PSYCHOLOGY 101, LLC (NPI# 1346565603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346565603 |
Entity Type | Organization |
Organization Name | PSYCHOLOGY 101, LLC |
Practice Address |
613 S Tebo St Windsor MO 65360-1737 |
Practice Telephone | 6606472800 |
Practice Fax Number | 6606475300 |
Mailing Telephone | 6606472800 |
Mailing Fax Number | 6606475300 |
Enumeration Date | 2010-03-30 |
Last Update Date | 2010-10-05 |
Authorized Official Name | DR. J SANDRA LEONARD (CLINICAL PSYCHOLOGIST) |
Authorized Official Telephone | 6606472800 |
Authorized Official Credential | PSY. D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 200815723 | MO | Agencies |
Street Address |
613 S TEBO ST |
City | WINDSOR |
State | MO |
Zip Code | 65360-1737 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720249311 | J Sandra Leonard | Psychologist | 613 S Tebo St, Windsor, MO 65360-1737 | 2008-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710369608 | Fresh Start Adult Day Care of Missouri Inc | Clinic/Center | 111-113 St Main, Windsor, MO 65360 | 2015-06-26 |
1225067390 | Windsor Ambulance District | Ambulance | 313 North Windsor, Windsor, MO 65360 | 2006-07-01 |
1366420796 | Tenea M Lowman | Psychologist | 307 N. Main, Windsor, MO 65360 | 2006-01-05 |
1619300191 | Nadin R. Rizk | Psychologist | 307 N Main St, Windsor, MO 65360 | 2013-08-19 |
1912112939 | Martin Ray Mcwilliams | Counselor | 307 N Main St, Windsor, MO 65360 | 2007-05-12 |
1184708109 | Anne Wiley Roberts | Social Worker | 307 N Main St, Windsor, MO 65360 | 2006-10-25 |
1184625139 | George Edward Windsor | Family Medicine | 114 N Main St, Windsor, MO 65360 | 2005-08-02 |
1427167683 | Merryfield Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 200 W Benton St, Windsor, MO 65360-1102 | 2006-08-30 |
1205143500 | James William Merryfield | Pharmacist | 200 W Benton St, Windsor, MO 65360-1102 | 2010-09-08 |
1326267915 | Merryfield Pharmacy Inc. | Pharmacy | 200 W Benton St, Windsor, MO 65360-1102 | 2007-04-24 |
Find all providers in zip 65360 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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1508302811 | Capitol Region Education Council | Community/Behavioral Health | 1101 Kennedy Rd, Crec Academy of Aerospace & Engineering, Windsor, CT 06095-1304 | 2017-01-10 |
1851647804 | Community Solutions, Inc. | Community/Behavioral Health | 4 Griffin Rd N, 100b, Windsor, CT 06095-1511 | 2012-07-27 |
1124257944 | Health and Community Development, LLC | Community/Behavioral Health | 2110 Governors Rd, Windsor, NC 27983-9775 | 2009-07-14 |
1033351135 | Rachel's House | Community/Behavioral Health | 1212 Charles St, Windsor, NC 27983-1910 | 2009-04-03 |
1275772543 | Habcare Facilities, Inc | Community/Behavioral Health | 117 E Granville St, Windsor, NC 27983-6753 | 2009-02-10 |
1528279072 | Lifeworks of Sonoma County | Community/Behavioral Health | 9500 Brooks Road S, Windsor, CA 95492-9217 | 2007-05-25 |
1679636948 | Uplift Comprehensive Services | Community/Behavioral Health | 416 Ghent St, Windsor, NC 27983-2025 | 2006-12-18 |
1548332703 | Northeastern Clinical Services Inc | Community/Behavioral Health | 103 Dundee St, Windsor, NC 27983-6702 | 2006-11-14 |
1700962842 | Uplift Comprehensive Services | Community/Behavioral Health | 312 Sterlingworth St, Windsor, NC 27983-1724 | 2006-10-31 |
Find all providers in WINDSOR |
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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.