DR. CHERYL HETHERINGTON (NPI# 1245201359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245201359 |
| Entity Type | Individual |
| Full Name | DR. CHERYL HETHERINGTON |
| Credential | PHD. |
| Practice Address |
123 N Linn St Suite 2d Iowa City IA 52245-2143 |
| Practice Telephone | 3193379461 |
| Practice Fax Number | 3193398061 |
| Mailing Telephone | 3193379461 |
| Mailing Fax Number | 3193398061 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 486 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | HEALTH SERVICE PROVIDER | 322 | 01 |
| IA | RR MEDICARE | 68009314 | 01 |
| IA | WELLMARK PROVIDER NUMBER | 52714 | 01 |
| Street Address |
123 N LINN ST SUITE 2D |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52245-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580089 | Integrated Community Therapists, LLC | Counselor | 123 N Linn St, Suite 2a, Iowa City, IA 52245-2143 | 2015-10-16 |
| 1750631461 | Megan Carnahan | Social Worker | 123 N Linn St, Suite 2d, Iowa City, IA 52245-2143 | 2012-09-11 |
| 1316265234 | Jill Marie Johnson | Counselor | 123 N Linn St, Suite 2c, Iowa City, IA 52245-2143 | 2010-05-17 |
| 1033447842 | Amanda Austa Goodrich | Counselor | 123 N Linn St, Suite 2a, Iowa City, IA 52245-2143 | 2009-12-07 |
| 1003054172 | Patricia Mollie Hayek | Social Worker | 123 N Linn St, Suite 2a, Iowa City, IA 52245-2143 | 2009-01-28 |
| 1285803056 | Gisolfi, Hayek, Ruyle & Schut, L.l.p. | Social Worker | 123 N Linn St, Suite 2a, Iowa City, IA 52245-2143 | 2008-02-26 |
| 1083752828 | Diane Lynn Tonkyn | Marriage & Family Therapist | 123 N Linn St, Suite 2d, Iowa City, IA 52245-2143 | 2007-02-02 |
| 1023161023 | M Kay Colangelo | Counselor | 123 N Linn St, Suite 2-d, Iowa City, IA 52245-2143 | 2007-01-21 |
| 1578640850 | Martha J. Schut | Social Worker | 123 N Linn St, Suite 2a, Iowa City, IA 52245-2143 | 2006-11-01 |
| 1760560387 | Kathleen Ann Ruyle | Social Worker | 123 N Linn St, Suite 2a, Iowa City, IA 52245-2143 | 2006-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699356 | Mary Beth Shapcott | Registered Nurse | 500 East Market St., Mercy Hospital Diabetes Education, Iowa City, IA 52245 | 2017-10-10 |
| 1366703167 | Elizabeth Bright | Occupational Therapist | 540 E. Jefferson Street., Ste.302, Iowa City, IA 52245 | 2012-06-07 |
| 1043518368 | Robert Brian Goffstein | Ophthalmology | 403 North 7th Ave, Iowa City, IA 52245 | 2011-03-10 |
| 1750682936 | Robert Alvin Blair | Dentist | 134 Broadmoor Lane, Iowa City, IA 52245 | 2010-11-04 |
| 1215167457 | Laura J Ericson | Occupational Therapist | 540 E Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-07-22 |
| 1780818294 | Kathryn Leigh Bossen | Physical Therapist | 540 E. Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-05-12 |
| 1073751095 | Jessica L Keeran | Physical Therapist | 2751 Northgate Dr. Ne, Iowa City, IA 52245 | 2009-01-29 |
| 1437330370 | Francine Mardarello Hunnicutt | Marriage & Family Therapist | 1610 East College St, Iowa City, IA 52245 | 2007-11-20 |
| 1659574853 | Joan Victoria Rinner | Marriage & Family Therapist | 121 University Services Building, University of Iowa, Iowa City, IA 52245 | 2007-06-06 |
| 1053529966 | Steve Bernt Hammerstrom | Chiropractor | 373 B Scott Court, Iowa City, IA 52245 | 2007-05-21 |
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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 |
|---|---|---|---|---|
| 1023623584 | Dawn M Bates | Psychologist | 2675 Heinz Rd Apt 9, Iowa City, IA 52240-7240 | 2020-09-11 |
| 1215408703 | Huan-chung Scott Liu | Psychologist | 332 S Linn St Ste 14, Iowa City, IA 52240 | 2018-12-10 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1972959435 | Deborah Betsworth | Psychologist | Iowa City Va Health Care System, 601 Hwy 6 West, Iowa City, IA 52246 | 2016-05-13 |
| 1356705495 | Iowa City Psychology, LLC | Psychologist | 2225 Mormon Trek Blvd, Suite 205, Iowa City, IA 52246-4407 | 2016-04-05 |
| 1174997852 | Noemi Ford | Psychologist | 407 Magowan Avenue, Iowa City, IA 52246-4801 | 2015-11-18 |
| 1386086940 | Ann Marie Santos | Psychologist | N326 Lindquist Center, Iowa City, IA 52242 | 2013-07-24 |
| 1558704957 | Gersh, Hartson, Payne & Associates, PC | Psychologist | 373 Scott Ct Ste A, Iowa City, IA 52245-3904 | 2013-04-16 |
| 1952677023 | Alissa F. Doobay | Psychologist | 600 Blank Honors Ctr, The University of Iowa, Iowa City, IA 52242-0454 | 2012-03-22 |
| 1700155454 | William Ming Liu | Psychologist | N 361 Lindquist Center, College of Education, Iowa City, IA 52242-1529 | 2011-12-27 |
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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.