MICHAEL DOCKERY (NPI# 1174956759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174956759 |
| Entity Type | Individual |
| Full Name | MICHAEL DOCKERY |
| Practice Address |
201 Jeans Dr Salem IN 47167-9200 |
| Mailing Address |
402 E Market St Salem IN 47167-2122 |
| Practice Telephone | 8128834877 |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801870381 | Michael Lee Dockery | Orthopaedic Surgery | 9848 N Tryon St, Charlotte, NC 28262-5512 | 2005-11-30 |
| Street Address |
201 JEANS DR |
| City | SALEM |
| State | IN |
| Zip Code | 47167-9200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932220878 | Maria P. Burks | Counselor | 201 Jeans Dr, Salem, IN 47167-9200 | 2007-04-02 |
| 1710407432 | Activate Healthcare - Salem Clinic | Clinic/Center | 201 Jeans Dr, Salem, IN 47167-9200 | 2017-06-23 |
| 1356739593 | Quad Med LLC | Clinic/Center | 201 Jeans Dr, Salem, IN 47167-9200 | 2014-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679951792 | Forefront Dermatology, S.c. | Dermatology | 911 N Shelby Street, St. Vincent Salem Hospital, Specialty Clinic, Salem, IN 47167 | 2015-05-08 |
| 1407188162 | Sheila Belamour | Physical Therapy Assistant | 900 Anson Street, Salem, IN 47167 | 2010-02-05 |
| 1598988834 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 N. Nichols Ave., Salem, IN 47167 | 2007-04-11 |
| 1740303973 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 75 E. Oak Dr, Salem, IN 47167 | 2007-04-10 |
| 1689709594 | Renal Treatment Centers Illinois Inc | Clinic/Center | 1201 N Jim Day Road, Ste 103, Salem, IN 47167 | 2007-02-22 |
| 1780738161 | Martin F Kennedy Dds PC | Dentist | 1600 S State Rd 135, Salem, IN 47167 | 2007-01-22 |
| 1114079449 | Gene F Hedrick Dds PC | Dentist | 100 North Harrison Street, Salem, IN 47167 | 2007-01-17 |
| 1689626038 | Kristen Ingram | Family Medicine | 1002 N Shelby St Ste 1004, Salem, IN 47167 | 2006-05-16 |
| 1952825564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 S Main St, Salem, IN 47167 | 2017-07-26 |
| 1558770370 | Ashlee Austin | Occupational Therapist | 900 Anson St, Salem, IN 47167 | 2014-08-06 |
| Find all providers in zip 47167 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512938 | Roseanne Pikul, Lmft, LLC | Marriage & Family Therapist | 880 Liberty St Ne Ste 102, Salem, OR 97301-2450 | 2019-08-02 |
| 1164870531 | Cynthia Jane Fegles | Marriage & Family Therapist | 880 Liberty St. Ne, Salem, OR 97301 | 2016-05-26 |
| 1053787267 | Brian J Hamilton | Marriage & Family Therapist | 151 Main St Ste 6c, Salem, NH 03079-3109 | 2015-08-12 |
| 1821349119 | Michael Elkin | Marriage & Family Therapist | 70 Washington St Suite 322, Salem, MA 01970 | 2012-09-26 |
| 1306108964 | Jessica Michaela Pechinis | Marriage & Family Therapist | 35 Congress St Ste 2150b, Salem, MA 01970-5529 | 2012-06-11 |
| 1174825855 | Jill/ Ellen Conrad | Marriage & Family Therapist | 1300 Broadway St. Ne, Ste # 409, Salem, OR 97301-9730 | 2010-12-01 |
| 1215247705 | David T. Wood | Marriage & Family Therapist | 5061 Liberty Rd S, Suite 130, Salem, OR 97306-2073 | 2010-10-18 |
| 1932427457 | Dominique L Sotelo | Marriage & Family Therapist | 155 Liberty St Ne Ste 370, Salem, OR 97301-3552 | 2010-05-07 |
| 1427295120 | Scot B Sternberg | Marriage & Family Therapist | 70 Washington St Ste 320, Salem, MA 01970-3520 | 2009-01-16 |
| 1114173283 | Lora Wilson Goodenough | Marriage & Family Therapist | 495 State St Ste 301, Salem, OR 97301-3757 | 2008-08-08 |
| Find all providers in SALEM | ||||
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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.