CLINICAL PSYCHOLOGICAL SERVICES, LLC (NPI# 1174964662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174964662 |
| Entity Type | Organization |
| Organization Name | CLINICAL PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
1020 Woodman Dr Suite 300 Dayton OH 45432-1446 |
| Mailing Address |
246 Wiltshire Blvd Dayton OH 45419-2634 |
| Practice Telephone | 9377500294 |
| Practice Fax Number | 9374010370 |
| Mailing Telephone | 9375467622 |
| Mailing Fax Number | 9374010370 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |
| Authorized Official Name | DR. LORENA KVALHEIM (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 9377500294 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6215 | OH | Behavioral Health & Social Service Providers |
| Street Address |
1020 WOODMAN DR SUITE 300 |
| City | DAYTON |
| State | OH |
| Zip Code | 45432-1446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871594853 | John R Rudisill | Psychologist | 1020 Woodman Dr, Suite 225, Dayton, OH 45432-1446 | 2005-08-02 |
| 1619588720 | Daniel L Horne | Case Manager/Care Coordinator | 1020 Woodman Dr, Dayton, OH 45432-1446 | 2020-08-12 |
| 1043794738 | Liam Victor Elliott | Case Manager/Care Coordinator | 1020 Woodman Dr, Dayton, OH 45432-1446 | 2018-09-19 |
| 1154831352 | Breanna Bishop | Social Worker | 1020 Woodman Dr, Dayton, OH 45432-1446 | 2017-10-03 |
| 1891213641 | Chelsae Bicknell | Social Worker | 1020 Woodman Dr, Dayton, OH 45432-1446 | 2017-08-31 |
| 1376069245 | Sherry D Greene | Social Worker | 1020 Woodman Dr, Dayton, OH 45432-1446 | 2017-08-22 |
| 1700322989 | Rhonda Teresa Brown | Clinical Nurse Specialist | 1020 Woodman Dr, Dayton, OH 45432 | 2017-01-12 |
| 1326322439 | Rudisill Psychological Services LLC | Psychologist | 1020 Woodman Dr, Ste 300, Dayton, OH 45432-1446 | 2011-10-07 |
| 1750523874 | Mehan Ophthalmology, Inc. | Ophthalmology | 1020 Woodman Dr, Suite 200, Dayton, OH 45432-1446 | 2009-04-03 |
| 1093963332 | National Youth Advocate Program, Inc | Community/Behavioral Health | 1020 Woodman Dr, Suite 330, Dayton, OH 45432-1446 | 2008-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1215480504 | Heather Iaquinta | Registered Nurse | 1430 Linden Ave., Suite 390, Dayton, OH 45432 | 2016-08-03 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1194997718 | Paul G Tarlano Dds Inc | Dentist | 3621 Dayton-xenia Rd, Beaver Creek, OH 45432 | 2008-03-25 |
| 1306018981 | Paul Gerald Tarlano | Dentist | 3621 Dayton Xenia Rd, Beavercreek, OH 45432 | 2008-03-24 |
| 1104035377 | Andrew Brody | Occupational Therapy Assistant | 1974 North Fairfield Road, Beavercreek, OH 45432 | 2007-05-22 |
| 1952476111 | Jeffrey C Miller Dds Inc | Dentist | 4450 Linden Ave, Dayton, OH 45432 | 2006-11-22 |
| 1194898098 | Joseph Warren Shiveley | Dentist | 1555 Marsetta Drive, Dayton, OH 45432 | 2006-11-16 |
| 1710907597 | Integrated Youth Services Inc | Clinic/Center | 1321 Research Park Drive, Dayton, OH 45432 | 2006-07-21 |
| 1730106790 | Lorena L Kvalheim | Psychologist | 1020 Woodman Street, Suite 300, Dayton, OH 45432 | 2006-07-16 |
| Find all providers in zip 45432 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691074 | Rita A. Carlson, Psy.d., Pllc | Psychologist | 191 Shady Grove Ln, Dayton, NV 89403-6364 | 2020-08-26 |
| 1023673100 | Katren Elizabeth Clark | Psychologist | 70 Birch Alley, Suite 240, Dayton, OH 45440 | 2019-05-05 |
| 1629379920 | Allison L Fernander | Psychologist | 9 North Edwin C Moses Blvd, Dayton, OH 45402-8470 | 2010-11-03 |
| 1548490667 | Rahema C Rodgers | Psychologist | 5045 N Main St Ste 223, Dayton, OH 45415-3637 | 2009-07-23 |
| 1710151295 | Cynthia Burton Levy | Psychologist | 17 Irongate Park Dr, Dayton, OH 45459-4616 | 2008-04-16 |
| 1033308119 | Alice L Claggett | Psychologist | 1159 Lyons Rd, Building E, Dayton, OH 45458-1857 | 2007-10-15 |
| 1740483031 | Roger G Schmidt | Psychologist | 88th Medical Group/mdos, 4881 Sugar Maple Dr., Dayton, OH 45433-5529 | 2007-06-06 |
| 1982826590 | Kathleen Ann Malloy | Psychologist | Ellis Institute, 9 N. Edwin C. Moses Blvd., Dayton, OH 45402 | 2007-05-03 |
| 1669692281 | James R. P. Fraser | Psychologist | 6550 Garber Rd, Dayton, OH 45415-2000 | 2007-04-26 |
| 1467675637 | David Nathan Zahm | Psychologist | 13612 Voland Ct, Dayton, MD 21036-1102 | 2007-04-10 |
| Find all providers in DAYTON | ||||
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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.