MR. DAVID ALLEN SHADD II (NPI# 1376684571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376684571 |
| Entity Type | Individual |
| Full Name | MR. DAVID ALLEN SHADD II |
| Credential | LPP |
| Practice Address |
111 North Main St. Cynthiana KY 41031 |
| Mailing Address |
112 Percy Place Georgetown KY 40324 |
| Practice Telephone | 8592350800 |
| Practice Fax Number | 8592542743 |
| Mailing Telephone | 8592298543 |
| Mailing Fax Number | 8592550749 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2014-12-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | KY-0110 | KY | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 2004-72 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 30615058 | 05 |
| Street Address |
111 NORTH MAIN ST. |
| City | CYNTHIANA |
| State | KY |
| Zip Code | 41031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588105183 | Suelynn Carter | Peer Specialist | 257 Parkland Heighgts, Cynthiana, KY 41031 | 2017-03-15 |
| 1386875656 | Parkside Manor LLC | Custodial Care Facility | 317 Oddville Avenue, Suite B, Cynthiana, KY 41031 | 2009-08-04 |
| 1467683730 | Shady Lawn LLC | Custodial Care Facility | 108 South Miller Street, Cynthianan, KY 41031 | 2009-08-04 |
| 1326239369 | Wedco District Health Department | Public Health or Welfare | 2415 U.s 27 North, Cynthiana, KY 41031 | 2007-08-06 |
| 1134329881 | Janet Olson | Licensed Practical Nurse | 2207 Shadynook Pike, Cynthiana, KY 41031 | 2007-07-20 |
| 1992836498 | Wal-mart Stores East, L.p. | Technician/Technologist | 805 Us 275, Cynthiana, KY 41031 | 2007-03-08 |
| 1760526909 | Urologic Associates Cynthiana | Specialist | 1210 Kentukcy Hwy 36 E, Cynthiana, KY 41031 | 2007-02-19 |
| 1265588990 | Womens Health Clinic of Cynthiana | Obstetrics & Gynecology | 1210 Ky Hwy 36 East, Suite G4, Cynthiana, KY 41031 | 2007-01-26 |
| 1578646204 | Julian Valenton Castillo Jr. | General Practice | 1210 Ky Hwy 36e G1, Cynthiana, KY 41031 | 2006-10-24 |
| 1932289139 | Frank Monroe Henson | Spec/Tech, Pathology | 469 West Pleasant Street, Cynthiana, KY 41031 | 2006-10-16 |
| Find all providers in zip 41031 | ||||
| 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 |
|---|---|---|---|---|
| 1598896722 | Janet L Belcher | Psychologist | 257 Parkland Hts, Cynthiana, KY 41031-6017 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228415 | Mollie Marie Lefever | Psychologist | 204 Levisa Dr, Louisa, KY 41230-9352 | 2020-09-02 |
| 1831714138 | Theresa Marie Nowak | Psychologist | 233 Larch Ln, Lexington, KY 40511-2006 | 2020-06-11 |
| 1104446921 | Marina Sud | Psychologist | 1834 Gresham Rd, Louisville, KY 40205-2424 | 2020-04-22 |
| 1881227023 | Perspectives Psychological Services Pllc | Psychologist | 2802 Woodward Dr, Louisville, KY 40220-1265 | 2020-02-17 |
| 1801430525 | Higher Horizons Pllc | Psychologist | 1500 Leestown Rd Ste 332, Lexington, KY 40511-1981 | 2019-11-06 |
| 1104476126 | Zachary Clayborne Dietrich | Psychologist | 100 Executive Park Ste 103, Louisville, KY 40207-4201 | 2019-09-12 |
| 1194374207 | John Lee Cecil | Psychologist | 203 Right Penhook Rd, Harold, KY 41635-7008 | 2019-09-11 |
| 1174177901 | Hopebridge LLC | Psychologist | 215 S Hurstbourne Pkwy Ste 213, Louisville, KY 40222-4937 | 2019-07-30 |
| 1184289878 | Courtney L. Cieslak-mullins | Psychologist | 9879 Route 122, Mcdowell, KY 41647 | 2019-05-08 |
| 1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
| 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.