GARY COLEMAN, PSY.D. & ASSOCIATES (NPI# 1114181971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114181971 |
Entity Type | Organization |
Organization Name | GARY COLEMAN, PSY.D. & ASSOCIATES |
Practice Address |
2114 Deerpath Rd Aurora IL 60506-7943 |
Practice Telephone | 6309071735 |
Mailing Telephone | 6309071735 |
Enumeration Date | 2008-07-10 |
Last Update Date | 2008-07-10 |
Authorized Official Name | GARY LEE COLEMAN (PSYCHOLOGIST) |
Authorized Official Telephone | 6309071735 |
Authorized Official Credential | PSY. D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
071-006641 | IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS & BLUE SHIELD | 04523608 | 01 |
IL | NPI TYPE I | 1407994049 | 01 |
Street Address |
2114 DEERPATH RD |
City | AURORA |
State | IL |
Zip Code | 60506-7943 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407994049 | Gary Lee Coleman | Psychologist | 2114 Deerpath Rd, Aurora, IL 60506-7943 | 2007-02-04 |
1396097168 | Melissa Ann Banks | Social Worker | 2114 Deerpath Rd, Aurora, IL 60506-7943 | 2012-10-03 |
1477812097 | Mary Anne Mchugh-chaljub | Counselor | 2114 Deerpath Rd, Aurora, IL 60506-7943 | 2012-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
Find all providers in zip 60506 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659980704 | Diana L. Slaviero, Ph.d., P.C. | Psychologist | 75 Executive Dr Ste 429, Aurora, IL 60504-8112 | 2020-07-24 |
1164066528 | Cynthia Guadalupe Penne | Psychologist | 2794 Rosehall Ln, Aurora, IL 60503-5682 | 2019-10-29 |
1669015913 | Briana Lucia Robustelli | Psychologist | 1700 Wheeling St # 554-116w, Aurora, CO 80045-7211 | 2019-10-18 |
1750899910 | Michael W Kirkwood | Psychologist | Dept of Rehab, B285; Children's Hospital Colorado, 13123 E. 16th Ave, Aurora, CO 80045 | 2018-01-22 |
1043731409 | Horizon Psychology Services, LLC | Psychologist | 2261 Reflections Dr, Aurora, IL 60502-7310 | 2017-07-06 |
1144626888 | Diana Hinojosa | Psychologist | 10680 Del Mar Pkwy, Aurora, CO 80010 | 2014-11-06 |
1639597446 | Todd Huenecke | Psychologist | 2135 Colonial St, Aurora, IL 60503-4611 | 2014-03-31 |
1932538717 | Erica Stephens | Psychologist | 3131 S Vaughn Way Ste 110, Aurora, CO 80014 | 2013-11-02 |
1588942585 | Charles Harrison | Psychologist | 13123 E 16th Ave # B505, Aurora, CO 80045-7106 | 2011-07-26 |
1619138070 | Irene Gutierrez Ellis | Psychologist | 2101 S Blackhawk St., Ste 240, Rm 4, Aurora, CO 80014-1475 | 2008-06-18 |
Find all providers in AURORA |
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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.