DR. PHYLLIS KUEHNL WALTERS (NPI# 1376518506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376518506 |
| Entity Type | Individual |
| Full Name | DR. PHYLLIS KUEHNL WALTERS |
| Credential | PHD |
| Practice Address |
28 E Rahn Rd Suite 207 Kettering OH 45429-5461 |
| Mailing Address |
73 Villa Pointe Dr Springboro OH 45066-8308 |
| Practice Telephone | 9372191143 |
| Mailing Telephone | 9378860312 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684044 | Phyllis Annette Walters | Psychologist | 9220 Bonita Beach Rd Se Ste 222, Bonita Springs, FL 34135-4235 | 2019-11-19 |
| 1134193436 | Phyllis J Walters | Radiology | 155 Wilson Ave, Washington, PA 15301-3336 | 2006-02-14 |
| Street Address |
28 E RAHN RD SUITE 207 |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-5461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581043 | Debra K Sowald | Counselor | 28 E Rahn Rd, Ste 105, Kettering, OH 45429-5461 | 2005-07-12 |
| 1780937862 | Larry Welin | Counselor | 28 E Rahn Rd, Suite 105, Kettering, OH 45429-5461 | 2012-10-26 |
| 1568798031 | Constance Clarke | Counselor | 28 E Rahn Rd, Suite 105, Kettering, OH 45429-5461 | 2009-10-19 |
| 1609077056 | Froogh A Vakili Khatibloo | Counselor | 28 E Rahn Rd, Suite 105, Kettering, OH 45429-5461 | 2007-05-31 |
| 1245350552 | Midwest Behavioral Care | Counselor | 28 E Rahn Rd, Suite 105, Kettering, OH 45429-5461 | 2007-03-30 |
| 1063431443 | Fred Allen | Counselor | 28 E Rahn Rd, Sutie 105, Kettering, OH 45429-5461 | 2006-07-18 |
| 1407834765 | Heidi S Spiegel (ferstl) | Counselor | 28 E Rahn Rd, Suite 105, Kettering, OH 45429-5461 | 2006-01-06 |
| 1548248701 | Susan M Iwinski | Counselor | 28 E Rahn Rd, Suite 105, Kettering, OH 45429-5461 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| 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 |
|---|---|---|---|---|
| 1104323229 | Rebecca Clarke | Psychologist | 529 E Stroop Rd, Kettering, OH 45429-3245 | 2018-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184244 | Works of Faith Wellness and Consultation, LLC | Psychologist | 867 Mosaic Ct, Columbus, OH 43230-3835 | 2020-11-02 |
| 1740896711 | Shalin Shah | Psychologist | 2312 Ohio Ave Apt 131, Cincinnati, OH 45219-1630 | 2020-09-16 |
| 1467067744 | Jacob Burmeister | Psychologist | 1070 Commerce, Building 2, Suite 301, Perrysburg, OH 43551 | 2020-09-13 |
| 1184241655 | Laura L Moncrief, Psy.d., LLC | Psychologist | 7155 Pearl Rd Ste 102, Middleburg Heights, OH 44130-4945 | 2020-07-01 |
| 1043834971 | Tycie Alcorn | Psychologist | 1415 Oak Hill Ct Apt 50, Toledo, OH 43614-2544 | 2020-06-06 |
| 1912520065 | Tracey King | Psychologist | 726 E Main St Ste F210, Lebanon, OH 45036-1900 | 2020-05-24 |
| 1811517964 | Susan Frances Folger | Psychologist | 5071 Forest Dr Ste B, New Albany, OH 43054-8181 | 2020-04-19 |
| 1740813898 | Carla Luciano Codani Hisatugo | Psychologist | 445 East Dublin Granville Rd., Worthington, OH 43085-3183 | 2020-02-18 |
| 1003456351 | Apex Neuropsychology Center LLC | Psychologist | 819 Southwestern Run #2, Poland, OH 44514 | 2020-01-14 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 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.