MARK W UNDERWOOD (NPI# 1093064016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093064016 |
| Entity Type | Individual |
| Full Name | MARK W UNDERWOOD |
| Credential | LMFT |
| Practice Address |
5150 E Stop 11 Rd Ste 14 Indianapolis IN 46237-8628 |
| Mailing Address |
8810 Latitudes Dr Apt 802 Indianapolis IN 46237-8390 |
| Practice Telephone | 3172001567 |
| Mailing Telephone | 2512001567 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2017-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 437 | AL | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 35001750A. | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134108707 | Mark L Underwood | Dentist | 3033 Sw Villa West Dr, Topeka, KS 66614-4487 | 2006-01-12 |
| 1639512247 | Mark A. Underwood | Speech-Language Pathologist | 615 Snow Ave, Richland, WA 99352-3851 | 2013-04-12 |
| 1265414460 | Mark A Underwood | Pediatrics | 2315 Stockton Blvd, Nicu, Sacramento, CA 95817-2201 | 2005-11-15 |
| 1619974995 | Mark Todd Underwood | Pharmacist | 9601 Steilacoom Blvd Sw, Pharmacy Services, Tacoma, WA 98498-7213 | 2005-07-01 |
| Street Address |
5150 E STOP 11 RD STE 14 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-8628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730195892 | Jack Lawrence Williams | Dentist | 5150 E Stop 11 Rd, Suite 11, Indianapolis, IN 46237-8628 | 2006-07-31 |
| 1093164535 | Idc Dental Group, Inc. | Dentist | 5150 E Stop 11 Rd, Suite 11, Indianapolis, IN 46237-8628 | 2016-06-06 |
| 1699122945 | Jillian Brady | Dentist | 5150 E Stop 11 Rd, Suite 11, Indianapolis, IN 46237-8628 | 2016-05-17 |
| 1558678870 | Bradley M Dobson | Counselor | 5150 E Stop 11 Rd, Indianapolis, IN 46237-8628 | 2010-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1205440112 | Vanessa Renee Smith Mccullough | Marriage & Family Therapist | 12645 Teacup Way, Indianapolis, IN 46235-6115 | 2020-09-08 |
| 1023634508 | Stephanie Bagato | Marriage & Family Therapist | 6411 S East St Ste A, Indianapolis, IN 46227-2737 | 2020-06-22 |
| 1598391104 | Michele Prible | Marriage & Family Therapist | 819 E 64th St Ste 238, Indianapolis, IN 46220-6609 | 2020-03-15 |
| 1942861059 | Marli Ann Piercy | Marriage & Family Therapist | 819 E 64th St Ste 222, Indianapolis, IN 46220-1695 | 2019-06-28 |
| 1164089603 | Kaitlin Whelan | Marriage & Family Therapist | 815 E 63rd Pl Ste 205, Indianapolis, IN 46220-1885 | 2019-05-21 |
| 1114583721 | Michael James O'connell | Marriage & Family Therapist | 815 E 63rd Pl Ste 203, Indianapolis, IN 46220-1885 | 2019-05-20 |
| 1427516699 | Erica Mack-jackson | Marriage & Family Therapist | 9247 N Meridian St Ste 255, Indianapolis, IN 46260-1879 | 2019-03-06 |
| 1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
| 1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
Please comment or provide details below to improve the information on MARK W UNDERWOOD.
| 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.