SUE M. BRANDT (NPI# 1215286737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215286737 |
| Entity Type | Individual |
| Full Name | SUE M. BRANDT |
| Credential | COTA |
| Practice Address |
18831 Sw Grauer Rd Sheridan OR 97378-9752 |
| Practice Telephone | 5038434246 |
| Mailing Telephone | 5038434246 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
18831 SW GRAUER RD |
| City | SHERIDAN |
| State | OR |
| Zip Code | 97378-9752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386757193 | Andrew Barnes Grasley | General Practice | 2702 Sw Ballston Road, Sheridan, OR 97378 | 2006-08-16 |
| 1902878333 | Kenneth A Kelley | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2006-02-01 |
| 1790951440 | Sheridan Family Chiropractic PC | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2008-05-02 |
| 1265959563 | Bettina Tamice Moore | Counselor | 901 W Main St, Sheridan, OR 97378-1003 | 2017-08-28 |
| 1467837344 | Cody Charron | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2015-07-21 |
| 1801918255 | Kenneth G Mize Dmdpc | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2007-04-05 |
| 1255338638 | Kenneth G Mize | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2005-06-30 |
| 1689047680 | Thunderstruck Farms Inc. | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-11-12 |
| 1013390939 | Tina Hargrove | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-07-09 |
| 1598951634 | Julie Lynn Detamore | Acupuncturist | 552 Nw Evans St, Sheridan, OR 97378-1208 | 2007-09-21 |
| Find all providers in zip 97378 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552001 | King & Samson Consulting Services LLC | Counselor | 831 E 7th St, Sheridan, WY 82801-3106 | 2019-08-06 |
| 1790349314 | Annie Salene Mell | Counselor | 3450 S Platte River Dr Apt 7203, Sheridan, CO 80110-2177 | 2019-04-29 |
| 1396059531 | Katherine Elaine Christopherson | Counselor | 830 S Thurmond St, Sheridan, WY 82801-5059 | 2010-07-29 |
| 1669798898 | Alison L Clement | Counselor | 360 College Meadows Dr, Sheridan, WY 82801-9153 | 2010-04-13 |
| 1578894960 | Kathy Ruth Tiffany | Counselor | 45 E Loucks St Ste 45, Sheridan, WY 82801-6339 | 2010-01-25 |
| 1437307857 | Sandra Ann Wallop | Counselor | 50 E Loucks St Ste 210, Sheridan, WY 82801-6335 | 2008-08-28 |
| 1316141245 | Clara R Penney | Counselor | 202 N Oak St, Sheridan, AR 72150-2132 | 2007-06-13 |
| 1528275070 | Terrill Elaine Matteson | Counselor | 3500 Big Horn Ave, Sheridan, WY 82801-9351 | 2007-05-16 |
| 1447466768 | Starrlee Heady | Counselor | 919 Airport Rd, Sheridan, WY 82801-5806 | 2007-05-15 |
| 1053452342 | Rae Marie Mcreynolds | Counselor | 23 E Brundage St, Sheridan, WY 82801-6302 | 2007-02-09 |
| Find all providers in SHERIDAN | ||||
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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.