ANGELA BURRIS (NPI# 1174999130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174999130 |
| Entity Type | Individual |
| Full Name | ANGELA BURRIS |
| Practice Address |
7055 Dutchland Blvd Liberty Township OH 45044-9014 |
| Mailing Address |
4231 Scottwood Dr Fairfield OH 45014-5946 |
| Practice Telephone | 5137598615 |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
OH1200386 | OH | Behavioral Health & Social Service Providers |
| Street Address |
7055 DUTCHLAND BLVD |
| City | LIBERTY TOWNSHIP |
| State | OH |
| Zip Code | 45044-9014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174091250 | Pamela Little Little-hayes | Occupational Therapist | 1516 First Ave, Middletown, OH 45044 | 2018-11-07 |
| 1568955136 | King's Pharmacy | Pharmacy | 7043 Yankee Rd, Liberty Township, OH 45044 | 2018-06-08 |
| 1669964227 | Ashley Loren Witt | Counselor | 2005 Central Avenue, Middletown, OH 45044 | 2018-05-30 |
| 1598275703 | Liberty Endoscopy Center | Clinic/Center | 7360 Liberty One Dr, Liberty Township, OH 45044 | 2017-10-03 |
| 1295250330 | Inocencia Catral Ayson-schmidt | Registered Nurse | 2021 Monarch Drive, Middletown, OH 45044 | 2017-08-10 |
| 1356862973 | Selena E Mack | Home Health Aide | 1407 East St, Middletown, OH 45044 | 2017-07-05 |
| 1083135792 | Caroline Marie Goff | Social Worker | 321 Curtis Street, Middletown, OH 45044 | 2017-07-03 |
| 1013445659 | Erinn Michelle Torbeck | Dentist | 6862 Liberty Plaza Dr Ste 500, Liberty Township, OH 45044 | 2017-05-26 |
| 1194263160 | Pamela Gill | Private Vehicle | 1705 Sheridan Ave, Middletown, OH 45044 | 2017-02-09 |
| 1093265217 | Shirletta Hilton | Registered Nurse | 6143 Dawson Dr, Middletown, OH 45044 | 2016-10-12 |
| Find all providers in zip 45044 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891892 | Hunter L Mote | Psychologist | 7174 Hammond Dr, Greenville, OH 45331-2408 | 2020-11-05 |
| 1831798446 | Jaquitta Denise Wells | Psychologist | 1013 Evangeline Rd Apt 2, Cleveland, OH 44110-3192 | 2020-10-23 |
| 1760006332 | Tekesha Mckinney | Psychologist | 11464 Ramondi Pl, Cincinnati, OH 45240-2047 | 2020-05-29 |
| 1528554896 | Shamika Marie White-lovelace | Psychologist | 3886 Brookside Blvd, Cleveland, OH 44111-5105 | 2018-07-10 |
| 1427549138 | Pallaveebahen H Patel | Psychologist | 9150a N Plaza Dr, Northfield, OH 44067-1348 | 2018-05-29 |
| 1225554348 | Eric Anthony Gietzen | Psychologist | 93 Rolling Park Dr N, Massillon, OH 44647-5196 | 2017-08-21 |
| 1881110583 | Armada Hardy | Psychologist | 2203 Peace Ave Nw, Warren, OH 44483-3257 | 2017-08-15 |
| 1922522192 | Hopebridge, LLC | Psychologist | 1255 Kemper Meadow Dr Ste 900, Cincinnati, OH 45240-1633 | 2017-07-31 |
| 1023181633 | William Hayes Obrien | Psychologist | Of Psychology, Bowling Green State University, Bowling Green, OH 43403-0001 | 2006-11-15 |
| 1629152954 | Jill Helene Mushkat Conomy | Psychologist | 6803 Mayfield Rd. #200, Cchseast Hillcrest Hosp. Pain Center, Mayfield Hts., OH 44124 | 2006-10-24 |
| Find all providers with the same taxonomy | ||||
| City | LIBERTY TOWNSHIP |
| Zip Code | 45044 |
Please comment or provide details below to improve the information on ANGELA BURRIS.
| 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.