DR. MARY KATHLEEN PROSPERO (NPI# 1457344079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457344079 |
| Entity Type | Individual |
| Full Name | DR. MARY KATHLEEN PROSPERO |
| Credential | PH.D. |
| Practice Address |
4450 Belden Village St Nw Suite 202 Canton OH 44718-2596 |
| Practice Telephone | 3304928494 |
| Practice Fax Number | 3304928294 |
| Mailing Telephone | 3304928494 |
| Mailing Fax Number | 3304928294 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2011-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
OH4438 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0215378 | 05 |
| Street Address |
4450 BELDEN VILLAGE ST NW SUITE 202 |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164871950 | Ancillary Advantage, Inc. | Durable Medical Equipment & Medical Supplies | 4450 Belden Village St Nw, Suite 305, Canton, OH 44718-2552 | 2016-06-13 |
| 1407224678 | Barbara Hunt | Counselor | 4450 Belden Village St Nw, Suite 806, Canton, OH 44718-2552 | 2015-09-04 |
| 1558635722 | Dr. Donald Kinsley & Associate | Psychologist | 4450 Belden Village St Nw, Canton, OH 44718-2552 | 2012-03-05 |
| 1417237652 | Natalie N Malloy | Counselor | 4450 Belden Village St Nw, Canton, OH 44718-2552 | 2011-08-19 |
| 1710126438 | Jennifer L Mizicko | Counselor | 4450 Belden Village St Nw, Suite 304, Canton, OH 44718-2552 | 2009-02-19 |
| 1154592608 | Nathan Stephens | Psychologist | 4450 Belden Village St Nw, Suite 701, Canton, OH 44718-2552 | 2008-03-12 |
| 1710166566 | Margot Kessler | Counselor | 4450 Belden Village St Nw, Stuite 202, Canton, OH 44718-2552 | 2007-10-29 |
| 1932264785 | Professional Perspectives Partnership, Inc. | Psychologist | 4450 Belden Village St Nw, Ste. 202, Canton, OH 44718-2596 | 2006-12-22 |
| 1699793091 | Brenda Holland | Counselor | 4450 Belden Village St Nw, Suite 701, Canton, OH 44718-2552 | 2006-07-17 |
| 1770516759 | Melissa Dunphy | Psychologist | 4450 Belden Village St Nw, Suite 701, Canton, OH 44718-2552 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1932532348 | Sharon Miao Wang | Psychologist | 4285 Sherwood Cir, Canton, MI 48188-2173 | 2013-08-21 |
| 1972857415 | Ryan Eckel | Psychologist | 448 Robyn Dr, Canton, MI 48187-3958 | 2012-11-06 |
| 1912022120 | Cecilia Marie Schweizer | Psychologist | 1829 Fulton Rd Nw, Canton, OH 44709-3523 | 2007-03-20 |
| 1568587434 | Patricia Mae Millsaps-linger | Psychologist | 1829 Fulton Rd. Nw, Canton, OH 44709-3523 | 2007-03-20 |
| 1659442705 | Janet Ann Thatcher-davids | Psychologist | 74 Woodstone Way, Canton, NC 28716-7102 | 2006-11-12 |
| 1457442618 | William B. Burns | Psychologist | 645 State Highway 310, Canton, NY 13617-3383 | 2006-09-27 |
| 1548270952 | David John Gannon | Psychologist | 4572 Dressler Rd Nw, Canton, OH 44718-2546 | 2006-08-08 |
| 1942275185 | Cheryl A Benson-blankenship | Psychologist | 2800 Market Ave N Ste 14, Canton, OH 44714-1779 | 2006-02-21 |
| 1174005706 | Sara Nicole Sayre | Psychologist | 4319 Hills and Dales Rd Nw, Canton, OH 44708-1663 | 2018-08-30 |
| Find all providers in CANTON | ||||
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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.