MALLORY M BITTERMAN (NPI# 1356800577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356800577 |
Entity Type | Individual |
Full Name | MALLORY M BITTERMAN |
Practice Address |
124 Asbury Dr Wilmore KY 40390-1115 |
Practice Telephone | 7654803259 |
Mailing Telephone | 7654803259 |
Enumeration Date | 2019-03-18 |
Last Update Date | 2019-03-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 1256 | 05 |
Street Address |
124 ASBURY DR |
City | WILMORE |
State | KY |
Zip Code | 40390-1115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386812527 | Stuart Lee Palmer | Psychologist | 304 1/2 East Main St, Stuart L Palmer & Associates Inc, Wilmore, KY 40390 | 2008-02-11 |
1740465533 | Higher Health and Wellness,inc. | Chiropractor | 405 N. Lexington Ave., Wilmore, KY 40390 | 2007-12-31 |
1811181480 | Janet Blevins Dean | Psychologist | 1 Macklem Drive, Asbury College; The Center for Counseling, Wilmore, KY 40390 | 2007-08-28 |
1366598906 | David A Murphy | Dentist | 113 E Main St, Wilmore, KY 40390 | 2007-01-26 |
1487664777 | Rebecca R Cole | Nurse Practitioner | 317 E Main St, Wilmore, KY 40390 | 2006-08-09 |
1942425426 | Ernest Thompson O'neal | Family Medicine | 320 Bellevue Ave, Wilmore, KY 40390-1010 | 2007-04-17 |
1144657248 | Christopher Alex Clark | Counselor | 900 Corbitt Dr, Wilmore, KY 40390-1096 | 2013-10-03 |
1629452834 | Kathleen Jo Milans | Counselor | 900 Corbitt Dr, Wilmore, KY 40390-1096 | 2015-07-17 |
1427423086 | Michelle Martin | Occupational Therapist | 114 Asbury Dr, Wilmore, KY 40390-1115 | 2015-12-08 |
1720280118 | Stephen Paul Stratton | Psychologist | 204 N Lexington Ave, Wilmore, KY 40390-1129 | 2007-06-05 |
Find all providers in zip 40390 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144657248 | Christopher Alex Clark | Counselor | 900 Corbitt Dr, Wilmore, KY 40390-1096 | 2013-10-03 |
1053469635 | Mary Kristine Leffel | Counselor | 322 E Main St, Wilmore, KY 40390-1324 | 2007-01-08 |
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1942813282 | Marcy Drake | Counselor | 1200 Larkwood Dr, Mt Sterling, KY 40353-8847 | 2020-08-26 |
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Find all providers with the same taxonomy |
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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.