GREGORY CORRELL


Address: 9904 Ridgeway Ct, Mc Cordsville, IN 46055-9790
Phone: 3173353871

GREGORY CORRELL (NPI# 1326045063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326045063
Entity Type Individual
Full Name GREGORY CORRELL
Credential PHD
Practice Address 9904 Ridgeway Ct
Mc Cordsville
IN 46055-9790
Mailing Address 17330 W Center Rd
Suite 110-282
Omaha
NE 68130-2392
Practice Telephone 3173353871
Mailing Telephone 3174469288
Enumeration Date 2005-07-07
Last Update Date 2009-09-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
20040294A IN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200018970A 05

Office Location

Street Address 9904 RIDGEWAY CT
City MC CORDSVILLE
State IN
Zip Code 46055-9790

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447585823 Medpsych Consultants PC Psychologist 9904 Ridgeway Ct, Mc Cordsville, IN 46055-9790 2009-10-02

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1356411201 Tara Frieden Specialist 9912 Wading Crane Avenue, Mccordsville, IN 46055 2006-11-08
1558316463 Green House and Associates Inc Social Worker 6246 W Broadway # 200, Mccordsville, IN 46055 2006-05-23
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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1821506163 Christopher G Black Psychologist 703 3rd St Rm 1120, West Lafayette, IN 47907-2081 2018-01-22
1932632932 Julie Renee Lafollette Psychologist 3901 E Hagan St, Suite F, Bloomington, IN 47401-8557 2017-04-06
1083155964 The Highlands Psychology Group Psychologist 3100 John Hinkle Place Suite 104, Bloomington, IN 47408-2611 2017-03-13
1548705478 Sarah Lagrange Psychologist 1918 S Hawksmoore Dr, Bloomington, IN 47401-7155 2017-01-02
1386013167 Angela Janet Horn Psychologist 2627 Charlestown Road, New Albany, IN 47150 2015-09-22
1649648155 Lenisha Watson Psychologist 3133 Merrick Ln, 1a, Indianapolis, IN 46222-1755 2015-09-14
1336534346 Emily Marie Elder Psychologist 401 West Eads Parkway, Suite 450, Lawrenceburg, IN 47205 2015-04-06
1487065611 Jesse Steinfeldt Psychologist 6309 Bent Pine Drive, Bloomington, IN 47408-9345 2014-05-09
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Competitor

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City MC CORDSVILLE
Zip Code 46055

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Dataset Information

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.

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