DR. CONSTANCE BEATRICE CLODFELTER (NPI# 1386840668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386840668 |
| Entity Type | Individual |
| Full Name | DR. CONSTANCE BEATRICE CLODFELTER |
| Credential | PH.D. |
| Practice Address |
498 Nw 18th St Richmond State Hospital Richmond IN 47374-2851 |
| Practice Telephone | 7659359312 |
| Practice Fax Number | 7659359512 |
| Mailing Telephone | 7659359312 |
| Mailing Fax Number | 7659359512 |
| Enumeration Date | 2007-06-25 |
| 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 | 20090177 | IN | Behavioral Health & Social Service Providers |
| Street Address |
498 NW 18TH ST RICHMOND STATE HOSPITAL |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144288945 | Raul Burciaga | Psychiatry & Neurology | 498 Nw 18th St, Richmond, IN 47374-2851 | 2006-05-02 |
| 1417580812 | Erica Nicole Miller | Nurse Practitioner | 498 Nw 18th St, Richmond, IN 47374-2851 | 2020-02-14 |
| 1164967865 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St, Suite B, Richmond, IN 47374-2851 | 2017-01-04 |
| 1508300161 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St, Suite A, Richmond, IN 47374-2851 | 2016-12-15 |
| 1093933236 | State of Indiana - Auditor of State | Psychiatric Hospital | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-04-23 |
| 1750507109 | Douglas W. Orr | Pharmacist | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-04-17 |
| 1578680666 | State of Indiana, Auditor of State | Pharmacy | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-03-23 |
| 1679699151 | John Thomas Moore | Psychologist | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-03-22 |
| 1538299300 | Bernida Lucile Iqbal | Dentist | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-03-07 |
| 1770638496 | Robert T Mitrione | Specialist | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| 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] |
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| 1952728008 | Sukhpinder Dhillon | Psychologist | 2120 Staples Mill Rd Ste 209, Richmond, VA 23230-2917 | 2014-03-26 |
| 1346679404 | Mollie Lyddane | Psychologist | 2 Bayside Ct, Richmond, CA 94804-7441 | 2013-11-08 |
| 1649617051 | Kathryn Rose Hefner | Psychologist | 2123 Rosewood Avenue, Richmond, VA 23220 | 2013-05-24 |
| 1639430093 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Psychologist | 5855 Bremo Rd Ste 404, Mob North, Richmond, VA 23226-1924 | 2012-06-01 |
| 1316248297 | Carolyn Etheridge Harrington | Psychologist | 5322 Stokes Ln, Richmond, VA 23226-1918 | 2010-11-09 |
| 1740502269 | Lynda Ann Benson Fereday | Psychologist | 521 Lancaster Ave Rm 571, Richmond, KY 40475-3100 | 2010-02-25 |
| 1104067495 | Arts for Replenishment and Change, Pllc | Psychologist | 530 E Main St Ste 420, Richmond, VA 23219-2431 | 2009-03-16 |
| 1255577573 | Mark Stuart Pirie | Psychologist | 631 30th St, Richmond, CA 94804-1525 | 2008-12-17 |
| Find all providers in RICHMOND | ||||
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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.