DR. JANELLE MARIE TIDEMANN (NPI# 1437344694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437344694 |
| Entity Type | Individual |
| Full Name | DR. JANELLE MARIE TIDEMANN |
| Credential | LCP |
| Practice Address |
5847 Sw 29th St Topeka KS 66614-2462 |
| Practice Telephone | 7852737292 |
| Mailing Telephone | 7852737292 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
LCP 272 | KS | Behavioral Health & Social Service Providers |
| Street Address |
5847 SW 29TH ST |
| City | TOPEKA |
| State | KS |
| Zip Code | 66614-2462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841895 | Joyce Lee Markham | Social Worker | 5847 Sw 29th St, Topeka, KS 66614-2462 | 2005-06-20 |
| 1558878751 | Pinnacle Behavioral Health, LLC | Clinic/Center | 5847 Sw 29th St, Topeka, KS 66614-2462 | 2018-01-09 |
| 1760803589 | Connie Sanchez | Social Worker | 5847 Sw 29th St, Topeka, KS 66614 | 2013-12-20 |
| 1821436825 | Crystal Marie Duclos | Psychologist | 5847 Sw 29th St, Topeka, KS 66614-2462 | 2013-06-12 |
| 1831401389 | Clifford L Bond | Counselor | 5847 Sw 29th St, Topeka, KS 66614-2462 | 2010-07-12 |
| 1982923900 | Halley Counseling Services, P.a | Community/Behavioral Health | 5847 Sw 29th St, Topeka, KS 66614-2462 | 2010-06-01 |
| 1427016880 | Tyrus C Petty Jr. | Social Worker | 5847 Sw 29th St, Topeka, KS 66614-2462 | 2006-05-03 |
| 1578538153 | Eva K Brown | Nurse Practitioner | 5847 Sw 29th St, Topeka, KS 66614-2462 | 2006-02-17 |
| 1710971544 | Constance Ann Lofgreen | Social Worker | 5847 Sw 29th St, Topeka, KS 66614-2462 | 2005-09-08 |
| 1598763195 | Paula Jeanette Clanton | Social Worker | 5847 Sw 29th St, Topeka, KS 66614-2462 | 2005-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205356516 | James Michael Mcgill | Counselor | 2121 Sw Chelsea Dr., Topeka, KS 66614 | 2017-06-27 |
| 1366988339 | Tracy Sprague | Nurse Practitioner | 2655 Sw Wanamaker, Topeka, KS 66614 | 2017-01-13 |
| 1336518976 | Pearlie Mae's Compassion and Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2956 Sw Seabrook Ave, Topeka, KS 66614 | 2015-09-24 |
| 1124424924 | Sunflower Smiles Pediatric Dentistry | Dentist | 3635 Sw Fairlawn Road, Suite 1, Topeka, KS 66614 | 2014-11-06 |
| 1902200371 | Katie Lynn Schippers | Pharmacist | 55311 Sw 22nd Pl, Topeka, KS 66614 | 2014-10-14 |
| 1457767105 | Eugene Curtis | Dentist | 2221 Sw Auburn Rd, Topeka, KS 66614 | 2014-07-02 |
| 1538583190 | Arnold V. Mueller | Internal Medicine | 2737 S.w. Bluestem Dr., Topeka, KS 66614 | 2014-02-18 |
| 1477991610 | Robert Roy Payne | Orthopaedic Surgery | 2403 Southwest Brookhaven Lane, Robert R. Payne, M.d, Topeka, KS 66614 | 2013-06-10 |
| 1134425556 | Dale Lake | Case Manager/Care Coordinator | 2706 Sw Tutbury Town Rd, Topeka, KS 66614 | 2011-02-02 |
| 1013248558 | Aline Boutz | Assisted Living Facility | 7720 Sw Asbury Dr, Topeka, KS 66614 | 2010-01-22 |
| Find all providers in zip 66614 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174097133 | Janine Kesterson-cravens | Psychologist | 8100 E 22nd St N # 1600, Wichita, KS 67226-2388 | 2019-01-14 |
| 1073978979 | Kari Struemph | Psychologist | 2106 Olathe Blvd Mailstop 4004, Kansas City, KS 66160-0001 | 2015-12-18 |
| 1568655637 | Deidra Mcgie Johnson | Psychologist | 1102 S. Rouse, Pittsburg, KS 66762 | 2007-08-22 |
| 1225220858 | Leticia Ann Holub Taylor | Psychologist | 515 N Mur Len Rd, Olathe, KS 66062-1267 | 2007-08-17 |
| 1760674808 | Eric Morrison Vernberg | Psychologist | 1000 Sunnyside Ave, Clinical Child Psychology Program, Lawrence, KS 66045-7555 | 2007-08-13 |
| 1649476094 | Stephen Robert Lassen | Psychologist | 3901 Rainbow Blvd # Ms -4004, Kansas City, KS 66160-0001 | 2007-06-22 |
| 1710033642 | Charles Anthony Krall | Psychologist | 426 W 14th St, Chanute, KS 66720-2878 | 2007-01-25 |
| 1952453573 | Nathan A Fawson | Psychologist | 304 N Jefferson, Iola, KS 66749 | 2007-01-16 |
| 1902465701 | Alison Kathleen Calkins-smith | Psychologist | 8800 W 75th St Ste 220, Shawnee Mission, KS 66204-4001 | 2019-06-06 |
| 1902306640 | Amy E Noser | Psychologist | 200 Maine St Ste A, Lawrence, KS 66044-1396 | 2018-02-20 |
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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.