TERRILL PSYCHOLOGICAL SERVICES PLLC


Address: 6100 Newport Rd, Suite 204, Portage, MI 49002-9235
Phone: 2693883939

TERRILL PSYCHOLOGICAL SERVICES PLLC (NPI# 1396143079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396143079
Entity Type Organization
Organization Name TERRILL PSYCHOLOGICAL SERVICES PLLC
Practice Address 6100 Newport Rd
Suite 204
Portage
MI 49002-9235
Practice Telephone 2693883939
Practice Fax Number 2693756078
Mailing Telephone 2693883939
Mailing Fax Number 2693756078
Enumeration Date 2014-12-12
Last Update Date 2014-12-12
Authorized Official Name MS. MARILYN TERRILL (OWNER)
Authorized Official Telephone 2693883939
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 6100 NEWPORT RD
SUITE 204
City PORTAGE
State MI
Zip Code 49002-9235

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750472387 John Thomas Gallagher Clinical Neuropsychologist 6100 Newport Rd, Suite 222, Portage, MI 49002-9235 2006-09-27
1144835133 Rachel Mills Counselor 6100 Newport Rd, Portage, MI 49002-9235 2020-09-15
1326436395 Samita Shah Physician Assistant 6100 Newport Rd, Portage, MI 49002-9235 2014-12-29
1710393798 Jackson Grayson & Campbell In Home Supportive Care 6100 Newport Rd, Suite 208, Portage, MI 49002-9235 2014-07-10
1407267529 Jeff Emmer In Home Supportive Care 6100 Newport Rd, Suite 208, Portage, MI 49002-9235 2014-05-12
1922268861 John T. Gallagher and Associates, P.l.c. Psychologist 6100 Newport Rd, Suite 222, Portage, MI 49002-9235 2008-06-13
1225252356 David Frank Fatzinger Psychologist 6100 Newport Rd, Suite 222, Portage, MI 49002-9235 2007-04-12
1265593685 Jessica L Umlor Physician Assistant 6100 Newport Rd, Suite 100, Portage, MI 49002-9235 2006-12-12
1750475695 Paul W Wang Dermatology 6100 Newport Rd, Suite 100, Portage, MI 49002-9235 2006-10-03
1558455311 Amber B Matthysse Physician Assistant 6100 Newport Rd, Suite 100, Portage, MI 49002-9235 2006-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932604204 Susan Vandewalker Physical Therapist 8001 Angling Rd., Portage, MI 49002 2018-03-28
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1548620537 Patricia Eid Behavioral Analyst 1016 E Milham Ave, Suite 2, Portage, MI 49002 2016-03-03
1386045383 Pinnacle Senior Care of Kalamazoo, LLC Home Health 2725 Airview Blvd Ste 105b, Portage, MI 49002 2014-09-09
1104241611 Meredith Ayers Holland Behavioral Analyst 9616 Portage Road, Portage, MI 49002 2014-02-20
1619211919 Daketia L Thomas Massage Therapist 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 2012-11-27
1831457142 Kinetic Kids, LLC Occupational Therapist 540 East Milham, Portage, MI 49002 2012-04-25
1154689404 Lauren Michelle Mattaliano Occupational Therapist 540 E. Milham Road, Portage, MI 49002 2012-04-24
1114219227 South Michigan Psychiatric Services LLC Psychiatry & Neurology 5390 Lovers Ln, Third Floor, Portage, MI 49002 2011-05-07
1174836316 Premier Neuropsychiatry Plc Psychiatry & Neurology 5930 Lovers Lane, Portage, MI 49002 2010-07-16
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083213631 Robert J. Sheppard Phd Pllc Psychologist 8339 Brookwood Dr, Portage, MI 49024-5207 2020-10-23
1689965329 Carolyn J Heineman Phd LLC Psychologist 5228 Lovers Ln, Suite 104, Portage, MI 49002-1521 2011-04-28
1609994029 Robert Alan Rodenhiser Psychologist 1611 W Centre, Suite 203, Portage, MI 49024 2007-03-26
1497899801 Susan Christine Baird Psychologist 8036 Moorsbridge Rd., Suite 2, Portage, MI 49024-4419 2007-02-18
1285702548 David W. Parks Psychologist 6337 Central Ave, Portage, IN 46368-3801 2006-12-02
1720015985 Joel Schwartz Psychologist 5877 Central Ave Ste A, Portage, IN 46368-2920 2006-06-26
1609837855 Linda L Hill Psychologist 3141 Willowcreek Rd, Suite F, Portage, IN 46368-4468 2006-03-29
1215914304 Steven Glen Townsend Psychologist 8928 Portage Rd, Portage, MI 49002-6420 2005-12-29
1558342030 Patricia Moulton Guilford Psychologist 5930 Lovers Ln, Portage, MI 49002-1673 2005-11-10
1730176587 John Michael Spores Psychologist 3349 Willowcreek Rd, Portage, IN 46368-5015 2005-10-05
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Competitor

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City PORTAGE
Zip Code 49002

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Dataset Information

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.

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