KATHERINE A BOLSEN (NPI# 1326529306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326529306 |
| Entity Type | Individual |
| Full Name | KATHERINE A BOLSEN |
| Other Name | KATHERINE EARL |
| Credential | HSPP |
| Practice Address |
415 N 26th St Lafayette IN 47904-2895 |
| Practice Telephone | 7654466535 |
| Practice Fax Number | 7654463536 |
| Mailing Telephone | 7654466535 |
| Mailing Fax Number | 7654463536 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2019-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PENDING | IN | Behavioral Health & Social Service Providers |
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
20043271A | IN | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
PENDING | IN | Behavioral Health & Social Service Providers |
| Street Address |
415 N 26TH ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871591156 | Susan Kersey | Clinical Nurse Specialist | 415 N 26th St, Suite 201, Lafayette, IN 47904-2856 | 2005-07-12 |
| 1144830449 | Kylee Slade | Nurse Practitioner | 415 N 26th St, Lafayette, IN 47904-2895 | 2020-08-03 |
| 1063057693 | Justin Schmitt | Case Manager/Care Coordinator | 415 N 26th St, Lafayette, IN 47904-2895 | 2019-11-07 |
| 1114561792 | Amy Lind | Case Manager/Care Coordinator | 415 N 26th St, Lafayette, IN 47904-2895 | 2019-11-06 |
| 1548739527 | Kyla Ann Maxey | Case Manager/Care Coordinator | 415 N 26th St, Lafayette, IN 47904-2895 | 2018-11-19 |
| 1366927618 | Hollyann Marie Morales | Psychologist | 415 N 26th St, Lafayette, IN 47904-2895 | 2018-10-02 |
| 1164916987 | Amy Atkinson | Case Manager/Care Coordinator | 415 N 26th St, Lafayette, IN 47904-2895 | 2018-06-15 |
| 1275993909 | Valley Oaks Health Inc | Psychologist | 415 N 26th St, Lafayette, IN 47904-2895 | 2016-02-23 |
| 1568852986 | Derek Booth | Nurse Practitioner | 415 N 26th St, Suite 201, Lafayette, IN 47904-2895 | 2015-01-24 |
| 1235412156 | Kayla Ann Miller | Nurse Practitioner | 415 N 26th St, Lafayette, IN 47904 | 2011-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942491600 | Dixie J Pederson | Psychologist | 2 N 19th St, Lafayette, IN 47904-2950 | 2007-08-07 |
| 1982121802 | Jasmine Toney | Psychologist | 106 Heymann Blvd, Lafayette, LA 70503-2322 | 2017-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962993063 | Nicole C Allen | Psychologist | 595 W Edge Trl Apt O, Avon, IN 46123-6841 | 2018-05-24 |
| 1720436488 | Youth Opportunity Center | Psychologist | 103 W County Road 100 N, New Castle, IN 47362-8965 | 2016-06-02 |
| 1528449964 | Leroy Burgess | Psychologist | 300 S Saint Louis Blvd Ste 202, South Bend, IN 46617-3044 | 2015-06-11 |
| 1144555855 | Paula A. Neuman | Psychologist | 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 | 2009-10-14 |
| 1285839480 | Center for Brief Therapy PC | Psychologist | 423 Airport N. Office Park, Ft. Wayne, IN 46825-6704 | 2007-06-18 |
| 1376600767 | Bart Ferraro | Psychologist | 2011 N Meridian St, Indianapolis, IN 46202-1305 | 2007-01-03 |
| 1326125998 | Mary Wollitz Dooley | Psychologist | 7125 E Us Hwy 36, Avon, IN 46123 | 2006-11-01 |
| 1235247396 | Linda Ohlsen Ferreira | Psychologist | 23 East 39th Street, Indianapolis, IN 46205-2645 | 2006-08-29 |
| 1497798284 | Victory Clinical Services II LLC | Psychologist | 4218 W Western Ave, South Bend, IN 46619-2622 | 2006-06-13 |
| 1871567602 | Patrick J Murphy | Psychologist | 7418 Glenview Dr E, Indianapolis, IN 46250-2456 | 2006-02-16 |
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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.