DR. RONALD J. JEREB (NPI# 1356350912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356350912 |
| Entity Type | Individual |
| Full Name | DR. RONALD J. JEREB |
| Credential | PHD |
| Practice Address |
2010 Gilmer Road Ste 107 Longview TX 75604 |
| Practice Telephone | 9032953100 |
| Practice Fax Number | 9032953511 |
| Mailing Telephone | 9032953100 |
| Mailing Fax Number | 9032953511 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2009-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
22980 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 147308401 | 05 |
| Street Address |
2010 GILMER ROAD STE 107 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972521 | Samantha Chanee Snorton | Registered Nurse | 136 Jester Circle, Longivew, TX 75604 | 2018-11-27 |
| 1194222570 | Sns House of Care, Inc. | Hospice Care, Community Based | 3549 Gilmer Rd Ste I, Longview, TX 75604 | 2018-04-11 |
| 1891233987 | Danielle Heard | Nutritionist | 1605 Glenrose St, Longview, TX 75604 | 2017-02-08 |
| 1932554110 | Nec Longview Emergency Center, Lp | Clinic/Center | 1801 W. Loop 281, Longview, TX 75604 | 2016-04-26 |
| 1972937316 | Tricia G. Green | Clinical Nurse Specialist | 907 Kincaid Pl, Longview, TX 75604 | 2013-08-21 |
| 1457601817 | Sherri Nussbaum | Counselor | 3400 West Marshall Suite 309, Austin Bank Building, Longview, TX 75604 | 2012-09-13 |
| 1992061691 | Chelsea Carson Schulz | Dietitian, Registered | 6206 Iola Ave, Suite 109, Lubbock, TX 75604 | 2012-04-06 |
| 1699006312 | Bell2bell, LLC | Community/Behavioral Health | 1809 Nw Loop 281, Suite 107, Longview, TX 75604 | 2010-01-20 |
| 1255668901 | David M Vaughan | Pharmacist | 1778 W Loop 281, Longview, TX 75604 | 2009-11-17 |
| 1457587099 | David S. Risner Jr. | Ophthalmology | 2394 H G Mosley Parkway, Longview, TX 75604 | 2009-06-10 |
| Find all providers in zip 75604 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962501031 | Madelene Lenann Nye | Psychologist | 1510 West Fairmont, Suite D, Longview, TX 75604-6321 | 2006-09-22 |
| 1023110509 | Melissa Lea Woodson | Psychologist | 5007 Lavender Leaf, Longview, TX 75604-0600 | 2006-09-03 |
| 1033220843 | David F Devidal | Psychologist | 945 11th St, Ste B, Longview, WA 98632 | 2006-08-31 |
| 1164468609 | Stephen Scott Meharg | Psychologist | 945 11th Ave, Suite B, Longview, WA 98632-2503 | 2006-06-22 |
| 1649212473 | True Sandlin Mann | Psychologist | 1906 N 4th St, Longview, TX 75601-3202 | 2006-06-13 |
| 1063819175 | Ibrahim Kurdieh | Psychologist | 945 11th Ave, Suite B, Longview, WA 98632-2555 | 2014-12-04 |
| 1780081331 | Northwest Psychological Resources | Psychologist | 945 11th Ave Ste B, Longview, WA 98632-2555 | 2014-11-25 |
| 1356535199 | Katy Arleen Herr | Psychologist | 1655 Hudson St, Ste 5, Longview, WA 98632-2949 | 2007-09-05 |
| 1043431489 | Diversified Psychological Services | Psychologist | 1508 W Fairmont St, Suite C, Longview, TX 75604-6303 | 2007-05-02 |
| 1083835417 | Laura K Brutting | Psychologist | 1508 W Fairmont St, Suite C, Longview, TX 75604-6303 | 2007-05-02 |
| Find all providers in LONGVIEW | ||||
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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.