DR. KEARISTEN GAINES (NPI# 1285235408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285235408 |
Entity Type | Individual |
Full Name | DR. KEARISTEN GAINES |
Credential | PSYD |
Practice Address |
1155 Niles Cortland Rd Se Ste 2 Warren OH 44484-2542 |
Practice Telephone | 3307791333 |
Mailing Telephone | 3307791333 |
Enumeration Date | 2020-11-04 |
Last Update Date | 2020-11-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
08079 | OH | Behavioral Health & Social Service Providers |
Street Address |
1155 NILES CORTLAND RD SE STE 2 |
City | WARREN |
State | OH |
Zip Code | 44484-2542 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
Find all providers in zip 44484 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649897273 | Regina Margaret Edmonds | Psychologist | 971 Old West Brookfield Rd, Warren, MA 01083-2130 | 2020-06-30 |
1073064762 | Olesya Bachynska | Psychologist | 4259 Sudbury Dr, Warren, MI 48092-5145 | 2016-10-18 |
1205389855 | Kelsey Rae Shelton | Psychologist | 1155 Niles Cortland Rd Se, Warren, OH 44484-2542 | 2016-08-01 |
1265854830 | Kenya Holden | Psychologist | 26185 Regency Club Dr Apt 4, Warren, MI 48089-6242 | 2014-01-15 |
1356503577 | Eugene Matthew Schimmel | Psychologist | 29421 Ryan Rd, Warren, MI 48092-2203 | 2008-06-29 |
1538346440 | Carolyn Richards Johnson | Psychologist | 672 Atlantic Hwy, Warren, ME 04864-4314 | 2008-01-23 |
1497935068 | Carol S Mccrea | Psychologist | 27 Mountain Blvd., Suite 10, Warren, NJ 07059-2411 | 2007-11-12 |
1528287612 | Kevin Prosnick | Psychologist | 154 Hogan Ln Ne, Warren, OH 44484-5545 | 2007-04-25 |
1215081948 | Leonard Craig Sitrin | Psychologist | 65 Mountain Blvd., Suite 210, Warren, NJ 07059-5658 | 2007-01-22 |
1457417578 | William S. Mcgurk | Psychologist | 81 Union St, Warren, RI 02885-3046 | 2007-01-01 |
Find all providers in WARREN |
Please comment or provide details below to improve the information on DR. KEARISTEN GAINES.
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.