MRS. KRYSTAL GAIL STOLLINGS (NPI# 1104003599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104003599 |
| Entity Type | Individual |
| Full Name | MRS. KRYSTAL GAIL STOLLINGS |
| Credential | MA ED.S |
| Practice Address |
506 Holly Ave Logan WV 25601-3306 |
| Practice Telephone | 3047922088 |
| Practice Fax Number | 3047527471 |
| Mailing Telephone | 3043695223 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 5764 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810008983 | 05 |
| Street Address |
506 HOLLY AVE |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306023775 | Catherine Ellen Ferrell | Speech-Language Pathologist | 506 Holly Ave, Logan, WV 25601-3306 | 2008-01-28 |
| 1720452311 | Amanda Sisler | Physical Therapist | 506 Holly Ave, Logan, WV 25601-3306 | 2015-11-19 |
| 1831512698 | Julie Balentine | Registered Nurse | 506 Holly Ave, Logan, WV 25601-3306 | 2014-01-30 |
| 1295060309 | Cecilia May Mays | Registered Nurse | 506 Holly Ave, Logan, WV 25601-3306 | 2009-10-07 |
| 1457511933 | Hailey Beth Quick | Occupational Therapist | 506 Holly Ave, Logan, WV 25601-3306 | 2008-06-10 |
| 1871753368 | Kimberly Meade Shell | Registered Nurse | 506 Holly Ave, Logan, WV 25601-3306 | 2008-06-10 |
| 1942460316 | Mark Allan Hatcher | Registered Nurse | 506 Holly Ave, Logan, WV 25601-3306 | 2008-06-10 |
| 1508031725 | Heather Villa Colley | Registered Nurse | 506 Holly Ave, Logan, WV 25601-3306 | 2008-04-29 |
| 1982882288 | Kristi Lynn Scaggs | Registered Nurse | 506 Holly Ave, Logan, WV 25601-3306 | 2008-02-08 |
| 1326225772 | Donald Kenneth Pinckney | Occupational Therapist | 506 Holly Ave, Logan, WV 25601-3306 | 2008-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| 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 |
|---|---|---|---|---|
| 1922523844 | David E Christian Phd PC | Psychologist | 629 S 575 W, Logan, UT 84321-5162 | 2017-08-11 |
| 1558697805 | Marilynne Glatfelter | Psychologist | 786 N 1500 E, Logan, UT 84321-4358 | 2009-10-21 |
| 1558452003 | Roueida Ghadban | Psychologist | 90 East 200 North, Bear River Mental Health, Logan, UT 84321 | 2006-09-28 |
| 1104858695 | Gretchen Gimpel Peacock | Psychologist | 2810 Old Main Hl, Department of Psychology, Logan, UT 84322-2810 | 2006-07-07 |
| 1164748729 | Kyle Max Hancock | Psychologist | 246 E 1260 N, Logan, UT 84341-7501 | 2010-04-07 |
| 1972730117 | Carolyn Gay Barcus | Psychologist | 2810 Old Main Hl, Logan, UT 84322-2810 | 2009-06-15 |
| 1134326689 | Graca Maria De Oliveira Costa | Psychologist | 90 E 200 N, Logan, UT 84321-4034 | 2007-06-28 |
| 1346390267 | Cassie Ward | Psychologist | 306 Main St, Logan, WV 25601-3906 | 2007-01-11 |
| 1740330943 | Psychological Associates of Logan | Psychologist | 306 Main St, Logan, WV 25601-3906 | 2007-01-11 |
| 1417038530 | Kenneth George Weigand | Psychologist | 246 E 1260 N, Logan, UT 84341-7501 | 2006-10-17 |
| Find all providers in LOGAN | ||||
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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.