ROBERT NATHAN ILAGAN (NPI# 1194330035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194330035 |
| Entity Type | Individual |
| Full Name | ROBERT NATHAN ILAGAN |
| Credential | GRADUATE STUDENT |
| Practice Address |
3640 Colonel Glenn Hwy Dayton OH 45435-0001 |
| Mailing Address |
1223 Steinbeck Way Apt B Fairborn OH 45324-8726 |
| Practice Telephone | 9377751000 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
3640 COLONEL GLENN HWY |
| City | DAYTON |
| State | OH |
| Zip Code | 45435-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679574586 | Micky M Sharma | Psychologist | 3640 Colonel Glenn Hwy, Fawc, Dayton, OH 45435-0001 | 2005-08-02 |
| 1619576246 | Kayla Blanton | Home Health | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-10-24 |
| 1033718432 | Lily Taplin | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-10-19 |
| 1326655259 | Katelyn Brown | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-24 |
| 1568078145 | Madeline Grace Skultety | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-19 |
| 1003422817 | Marguerite Mcdonnell | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-17 |
| 1295340412 | Jonah Buczewski | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-14 |
| 1861007551 | Lilliona Rogers | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-10 |
| 1013522606 | Timea Tozser | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-10 |
| 1104430032 | Ashley Victoria Stewart | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0002 | 2020-09-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706940 | Anthony Kelemen | Student in an Organized Health Care Education/Training Program | Sopp At Wright State University, 117 Health Sci Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2019-12-04 |
| 1801444955 | Ashley Elizabeth Murphy | Student in an Organized Health Care Education/Training Program | Wsu School of Professional Psychology, 3640 Colonel Glenn Hwy, 117 Health Sciences Bldg, Dayton, OH 45435 | 2019-09-02 |
| 1659854370 | Rachel Heckaman | Student in an Organized Health Care Education/Training Program | Sopp Wright State Univerity 117 Health Science Bldg., 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2018-09-09 |
| 1508374547 | Somer Leanne Yoho | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Building, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2018-01-11 |
| 1689180622 | Jerie Johanna Bolin | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2017-12-28 |
| 1578079810 | Heather Ann Felerski | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Bldg., 3640 Colonel Glenn Hwy., Dayton, OH 45435 | 2017-12-22 |
| 1154771392 | Abigail Ngayan | Counselor | 3640 Colonel Glenn Hwy., 053 Student Union, Dayton, OH 45435 | 2016-06-19 |
| 1144512799 | Adam Horseman | Specialist/Technologist | 3640 Col. Glenn Hwy., Room 356 Nutter Center, Dayton, OH 45435 | 2011-05-13 |
| 1790999589 | Luis Tony Ortiz | Specialist/Technologist | 3640 Colonel Glen Hwy, Room 303 Nutter Center, Dayton, OH 45435 | 2007-05-10 |
| 1164037446 | Jaden D Johnson | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy., 117 Health Sciences Bldg, Dayton, OH 45435 | 2020-09-13 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659858157 | Karen A Evans Phd LLC | Psychologist | 7061 Corporate Way Ste 110, Dayton, OH 45459-4244 | 2018-07-26 |
| 1891240800 | Michelle Vaughan | Psychologist | 9 N Edwin C Moses, Dayton, OH 45435-8470 | 2016-08-19 |
| 1912376930 | Cheryl K. Fender | Psychologist | 2251 Timber Ln, Dayton, OH 45414-4532 | 2015-09-21 |
| 1053717157 | Ramesh Shah | Psychologist | 9 Bloomfield Ct, Dayton, NJ 08810-1620 | 2014-11-17 |
| 1427468321 | Kaitlyn A. Lang | Psychologist | 200 S Keowee St, Dayton, OH 45402-2242 | 2014-04-30 |
| 1942628946 | Mickala Frantz | Psychologist | 2821 Winburn Ave, Dayton, OH 45420-2259 | 2014-04-07 |
| 1417206954 | Cornerstone Project, LLC | Psychologist | 4124 Linden Ave, Suite 100, Dayton, OH 45432-3018 | 2012-08-30 |
| 1083979769 | Carol Ann Fiunk | Psychologist | 8 Sunset Ct, Dayton, NJ 08810-1622 | 2012-07-09 |
| 1114182037 | Maria Noce | Psychologist | 4100 W 3rd St # 116m, Dayton, OH 45428-9000 | 2008-07-21 |
| 1124224894 | Shannon T. Boyer | Psychologist | 106 S Cleveland St, Dayton, TX 77535 | 2007-06-21 |
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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.