GREGORY CORRELL (NPI# 1326045063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
20040294A | IN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200018970A | 05 |
Street Address |
9904 RIDGEWAY CT |
City | MC CORDSVILLE |
State | IN |
Zip Code | 46055-9790 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447585823 | Medpsych Consultants PC | Psychologist | 9904 Ridgeway Ct, Mc Cordsville, IN 46055-9790 | 2009-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427664291 | Michelle Graves | Dietitian, Registered | 8505 N Clearview Drive, Mccordsville, IN 46055 | 2020-09-17 |
1639619919 | Mccordsville Senior Living, LLC | Assisted Living Facility | 6311 W County Road 900 North, Mccordsville, IN 46055 | 2017-03-06 |
1760881684 | Geist Montessori Academy | Local Education Agency (LEA) | 13945 E. 96th St, Mccordsville, IN 46055 | 2014-08-15 |
1851548523 | Courtney Robinson | Speech-Language Pathologist | 5661 W Woods Edge Dr, Mccordsville, IN 46055 | 2008-08-25 |
1508063777 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 5981 West Broadway, Mc Cordsville, IN 46055 | 2007-06-29 |
1518091800 | Mcdonald Family Dentistry PC | Dentist | 5842 West Broadway, Mccordsville, IN 46055 | 2007-03-16 |
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 |
1437137650 | Joann Schafer | Nurse Practitioner | 5189 West 600 N, Mccordsville, IN 46055 | 2006-01-06 |
1679068621 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 6939 W Broadway, Mccordsville, IN 46055 | 2018-06-22 |
Find all providers in zip 46055 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972125946 | Lesley Stockton | Psychologist | 3837 N Delaware St, Indianapolis, IN 46205-2647 | 2020-05-13 |
1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
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 |
Find all providers with the same taxonomy |
City | MC CORDSVILLE |
Zip Code | 46055 |
Please comment or provide details below to improve the information on GREGORY CORRELL.
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.