DR. GARY WILLIAM CUNDIFF JR JR. (NPI# 1356302061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356302061 |
| Entity Type | Individual |
| Full Name | DR. GARY WILLIAM CUNDIFF JR JR. |
| Credential | PSYD |
| Practice Address |
2000 Stein Drive Chattanooga TN 37421 |
| Mailing Address |
P.o. Box 24387 Chattanooga TN 37422 |
| Practice Telephone | 4236488480 |
| Practice Fax Number | 4236488481 |
| Mailing Telephone | 4236488480 |
| Mailing Fax Number | 4236488481 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2011-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | P0000001508 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3683849 | 05 | |
| GA | 000724248B | 05 |
| Street Address |
2000 STEIN DRIVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417130048 | Patricia A Springer | Nurse Practitioner | 2000 Stein Drive, Chattanooga, TN 37421 | 2007-12-05 |
| 1659307890 | Deborah Ann Wells | Nurse Practitioner | 2000 Stein Drive, Chattanooga, TN 37421 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| 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 |
|---|---|---|---|---|
| 1295166874 | Pam Guess | Psychologist | 3914 Saint Elmo Ave Ste C, Chattanooga, TN 37409-1269 | 2013-12-06 |
| 1578608311 | Jonna Gail Carson-webb | Psychologist | 6172 Airways Blvd Ste 102, Chattanooga, TN 37421 | 2007-02-20 |
| 1568518348 | Mark S. Shively | Psychologist | 515 Tremont St, Chattanooga, TN 37405-4152 | 2007-01-26 |
| 1801948849 | Jan F Sherbak | Psychologist | 3023 Broad St, Chattanooga, TN 37408-3075 | 2007-01-18 |
| 1710097837 | Tabi Rebekah Upton | Psychologist | One Northgate Park, Ste 201, Chattanooga, TN 37415 | 2006-08-30 |
| 1275569774 | Christopher Douglas Blazina | Psychologist | 6110 Shallowford Rd, C O Crc, Chattanooga, TN 37421-1615 | 2006-06-25 |
| 1912972738 | Glenn Gordon Geralds | Psychologist | 1 Northgate Park, Suite 201, Chattanooga, TN 37415-6909 | 2006-02-23 |
| 1427046200 | Marzi Lisa Radpour-wiley | Psychologist | 6216 Airpark Dr, Chattanooga, TN 37421-2988 | 2005-10-06 |
| 1164838058 | Ann Graham Parker | Psychologist | 615 Derby St, Chattanooga, TN 37404-1632 | 2014-07-11 |
| 1215350194 | County of Hamilton | Psychologist | 730 East 11th Street, Chattanooga, TN 37403-3104 | 2014-01-28 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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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.