DR. JEAN ANDERSON DUNHAM (NPI# 1134369093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134369093 |
| Entity Type | Individual |
| Full Name | DR. JEAN ANDERSON DUNHAM |
| Credential | M.D. |
| Practice Address |
105 W Riverside Dr Austin TX 78704-1247 |
| Mailing Address |
1430 Collier St Austin TX 78704-2911 |
| Practice Telephone | 5128043000 |
| Practice Fax Number | 5123239544 |
| Mailing Telephone | 5124724357 |
| Mailing Fax Number | 5127031394 |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2013-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
P6156 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
105 W RIVERSIDE DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093811580 | Robert Lee March | Psychiatry & Neurology | 105 W Riverside Dr, Austin, TX 78704-1247 | 2006-09-15 |
| 1265839104 | Susan Palacios | Counselor | 105 W Riverside Dr, Suite 120, Austin, TX 78704-1247 | 2014-11-20 |
| 1215356951 | Jennifer Laura Gilbert | Social Worker | 105 W Riverside Dr, Austin, TX 78704-1247 | 2014-04-09 |
| 1104254036 | Katy Marvel | Social Worker | 105 W Riverside Dr, Suite 120, Austin, TX 78704-1247 | 2013-11-01 |
| 1497018535 | Jaime A. Escareno | Counselor | 105 W Riverside Dr, Suite 120, Austin, TX 78704-1247 | 2012-06-22 |
| 1215218367 | Erika Alanis | Social Worker | 105 W Riverside Dr, Austin, TX 78704-1247 | 2011-09-02 |
| 1063712867 | Suzanne Alley | Counselor | 105 W Riverside Dr, Austin, TX 78704-1247 | 2010-10-26 |
| 1538397484 | Patricia Truhn Brunet | Counselor | 105 W Riverside Dr, Austin, TX 78704-1247 | 2009-06-30 |
| 1780825869 | Caroline Wibbelsman | Counselor | 105 W Riverside Dr, Austin, TX 78704-1247 | 2009-03-18 |
| 1932346889 | Amanda C. Smith | Counselor | 105 W Riverside Dr, Austin, TX 78704-1247 | 2009-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902215098 | Iris Telehealth Medical Group Pa | Psychiatry & Neurology | 114 W 7th St Ste 650, Austin, TX 78701-3039 | 2014-08-04 |
| 1275899833 | Matthew Mceachern | Psychiatry & Neurology | 114 W 7th St Ste 900, Austin, TX 78701-3013 | 2012-04-09 |
| 1396976668 | Laurie Katherine Seremetis | Psychiatry & Neurology | 1016 Shelley Ave, Austin, TX 78703-4839 | 2009-08-04 |
| 1861655540 | Katrijn Seynnaeve Wilson | Psychiatry & Neurology | 5424 W Highway 290 Ste 108, Austin, TX 78735-8827 | 2008-07-03 |
| 1487702684 | Jay Alan Davis, Md | Psychiatry & Neurology | 202 Ashworth Dr, Austin, TX 78746-4604 | 2007-01-07 |
| 1548343254 | James Bayliss | Psychiatry & Neurology | 4110 Guadalupe St., Attn. Reimbursement Dept., Austin, TX 78751-4296 | 2006-10-24 |
| 1871674572 | Randall Mcintyre | Psychiatry & Neurology | 3160 Bee Cave Rd, Suite 201, Austin, TX 78746-5802 | 2006-10-18 |
| 1184665648 | Frank S. Floca | Psychiatry & Neurology | 1007 Mo Pac Cir Ste 203, Austin, TX 78746-6864 | 2006-06-08 |
| 1215933015 | James H Grubbs | Psychiatry & Neurology | 210 Lee Barton Dr, #318, Austin, TX 78704-1045 | 2005-06-27 |
| 1487650156 | James G Baker | Psychiatry & Neurology | Dell Medical School Dept of Psychiatry, 1701 Trinity, Austin, TX 78712 | 2005-06-27 |
| Find all providers in AUSTIN | ||||
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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.