DEBORA ELAINE WILLAGE (NPI# 1104923234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104923234 |
| Entity Type | Individual |
| Full Name | DEBORA ELAINE WILLAGE |
| Other Name | DEBORA ELAINE TEPPER |
| Credential | PH.D. |
| Practice Address |
606 E Main St Madison IN 47250-4708 |
| Practice Telephone | 8122654151 |
| Practice Fax Number | 8122655028 |
| Mailing Telephone | 8122654151 |
| Mailing Fax Number | 8122655028 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
20040505A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200041700A | 05 |
| Street Address |
606 E MAIN ST |
| City | MADISON |
| State | IN |
| Zip Code | 47250-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558819474 | Kerri Lynn Fisher | Counselor | 606 E Main St, Madison, IN 47250-4708 | 2016-09-20 |
| 1578741484 | Dr. Howard C. Jackson, Inc. | Family Medicine | 606 E Main St, Madison, IN 47250-4708 | 2008-02-01 |
| 1891825576 | Gwen Heaton, Md | Social Worker | 606 E Main St, Madison, IN 47250-4708 | 2007-03-06 |
| 1780778985 | Anthony J Schroeder | Social Worker | 606 E Main St, Madison, IN 47250-4708 | 2006-10-03 |
| 1558468678 | Robert Lee Pimlott | Marriage & Family Therapist | 606 E Main St, Madison, IN 47250-4708 | 2006-09-20 |
| 1518064781 | Connie Thompson Chambers | Social Worker | 606 E Main St, Madison, IN 47250-4708 | 2006-09-20 |
| 1396781399 | Richard Lewis Thayer Jr. | Psychologist | 606 E Main St, Madison, IN 47250-4708 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1801314455 | Physicians Medical Center LLC | Nurse Practitioner | 311 E Clifty Drive, Madison, IN 47250 | 2017-09-05 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1568761575 | Linda Wehner D.m.d. LLC | Dentist | 1105 Clifty Drive, Madison, IN 47250 | 2011-03-17 |
| 1205142221 | Mary-caroline Peddie | Registered Nurse | 2003 Hycliff Ct, Madison, IN 47250 | 2010-08-27 |
| 1235376625 | Brian Edward Armbrecht | Pharmacist | One King's Daughters' Dr, Madison, IN 47250 | 2009-01-07 |
| 1902092661 | Assisted Living Concepts Inc | Assisted Living Facility | 607 Virginia Avenue, Madison, IN 47250 | 2007-09-17 |
| 1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
| 1396877205 | Quinco Consulting Center Inc | Clinic/Center | 3100 N Bevcher Drive, Madison, IN 47250 | 2007-03-09 |
| Find all providers in zip 47250 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
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|---|---|---|---|---|
| 1962993063 | Nicole C Allen | Psychologist | 595 W Edge Trl Apt O, Avon, IN 46123-6841 | 2018-05-24 |
| 1720436488 | Youth Opportunity Center | Psychologist | 103 W County Road 100 N, New Castle, IN 47362-8965 | 2016-06-02 |
| 1528449964 | Leroy Burgess | Psychologist | 300 S Saint Louis Blvd Ste 202, South Bend, IN 46617-3044 | 2015-06-11 |
| 1144555855 | Paula A. Neuman | Psychologist | 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 | 2009-10-14 |
| 1942491600 | Dixie J Pederson | Psychologist | 2 N 19th St, Lafayette, IN 47904-2950 | 2007-08-07 |
| 1285839480 | Center for Brief Therapy PC | Psychologist | 423 Airport N. Office Park, Ft. Wayne, IN 46825-6704 | 2007-06-18 |
| 1376600767 | Bart Ferraro | Psychologist | 2011 N Meridian St, Indianapolis, IN 46202-1305 | 2007-01-03 |
| 1326125998 | Mary Wollitz Dooley | Psychologist | 7125 E Us Hwy 36, Avon, IN 46123 | 2006-11-01 |
| 1235247396 | Linda Ohlsen Ferreira | Psychologist | 23 East 39th Street, Indianapolis, IN 46205-2645 | 2006-08-29 |
| 1497798284 | Victory Clinical Services II LLC | Psychologist | 4218 W Western Ave, South Bend, IN 46619-2622 | 2006-06-13 |
| Find all providers with the same taxonomy | ||||
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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.