COLIN DUGGAN (NPI# 1164665766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164665766 |
| Entity Type | Individual |
| Full Name | COLIN DUGGAN |
| Credential | PSYD |
| Practice Address |
1432 Southwest Blvd Jefferson City MO 65102-1128 |
| Mailing Address |
Po Box 1128 1432 Southwest Blvd Jefferson City MO 65102-1128 |
| Practice Telephone | 5736325560 |
| Mailing Telephone | 5736325560 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2013-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2008004863 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1432 SOUTHWEST BLVD |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65102-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166481 | Shelby D Rifkin | Internal Medicine | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2005-10-05 |
| 1942816897 | Ashley Nicole Bramer | Speech-Language Pathologist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2020-09-16 |
| 1891319877 | Derek Scott Parker | Physical Therapist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2020-06-04 |
| 1205489630 | Jamie Lynn Wilson | Social Worker | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2019-07-24 |
| 1902459910 | Miranda L Backes | Counselor | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2019-07-18 |
| 1356809297 | Stacy Lynn Stegeman | Counselor | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2019-03-11 |
| 1295207371 | Mary Blochberger | Specialist/Technologist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2018-12-29 |
| 1053714154 | Wesley Clifford Thompson | Psychologist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2014-10-02 |
| 1235473380 | Nicole Danielle Borrenpohl | Nurse Practitioner | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2012-11-15 |
| 1679825244 | Capital Region Medical Center | Radiology | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2012-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649514050 | Capital Region Resident Clinic | General Practice | 220 Madison St., Jefferson City, MO 65102 | 2012-11-26 |
| 1659534386 | Cynthia L Hackathorn | Counselor | 1706 E Elm St, Jefferson City, MO 65102 | 2008-07-02 |
| 1821097783 | Scott Marrs | Family Medicine | 2511 W Edgewood, Ste D, Jefferson City, MO 65102 | 2005-07-21 |
| 1255487948 | Lynne Anne White | Occupational Therapist | 1125 Madison, Jefferson, MO 65102-1128 | 2007-01-26 |
| 1003872714 | Elbert Stinson Tillerson | Psychiatry & Neurology | 1125 Madison St., Jefferson City, MO 65102-1128 | 2006-04-21 |
| 1932429727 | Jonathan Andrew Heisinger | Health Educator | 1505 Southwest Blvd, Jefferson City, MO 65102-1128 | 2010-06-03 |
| 1013120583 | Christie L Stockton | Physical Therapist | 1125 Madison, Jefferson City, MO 65102-1128 | 2007-05-08 |
| 1801054622 | Capital Region Medical Center | Surgery | 1125 Madison St., Jefferson City, MO 65102-1236 | 2008-05-29 |
| 1629031018 | Capital Region Medical Center | Clinic/Center | 1014 Madison St, Jefferson City, MO 65102-3458 | 2006-04-08 |
| 1700043791 | Capital Region Medical Center | Radiology | 1125 Madison St, Jefferson City, MO 65102-5227 | 2008-05-19 |
| Find all providers in zip 65102 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114228335 | Lifesong for Growth and Wellness LLC | Psychologist | 3401 W Truman Blvd, Ste 100, Jefferson City, MO 65109-5752 | 2010-11-04 |
| 1982853834 | Dr Mccarty Clinical Psychologist LLC | Psychologist | 312 E Capitol Ave, Dr Mccarty Clinical Psychologist LLC, Jefferson City, MO 65101-3055 | 2008-09-16 |
| 1033205125 | Richard P Lillard | Psychologist | 3405 W Truman Blvd Ste 101, Jefferson City, MO 65109-5861 | 2006-10-05 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| 1306830039 | David Foote | Psychologist | 227 Metro Dr, Jefferson City, MO 65109-1134 | 2005-09-08 |
| 1447243480 | Mark A. Lemay | Psychologist | 222 E Broadway Blvd, Ste. 203, Jefferson City, TN 37760-2837 | 2005-08-24 |
| 1114910213 | Carol Steele | Psychologist | 222 E. Broadway Blvd., Ste. 203, Jefferson City, TN 37760-2837 | 2005-08-24 |
| 1053714154 | Wesley Clifford Thompson | Psychologist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2014-10-02 |
| 1306039193 | Caleb Solomon Reese | Psychologist | 227 Metro Dr, Jefferson City, MO 65109-1134 | 2007-08-24 |
| 1336367721 | David W Lynch | Psychologist | 227 Metro Dr, Jefferson City, MO 65109 | 2007-04-23 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65102 |
Please comment or provide details below to improve the information on COLIN DUGGAN.
| 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.