UNITED IMPACT, LLC (NPI# 1114543568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114543568 |
| Entity Type | Organization |
| Organization Name | UNITED IMPACT, LLC |
| Practice Address |
404 El Destinado Dr Tallahassee FL 32312-1607 |
| Mailing Address |
Po Box 1225 Tallahassee FL 32302-1225 |
| Practice Telephone | 8505100915 |
| Mailing Telephone | 8505100915 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | MRS. PHILANDER CAROL MCCRAY-HEAD (PART OWNER) |
| Authorized Official Telephone | 8505100915 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0004X |
Psychologist Specialization: Health |
Behavioral Health & Social Service Providers |
| Street Address |
404 EL DESTINADO DR |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32312-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447611546 | Philander Carol Mccrayhead | Behavioral Analyst | 404 El Destinado Dr, Tallahassee, FL 32312-1607 | 2016-03-16 |
| 1265966857 | Envisionlifeservices,llc | Clinic/Center | 404 El Destinado Dr, Tallahassee, FL 32312-1607 | 2017-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274235 | Jennifer Stinson | Technician | 10014 Journeys En, Tallahassee, FL 32312 | 2019-09-19 |
| 1528581766 | Amanda Michele Chandler | Counselor | 2634 Capital Circle N.e., Tallahassee, FL 32312 | 2017-07-19 |
| 1902330871 | Therese Melendez | Recreation Therapist | 9346 Buck Haven Trl, Tallahassee, FL 32312 | 2017-04-17 |
| 1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
| 1568819753 | Kaydi Blackstock | Specialist/Technologist | 7200 Lawton Chiles Ln, Tallahassee, FL 32312 | 2016-05-18 |
| 1275994212 | Tiffany Coleman | Pharmacist | 6680 Thomasville Road, Tallahassee, FL 32312 | 2016-03-18 |
| 1659743235 | Psychological Center | Community/Behavioral Health | 8819 Minnow Creek Dr, Tallahassee, FL 32312 | 2015-10-22 |
| 1780098723 | Andrew Bellebaum | Dentist | 554 Keily Street Bureau of Med and Sur, Centralized Credentials and Privilegeing, Jacksonville, FL 32312 | 2014-06-18 |
| 1851714299 | Hf Acupuncture and Chinese Medicine Center LLC | Acupuncturist | 1282 Timberlane Rd, Tallahassee, FL 32312 | 2014-01-21 |
| 1629326061 | Ana E Raynolds | Speech-Language Pathologist | 3457 Cedarwood Trail, Tallahassee, FL 32312 | 2012-08-15 |
| Find all providers in zip 32312 | ||||
| Taxonomy Code | 103TH0004X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health |
| The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care. |
| Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477160109 | Linda Mims | Psychologist | 1909 Se 14th Ave, Gainesville, FL 32641-0707 | 2020-09-27 |
| 1225647001 | Jaclyn Linsey Fishalow | Psychologist | 505 Lantern Cir, Temple Terrace, FL 33617-3735 | 2020-07-28 |
| 1992362404 | Ida Marie Palmer | Psychologist | 6722 Arlington Expy # 570, Jacksonville, FL 32211-7234 | 2019-05-21 |
| 1427545953 | Tiffani Betancourt | Psychologist | 8408 N Taliaferro Ave, Tampa, FL 33604-1643 | 2018-04-19 |
| 1578077335 | Seyla Counseling Inc | Psychologist | 6900 Tanrsrock Lake Blvd Suite 400, Orlando, FL 32827 | 2017-11-30 |
| 1710291406 | Amelia Bindas | Psychologist | 12133 Oak St, Suite 6, Largo, FL 33774-3123 | 2010-08-05 |
| 1356505713 | Allan Arthur Schulte | Psychologist | 2965 Bee Ridge Rd, Lotus Stress Relief, Sarasota, FL 34239-7114 | 2008-07-15 |
| 1649833443 | Avp Assessment Services, LLC | Psychologist | 4851 Tamiami Trl N, Naples, FL 34103-3096 | 2019-04-17 |
| 1881103273 | Melissa Echevarria Baez | Psychologist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2017-09-28 |
| 1932598851 | Mivip Behavioral Health LLC | Psychologist | 3475 Sheridan St, 101, Hollywood, FL 33021-3663 | 2015-01-15 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32312 |
Please comment or provide details below to improve the information on UNITED IMPACT, LLC.
| 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.