JOHN THOMAS PATRICK (NPI# 1255952297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255952297 |
| Entity Type | Individual |
| Full Name | JOHN THOMAS PATRICK |
| Credential | PSY.D. |
| Practice Address |
2400 Hospital Rd Tuskegee AL 36083-5001 |
| Mailing Address |
3504 Inverness Pkwy Columbus GA 31909-1924 |
| Practice Telephone | 3347270550 |
| Mailing Telephone | 8503400123 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY004339 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720015274 | John Walter Patrick | Psychologist | 4643 S Clyde Morris Blvd, Suite 306, Port Orange, FL 32129-6000 | 2006-06-27 |
| 1457905325 | John Patrick | Community Health Worker | 501 Albany Ave, Torrington, WY 82240-1503 | 2019-07-30 |
| 1235632241 | John Oliver Patrick | General Practice | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2018-03-15 |
| 1568736577 | John J Patrick | Nurse Practitioner | 2429 M St, Omaha, NE 68107-2715 | 2012-03-08 |
| 1497790455 | John T Patrick | Specialist | 4120 Del Prado Blvd S, Cape Coral, FL 33904-7165 | 2006-06-16 |
| 1932147105 | John D. Patrick | Chiropractor | 3850 E Lohman Ave, Ste 100, Las Cruces, NM 88011-8288 | 2006-06-02 |
| 1528038882 | John Patrick | Emergency Medicine | 330 Mount Auburn St, Walk-in Center, Cambridge, MA 02138-5502 | 2006-01-26 |
| 1861487902 | John D. Patrick | Specialist | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2005-09-14 |
| 1124023023 | John W Patrick | Radiology | 801 W Gordon St, Thomaston, GA 30286-3426 | 2005-06-16 |
| Street Address |
2400 HOSPITAL RD |
| City | TUSKEGEE |
| State | AL |
| Zip Code | 36083-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528068582 | Adrian Bernard Boone | Physician Assistant | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2005-07-29 |
| 1366043226 | Tiffany Sanquits Fields | Registered Nurse | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-11-05 |
| 1023615432 | Shalisa O'brien Grantham | Social Worker | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-10-08 |
| 1801401278 | Devan Smiley | Pharmacy Technician | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-09-12 |
| 1821603341 | Madason Mccurdy | Social Worker | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-09-11 |
| 1417561978 | Xavier Markies Smith | Social Worker | 2400 Hospital Rd, Tuskegee, AL 36083-5002 | 2020-09-02 |
| 1295344273 | Terrence Brown | Pharmacist | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-07-27 |
| 1962010801 | Theresa L Thomas | Respiratory Therapist, Registered | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-07-16 |
| 1407464340 | Almetria Jackson | Respiratory Therapist, Registered | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-07-16 |
| 1801404975 | Debra Rayanne Campbell | Psychologist | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972698587 | Nguyet H Smith | Pharmacist | Central Alabama Veterans Health Care System, Pharmacy, 2400 Hospital Road, Tuskegee, AL 36083 | 2006-10-03 |
| 1619908795 | Carmen Elizabeth Beverly | Podiatrist | Cavhcs 2400 Hospital Rd, Dm Clinic, Tuskegee, AL 36083 | 2006-07-06 |
| 1275564635 | Tim Landers | Audiologist | 2400 Hospital Rd., Cavhcs - 126, Tuskegee, AL 36083 | 2006-07-05 |
| 1790726867 | Lasan Davis | Family Medicine | 203 West Lee Street, Tuskegee, AL 36083 | 2006-06-09 |
| 1831144344 | Denise Free Lensgraf-landers | Audiologist | Cavhcs Audiology (117), 2400 Hospital Road, Tuskegee, AL 36083 | 2006-05-23 |
| 1396705836 | Mark Patrick Mcguire | Optometrist | 2400 Hosptial Road, Eye Clinic Cavhcs, Tuskegee, AL 36083 | 2006-03-27 |
| 1164402863 | Lisa R Green | Optometrist | 2400 Hospital Rd Bldg 3, Tuskegee, AL 36083 | 2006-01-19 |
| 1265775936 | Shari Smith | Social Worker | 2400 Hospital Rd., Cavhcs- Social Work Services, Tuskegee, AL 36083 | 2013-04-01 |
| 1861638025 | Andrea Darmyka Steen | Social Worker | 2400 Hospital Road, Tuskegee, AL 36083 | 2008-12-18 |
| 1215078159 | Central Alabama Comprehensive Health Inc | Clinic/Center | 203 West Lee Street, Tuskegee, AL 36083 | 2007-02-12 |
| Find all providers in zip 36083 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386883932 | Earnest Howard-rudolph Blackshear Jr. | Psychologist | 2400 Hospital Road, Bldg. 4a-233, Central Alabama Veterans Health Care System, Tuskegee, AL 36083-5001 | 2009-02-05 |
| 1629326889 | Zofia Anna Wilamowska | Psychologist | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2012-08-20 |
| 1972818391 | Elizabeth Allison Eckardt | Psychologist | 2400 Hospital Rd, Bldg 120w, Room 408, Tuskegee, AL 36083-5001 | 2010-08-10 |
| 1184776007 | Shawn L Clark | Psychologist | 2400 Hospital Rd, 123, Tuskegee, AL 36083-5001 | 2007-01-18 |
| 1316028418 | Laura W. Kelly | Psychologist | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2006-10-17 |
| 1255438396 | Andrea Lynn Menyhert | Psychologist | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2006-09-20 |
| 1902902778 | Stephen Arnold Sams | Psychologist | 2400 Hospital Road, Tuskegee, AL 36083-5001 | 2006-09-16 |
| 1033226360 | Robert A. Rose | Psychologist | Va Medical Center, 2400 Hospital Road, Tuskegee, AL 36083-5001 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063050300 | Abby Pullen Clark | Psychologist | 801 Noble St Ste 400, Anniston, AL 36201-5698 | 2019-12-17 |
| 1720624380 | Cynthia Ann Neville | Psychologist | 203 17th St N, Bessemer, AL 35020-5726 | 2019-11-19 |
| 1457992588 | Teashia Adkins Goodwin | Psychologist | 500 Southland Dr Ste 155-f, Vestavia, AL 35226-3711 | 2019-09-30 |
| 1750941365 | Kristen Marie Smith | Psychologist | 3125 Independence Dr Ste 114, Birmingham, AL 35209-4163 | 2019-06-17 |
| 1952864225 | Parris Psychology | Psychologist | 1971 Appalachian Hwy, Hokes Bluff, AL 35903-4747 | 2019-04-12 |
| 1245791789 | Lori Lea Holth | Psychologist | 5820 Morris Ave, Gadsden, AL 35903-4831 | 2019-03-27 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1487139119 | Natalie Harrison | Psychologist | 400 Vestavia Pkwy Ste 101, Vestavia, AL 35216-3750 | 2018-09-28 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1508391467 | Eric Todd Bloch | Psychologist | 2061 County Road 430, Smiths Station, AL 36877 | 2017-04-27 |
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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.