| 1952784753 | Dacey Jo Telfer | Psychologist | 1000 Lincoln St, Emporia, KS 66801-2449 | 2015-06-30 |
| Find all providers in EMPORIA | ||||
Please comment or provide details below to improve the information on SAMANTHA THIBODEAU.
| 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.