DR. MICHAEL EDWARD GERNER (NPI# 1336200260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336200260 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL EDWARD GERNER |
| Credential | PH.D. |
| Practice Address |
3 N Leroux St Suite 207 Flagstaff AZ 86001-5539 |
| Practice Telephone | 9282140872 |
| Practice Fax Number | 9282140872 |
| Mailing Telephone | 9282140872 |
| Mailing Fax Number | 9282140872 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 1265 | AZ | Behavioral Health & Social Service Providers |
| X | 103TS0200X |
Psychologist Specialization: School |
AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 873639 | 01 |
| AZ | 873639 | 05 |
| Street Address |
3 N LEROUX ST SUITE 207 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-5539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750402673 | Andrea Lynn Graber | Psychologist | 3 N Leroux St, Suite 206, Flagstaff, AZ 86001-5539 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346853454 | Tim Buschmann | Psychologist | 5288 S Azurite Trl, Flagstaff, AZ 86005-6812 | 2020-08-28 |
| 1720552193 | Paul Andrew Nockels | Psychologist | 3600 Fox Lair Dr, Flagstaff, AZ 86004-7796 | 2019-01-17 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| 1215175377 | Judith Ann Waugh | Psychologist | 3876 N Forest Brook St, Flagstaff, AZ 86004-6820 | 2009-01-28 |
| 1720209307 | Beverlee J Gibbs-cassady | Psychologist | 416 N Kendrick St Ste 3, Flagstaff, AZ 86001-1598 | 2007-05-01 |
| 1417170440 | James Joy Cox | Psychologist | 416 North Kendrick Street, Suite 6, Flagstaff, AZ 86001 | 2007-04-10 |
| 1932239753 | Cori Kay Perkins | Psychologist | 2655 W Hogan Dr, Flagstaff, AZ 86001-1185 | 2007-03-07 |
| 1750416418 | Valarie Louise Hannemann | Psychologist | 1851 W Getaway Trl, Flagstaff, AZ 86001-8569 | 2007-02-22 |
| 1396895363 | Susan K Patrick | Psychologist | 617 N Humphreys St Ste 101, Flagstaff, AZ 86001-3063 | 2007-01-11 |
| 1578623484 | Ramona N Mellott | Psychologist | 3509 S Dylan St, Flagstaff, AZ 86001-9137 | 2006-12-11 |
| Find all providers in FLAGSTAFF | ||||
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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.