MAHAN AND ASSOCIATES, LLC (NPI# 1144423609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144423609 |
| Entity Type | Organization |
| Organization Name | MAHAN AND ASSOCIATES, LLC |
| Practice Address |
1400 E Pugh Dr Suite 3 Terre Haute IN 47802-3942 |
| Practice Telephone | 8122369569 |
| Practice Fax Number | 8122373964 |
| Mailing Telephone | 8122369569 |
| Mailing Fax Number | 8122373964 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2010-07-30 |
| Authorized Official Name | SUELLYN MAHAN (OWNER) |
| Authorized Official Telephone | 8122369569 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 20041149 | IN | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
20041149 | IN | Behavioral Health & Social Service Providers |
| Y | 103TS0200X |
Psychologist Specialization: School |
20041149 | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200927070 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841489572 | Mahan and Associates, LLC | Psychologist | 2931 Ohio Blvd, Suite 101, Terre Haute, IN 47803-2240 | 2007-10-18 |
| Street Address |
1400 E PUGH DR SUITE 3 |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316930357 | Suellyn M Mahan | Psychologist | 1400 E Pugh Dr, Suite 3, Terre Haute, IN 47802-3942 | 2005-08-24 |
| 1598292559 | Siona Taft | Physical Therapist | 1400 E Pugh Dr, Terre Haute, IN 47802-3942 | 2017-05-21 |
| 1730626276 | Kaitlin Williams | Physical Therapy Assistant | 1400 E Pugh Dr, Suit 28, Terre Haute, IN 47802-3942 | 2017-01-23 |
| 1780862672 | Dkr Psychological Services, Inc. | Psychologist | 1400 E Pugh Dr, Suite 10, Terre Haute, IN 47802-3942 | 2008-02-04 |
| 1972713295 | Pelland Psychological Services LLC | Psychologist | 1400 E Pugh Dr, Suite 14, Terre Haute, IN 47802-3942 | 2007-05-23 |
| 1205055258 | Faith A Hopper | Physical Therapy Assistant | 1400 E Pugh Dr, Suite 28, Terre Haute, IN 47802-3942 | 2007-04-25 |
| 1164641114 | Lois A Nash | Physical Therapy Assistant | 1400 E Pugh Dr, Suite 28, Terre Haute, IN 47802-3942 | 2007-04-25 |
| 1477620854 | Paula Frances Pelland | Psychologist | 1400 E Pugh Dr, Suite 14, Terre Haute, IN 47802-3942 | 2006-11-29 |
| 1982651972 | George William Berry | Psychologist | 1400 E Pugh Dr, Suite 14, Terre Haute, IN 47802-3942 | 2006-05-27 |
| 1841253671 | Patrick Frank Cerra | Psychologist | 1400 E Pugh Dr, Suite #14, Terre Haute, IN 47802-3942 | 2006-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| Find all providers in zip 47802 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881130979 | Stacey Bex | Psychologist | 2708 Sibley Ave, Terre Haute, IN 47803-1258 | 2017-01-12 |
| 1871672642 | Teen Recovery Center, LLC | Psychologist | 7 Meadows Shopping Ctr # L, Terre Haute, IN 47803-2373 | 2006-11-03 |
| 1790344596 | Alyce Michelle Hopple | Psychologist | Gibault Care, Inc., 6401 S. Us Hwy 41, Terre Haute, IN 47802-4748 | 2019-06-06 |
| 1841489572 | Mahan and Associates, LLC | Psychologist | 2931 Ohio Blvd, Suite 101, Terre Haute, IN 47803-2240 | 2007-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700523 | Julia Ann Edwards | Psychologist | 401 W Joliet St, Crown Point, IN 46307-3808 | 2020-11-02 |
| 1356955132 | Adam Grieve | Psychologist | 213 Buckingham Dr, Indianapolis, IN 46208-3625 | 2020-08-31 |
| 1831725498 | Alex Brewer | Psychologist | 925 N Meridian St Ste 100, Sunman, IN 47041-7771 | 2020-03-16 |
| 1174153332 | Scott Edmund Andrews | Psychologist | 105 S 225 E, Flora, IN 46929-9688 | 2020-01-16 |
| 1588208086 | Amanda Hudson | Psychologist | 8650 Columbia Ave, Munster, IN 46321-2518 | 2019-10-29 |
| 1306301387 | Benjamin A Cunningham | Psychologist | 1200 S Clinton St, Fort Wayne, IN 46802-3504 | 2019-02-05 |
| 1770048811 | Jacqueline Ansburg | Psychologist | 1767 Glasgow St, Valparaiso, IN 46385-7360 | 2019-02-03 |
| 1518443829 | Rebecca Gromala | Psychologist | 8410 Wicker Ave, Saint John, IN 46373-9710 | 2018-07-19 |
| 1154807360 | Lindsey Wixson | Psychologist | 15440 Mystic Rock Dr, Carmel, IN 46033-8146 | 2018-07-11 |
| 1669981411 | Catherine Carpenter | Psychologist | 8948 Chestnut Ln, Munster, IN 46321-3224 | 2017-09-25 |
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| City | TERRE HAUTE |
| Zip Code | 47802 |
Please comment or provide details below to improve the information on MAHAN AND ASSOCIATES, 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.