MIDWEST NEUROPSYCHOLOGICAL CONSULTANT (NPI# 1386071207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386071207 |
| Entity Type | Organization |
| Organization Name | MIDWEST NEUROPSYCHOLOGICAL CONSULTANT |
| Practice Address |
801 Saint Marys Dr Suite 506e Evansville IN 47714-0511 |
| Practice Telephone | 8124025625 |
| Practice Fax Number | 8124025627 |
| Mailing Telephone | 8124025625 |
| Mailing Fax Number | 8124025627 |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | GREGORY GOFFINET (OWNER/MD) |
| Authorized Official Telephone | 8124025625 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
801 SAINT MARYS DR SUITE 506E |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714-0511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821090085 | Himanshu Shah | Pediatrics | 801 Saint Marys Dr, Suite 502 East, Evansville, IN 47714-0511 | 2005-06-01 |
| 1073059176 | Complete Anesthesia & Pain LLC | Anesthesiology | 801 Saint Marys Dr, Ste 205w, Evansville, IN 47714-0511 | 2017-01-12 |
| 1649649781 | Amber Lucille Graber | Nurse Practitioner | 801 Saint Marys Dr, Suite 205w, Evansville, IN 47714-0511 | 2015-09-18 |
| 1073999835 | Melody Harrell | Social Worker | 801 Saint Marys Dr, Suite 200, Evansville, IN 47714-0511 | 2015-08-04 |
| 1316346299 | Krista Land | Nurse Practitioner | 801 Saint Marys Dr, Suite 205w, Evansville, IN 47714-0511 | 2014-08-18 |
| 1487080529 | Katie Elizabeth Luigs | Registered Nurse | 801 Saint Marys Dr, Suite 205w, Evansville, IN 47714 | 2013-09-20 |
| 1124369426 | Surgical Care Associates LLC | Surgery | 801 Saint Marys Dr, Suite 205 W, Evansville, IN 47714-0511 | 2013-03-12 |
| 1093053852 | Chelsey Linette Kuper | Dietitian, Registered | 801 Saint Marys Dr, Suite 205w, Evansville, IN 47714-0511 | 2013-01-29 |
| 1073899449 | Anesthesia Care Associates, LLC | Anesthesiology | 801 Saint Marys Dr, Suite 205 West, Evansville, IN 47714-0511 | 2011-10-28 |
| 1376825380 | Sarah Ellen Long | Nurse Practitioner | 801 Saint Marys Dr, Suite 205 W, Evansville, IN 47714-0511 | 2011-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
| 1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
| 1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
| 1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
| Find all providers in zip 47714 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821329392 | Gregory Goffinet | Clinical Neuropsychologist | 801 Saint Marys Dr, Suite 506e, Evansville, IN 47714-0511 | 2010-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203537 | Michael John Wilson | Clinical Neuropsychologist | 9301 Madison St Rm 369, Crown Point, IN 46307-7745 | 2019-06-11 |
| 1497273015 | Jana Beth Dykstra | Clinical Neuropsychologist | 355 W 16th Street Goodman Hall, Indianapolis, IN 46202 | 2017-09-04 |
| 1558779355 | Neurobehavioral Consultants, LLC | Clinical Neuropsychologist | 4356 N College Ave, Indianapolis, IN 46205-1932 | 2014-07-24 |
| 1275973257 | Courtney Beth Johnson | Clinical Neuropsychologist | 2680 E Main St Ste 114, Plainfield, IN 46168-2827 | 2013-07-05 |
| 1619275807 | Renee Elizabeth Buskirk | Clinical Neuropsychologist | 11143 Parkview Plaza Dr Ste 207, Fort Wayne, IN 46845-1728 | 2011-03-11 |
| 1417251109 | Bradford J Eaton Phd | Clinical Neuropsychologist | 15744 Sunrise Trl, Granger, IN 46530-9034 | 2011-01-10 |
| 1306170626 | Elizabeth Begyn | Clinical Neuropsychologist | 541 Clinical Dr # Cl285, Indianapolis, IN 46202-5233 | 2009-09-21 |
| 1285865378 | Anps-in LLC | Clinical Neuropsychologist | 908 Roosevelt Rd, Suite K, Valparaiso, IN 46383-4375 | 2009-08-06 |
| 1215101696 | Michelle Anne Keiski | Clinical Neuropsychologist | 355 W 16th St Ste 4700, Indianapolis, IN 46202-2285 | 2008-04-17 |
| 1669641114 | Estes Neuropsychology, LLC | Clinical Neuropsychologist | 1655 N Gladstone Ave Ste D, Columbus, IN 47201-5380 | 2008-02-28 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47714 |
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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.