DR. RICHARD ALAN TACKETT (NPI# 1295070027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295070027 |
| Entity Type | Individual |
| Full Name | DR. RICHARD ALAN TACKETT |
| Credential | ED.D. |
| Practice Address |
273 Marshall St Coldwater MI 49036-1142 |
| Mailing Address |
Po Box 174 Coldwater MI 49036-0174 |
| Practice Telephone | 5172780445 |
| Practice Fax Number | 5172780455 |
| Mailing Telephone | 5172780445 |
| Mailing Fax Number | 5172780455 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
6301007813 | MI | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
6301007813 | MI | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
6301007813 | MI | Behavioral Health & Social Service Providers |
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
6301007813 | MI | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
6301007813 | MI | Behavioral Health & Social Service Providers |
| Street Address |
273 MARSHALL ST |
| City | COLDWATER |
| State | MI |
| Zip Code | 49036-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093773343 | Sebastian Wilson | Chiropractor | 273 Marshall St, Coldwater, MI 49036-1142 | 2006-05-03 |
| 1871779025 | Healing Hands Chiropractic Clinic | Chiropractor | 273 Marshall St, Coldwater, MI 49036-1142 | 2008-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295790 | Jacqueline Hensell | Physical Therapist | 320 East Chicago St, Coldwater, MI 49036 | 2018-11-27 |
| 1285104869 | Jaycie Rose Littley | Physical Therapist | 320 E Chicago Street, Coldwater, MI 49036 | 2018-11-27 |
| 1881161651 | David Linklater | Physical Therapist | Promedica Coldwater Regional Hospital, 274 East Chicago Street, Coldwater, MI 49036 | 2018-10-30 |
| 1144733734 | Luke Norcross | Social Worker | 200 Vista Drive, Coldwater, MI 49036 | 2017-11-06 |
| 1508312471 | Tiffany Vanluven | Rehabilitation Practitioner | 528 West Chicago St. Atp13, Coldwater, MI 49036 | 2016-08-30 |
| 1477904175 | Shawn Talbot | Psychologist | 300 Orleans Blvd, Coldwater, MI 49036 | 2016-06-24 |
| 1124406863 | Alexys Wolfinger | Rehabilitation Practitioner | 528 W. Chicago St. Apt. 20, Coldwater, MI 49036 | 2015-05-14 |
| 1194118968 | Kim Clemens | Rehabilitation Practitioner | 465 N Michigan Ave., Coldwater, MI 49036 | 2015-03-18 |
| 1205238854 | Coldwater Family Dentistry P.C. | Dentist | 575 N Union City Road, Coldwater, MI 49036 | 2014-09-25 |
| 1114337581 | Johnson Kattathra | Pharmacist | 620 E Chicago St, Coldwater, MI 49036 | 2014-05-06 |
| Find all providers in zip 49036 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353476 | Myschelle Kelly | Psychologist | 1268 W Clark Rd Apt I2, Dewitt, MI 48820-9089 | 2019-12-16 |
| 1427576263 | Diana Lynn Springstead | Psychologist | 1160 Ransom St, Muskegon, MI 49442-3322 | 2017-08-31 |
| 1841227659 | Catharine Marie Kaneti | Psychologist | 235 Wealthy Street Se, Mary Free Bed Hospital, Grand Rapids, MI 49503-5299 | 2006-06-27 |
| 1740246339 | Jacobus Am Donders | Psychologist | 235 Wealthy Se, Grand Rapids, MI 49503 | 2006-04-24 |
| 1750347332 | Juliet Maria Coscia | Psychologist | 235 Wealthy Ave Se, Department of Psychology, Grand Rapids, MI 49503-5299 | 2006-04-24 |
| 1669829230 | Roger Lynn Erickson | Psychologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2016-05-24 |
| 1801139134 | Kelly Jean Savage | Psychologist | 1350 E West Maple Rd, Suite 2, Walled Lake, MI 48390-3727 | 2013-04-04 |
| 1891037735 | Aspire Rehabilitation Services, LLC | Psychologist | 1000 John R Rd Ste 211, Troy, MI 48083-4317 | 2013-03-18 |
| 1235423104 | Kathryn Wilson | Psychologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2011-06-08 |
| 1164744181 | Innovative Rehabilitation Systems, Inc | Psychologist | 525 E Big Beaver Rd, Suite 203, Troy, MI 48083-1364 | 2010-02-17 |
| Find all providers with the same taxonomy | ||||
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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.