KRISTIN WIER (NPI# 1215159223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215159223 |
| Entity Type | Individual |
| Full Name | KRISTIN WIER |
| Practice Address |
2505 E Jefferson Blvd South Bend IN 46615-2635 |
| Mailing Address |
Po Box 1049 South Bend IN 46624-1049 |
| Practice Telephone | 5742894831 |
| Practice Fax Number | 5742342075 |
| Mailing Telephone | 5742894831 |
| Mailing Fax Number | 5742432075 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2012-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558732651 | Kristin Wier | Physical Therapist | 5808 W 79th St, Prairie Village, KS 66208-4605 | 2015-10-14 |
| Street Address |
2505 E JEFFERSON BLVD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46615-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124249867 | Kristin Shide | Occupational Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2007-05-01 |
| 1437756277 | Angela Snyder | Developmental Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-10-05 |
| 1376155424 | Kodie Heading | Behavioral Analyst | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-08-20 |
| 1922618032 | Susanne Borders | Developmental Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-08-04 |
| 1396378774 | Cailin Grace Kennedy | Occupational Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-02-13 |
| 1770125692 | Kristina Borkholder | Behavioral Analyst | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-10-11 |
| 1891345443 | Valerie Ann Brubaker | Speech-Language Pathologist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-09-16 |
| 1013563568 | Ellen Jean Eaton | Occupational Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-08-12 |
| 1356909758 | Kaitlyn Fleming | Speech-Language Pathologist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-05-31 |
| 1538627328 | Alissa Freyer | Behavior Technician | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
| 1629163084 | Edward F Klodzinski | Counselor | 3603 E. Jefferson Blvd., South Bend, IN 46615 | 2006-10-03 |
| Find all providers in zip 46615 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689830283 | Amy E Beaven | Psychologist | 17707 Darden Rd, South Bend, IN 46635-1111 | 2008-08-03 |
| 1720055304 | Jeffrey W Burnett | Psychologist | 611 Lincoln Way E, South Bend, IN 46601-3220 | 2006-03-02 |
| 1861874869 | Developmental Neuropsychological Services, P.C. | Psychologist | 3608 Pleasant St, South Bend, IN 46615-2033 | 2015-06-25 |
| 1740546605 | Elizabeth Thomas | Psychologist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2012-04-05 |
| 1134302987 | Nicole Gebadlo | Psychologist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2007-12-14 |
| 1457487944 | V. Thomas Mawhinney, Ph.d., Inc. | Psychologist | 828 E Colfax Ave, South Bend, IN 46617-2804 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669094025 | Spencer Charles Dawson | Psychologist | 2804 N Blue Slopes Dr, Bloomington, IN 47408-1022 | 2020-05-08 |
| 1760020572 | Tstapleton LLC | Psychologist | 5620 Crawfordsville Rd Ste V, Indianapolis, IN 46224-3726 | 2019-12-12 |
| 1184266512 | Brittany Michelle Brothers | Psychologist | 1101 E 10th St, Bloomington, IN 47405-7007 | 2019-10-17 |
| 1003467515 | Jennifer Holzman | Psychologist | 70 E 91st St Ste 210, Indianapolis, IN 46240-1564 | 2019-09-25 |
| 1164988317 | Xavier S Qadar | Psychologist | 205 Three Rivers N, Fort Wayne, IN 46802-1301 | 2019-02-13 |
| 1528423829 | Rockey Psychological Services Inc. | Psychologist | 596 Ironwood Dr, Franklin, IN 46131-7070 | 2015-12-31 |
| 1396767976 | Dallas E Mulvaney | Psychologist | 2506 Willowbrook Pkwy Ste 200, Indianapolis, IN 46205-1548 | 2006-07-24 |
| 1912922550 | Globe Star, LLC | Psychologist | 621 Broadway, Chesterton, IN 46304-2259 | 2006-07-13 |
| 1518907856 | Anthony Sweet | Psychologist | 2910 Browning Pl, Jeffersonville, IN 47130-5325 | 2006-06-07 |
| 1558317966 | Debra Farrar-schneider | Psychologist | 2101 Comeford Rd, Valparaiso, IN 46383-8385 | 2006-05-26 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46615 |
Please comment or provide details below to improve the information on KRISTIN WIER.
| 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.