GINA MICHELLE LANG (NPI# 1407398100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407398100 |
| Entity Type | Individual |
| Full Name | GINA MICHELLE LANG |
| Credential | PH.D. |
| Practice Address |
810 N 6th Ave Phoenix AZ 85003-1318 |
| Practice Telephone | 6024621115 |
| Mailing Telephone | 6024621115 |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3245 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972165728 | Gina V Lang | Nurse Practitioner | 4250 Albany Post Rd Ste 1, Hyde Park, NY 12538-1766 | 2019-07-02 |
| 1881010221 | Gina M. Lang | Early Intervention Provider Agency | 4 Suellen Ct, Islip, NY 11751-4107 | 2014-03-10 |
| Street Address |
810 N 6TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85003-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767790 | Andrea Shunette Waddell-pratt | Psychologist | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2005-06-01 |
| 1013470251 | Kimberly Turille | Counselor | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2019-04-12 |
| 1669930855 | Andrew Maurer | Marriage & Family Therapist | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2019-03-06 |
| 1407361090 | Shadi May Boudreau | Counselor | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2017-12-05 |
| 1942714613 | The Phoenix Counseling Collective | Counselor | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2017-11-16 |
| 1194102582 | Spane Counseling | Counselor | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2015-05-05 |
| 1558796482 | Life Choices Professional Group, LLC | Community/Behavioral Health | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2013-09-11 |
| 1811228752 | Shalene Michele Kirkley | Psychologist | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2010-01-15 |
| 1083853147 | Wooten & Associates, Plc | Psychologist | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2009-02-13 |
| 1629277124 | Andrea Waddell-pratt, Phd, PC | Community/Behavioral Health | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2007-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
| 1003279043 | Kimberly Brown | Technician, Other | 609 N 2nd Aveunue, 200, Phoenix, AZ 85003 | 2016-03-29 |
| 1548678626 | Douglas Barshter | Technician, Other | 602 N 2nd Avenue, Phoenix, AZ 85003 | 2014-08-01 |
| 1346655099 | Benjamin Heller | Family Medicine | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003 | 2014-06-20 |
| 1225383201 | Charles S Bell | Counselor | 609 North 2nd Ave., Phoenix, AZ 85003 | 2012-07-17 |
| 1790004133 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 50 W. Jefferson St., Suite 140, Phoenix, AZ 85003 | 2010-05-25 |
| 1184806960 | Word Play, LLC | Home Health | 808 N 4th Ave Unit 12, Phoenix, AZ 85003 | 2007-12-03 |
| 1609067842 | Salim Shafi | Dentist | 125 W Mcdowell Road, Phoenix, AZ 85003 | 2007-08-05 |
| Find all providers in zip 85003 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847951 | Flourish Mental Wellness, Pllc | Psychologist | 112 N Central Ave Ste M26, Phoenix, AZ 85004-2309 | 2020-10-06 |
| 1881202042 | Sara L Cole | Psychologist | 3933 E Edna Ave Ste 101, Phoenix, AZ 85032-2127 | 2020-07-14 |
| 1871115311 | Aims-az, LLC | Psychologist | 1346 E. Mcdowell Rd, Phoenix, AZ 85006-2616 | 2020-05-07 |
| 1346890308 | Michael D Rabara | Psychologist | 1450 E Indian School Rd Ste 106, Phoenix, AZ 85014-4954 | 2019-09-12 |
| 1790331940 | Brittany Friedman | Psychologist | 650 E Indian School Rd Bldg 21, Phoenix, AZ 85012-1839 | 2019-08-14 |
| 1336705888 | Alice Claudia Pickering | Psychologist | 2955 W Villa Maria Dr, Phoenix, AZ 85053-1107 | 2019-05-09 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1346725249 | Katharine D Sluys | Psychologist | 205 N Phoenix Rd Ste A, Phoenix, OR 97535-9100 | 2018-09-27 |
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1073028023 | Jodi Ralyn Cuneo | Psychologist | 5060 N 19th Ave Ste 101, Phoenix, AZ 85015-3211 | 2017-12-12 |
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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.