SUSAN LYNN PHELPS (NPI# 1457529604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457529604 |
| Entity Type | Individual |
| Full Name | SUSAN LYNN PHELPS |
| Credential | M.S. |
| Practice Address |
1303 W Noel Ave Madisonville KY 42431-1166 |
| Practice Telephone | 2708218874 |
| Mailing Telephone | 2708218874 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
021 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
| 1467720201 | Susan Renee Phelps | Acupuncturist | 2099 Highway 50 West, Suite 130 G, Pueblo, CO 81008 | 2011-12-08 |
| 1912018854 | Susan Phelps | Social Worker | 1251 Miller Ave Ste B, Winter Park, FL 32789-4884 | 2006-08-31 |
| 1528543238 | Susan Elizabeth Phelps | Social Worker | 19 Overlook Dr, Acton, MA 01720-2762 | 2018-09-27 |
| 1649519539 | Susan Marie Phelps | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2013-02-12 |
| 1053633073 | Susan M Phelps | Occupational Therapist | 11660 Alpharetta Hwy, Suite 540, Roswell, GA 30076-4943 | 2010-02-17 |
| 1316006612 | Susan Phelps | Radiology | 145 Technology Pkwy, C/o Medical Doctor Associates, Norcross, GA 30092-2913 | 2006-12-06 |
| 1740278811 | Susan L. Phelps | Dietitian, Registered | 1900 Brother Geenen Way, Senior Friendship Centers, Inc., Sarasota, FL 34236-7102 | 2005-10-12 |
| Street Address |
1303 W NOEL AVE |
| City | MADISONVILLE |
| State | KY |
| Zip Code | 42431-1166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932397023 | Marcie Mckinsey | Counselor | 1303 W Noel Ave, Madisonville, KY 42431-1166 | 2007-10-15 |
| 1265728265 | Tara Elizabeth Green | Social Worker | 1303 W Noel Ave, Madisonville, KY 42431-1166 | 2011-06-28 |
| 1972776839 | Andrea Denise Hulsey | Registered Nurse | 1303 W Noel Ave, Madisonville, KY 42431-1166 | 2008-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750846309 | Sarah Davenport Ziegler | Registered Nurse | 3050 Nebo Rd, Madisonville, KY 42431 | 2019-02-08 |
| 1134604903 | Kelsey Dawn Wilson | Occupational Therapist | 425 Island Ford Rd, Madisonville, KY 42431 | 2018-09-27 |
| 1174006209 | Shaun Vickery | Physical Therapist | 425 Island Ford Road, Madisonville, KY 42431 | 2018-09-14 |
| 1881115384 | Filza Tajik | Speech-Language Pathologist | 1305-1 W. Noel Ave, Unit 1, Madisonville, KY 42431 | 2017-07-05 |
| 1245769280 | Susan Hart | Student in an Organized Health Care Education/Training Program | 200 Clinic Drive, Third North, Madisonville, KY 42431 | 2017-06-05 |
| 1811363880 | Cory Eakins | Nutritionist | 2223 S Main St, Madisonville, KY 42431 | 2015-08-13 |
| 1932598257 | Deidra Boyken | Counselor | 145 E. Center Street Suite 1d, Madisonville, KY 42431 | 2015-01-12 |
| 1841602398 | Jessica France | Occupational Therapist | 339 S Seminary St, Madisonville, KY 42431 | 2014-06-02 |
| 1497097562 | Sunrise Children's Services | Community/Behavioral Health | 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 | 2013-03-26 |
| 1013275023 | Creasha King | Counselor | 1079 Thornberry Dr Ste B, Madisonville, KY 42431 | 2012-04-26 |
| Find all providers in zip 42431 | ||||
| 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 |
|---|---|---|---|---|
| 1013307545 | Karen Hutcheson | Psychologist | 9720 Park Plaza Ave Unit 103, Louisville, KY 40241-2289 | 2015-02-04 |
| 1063813491 | Julie Marie Greenwell | Psychologist | 2823 Frankfort Ave, Louisville, KY 40206-2639 | 2014-09-04 |
| 1841530722 | Stelios Jack Stylianou | Psychologist | 548 Brentwood Ave, Louisville, KY 40215-2844 | 2013-02-28 |
| 1144565888 | Nicole Ann Begg | Psychologist | 740 S Limestone L404, Lexington, KY 40536-1059 | 2012-12-06 |
| 1518136720 | Dale Allan Owens | Psychologist | 206 S 6th St, Murray, KY 42071-2516 | 2008-02-22 |
| 1356407365 | Steven Robert Hoersting | Psychologist | 7000 Houston Rd Bldg 200, Suite 21, Florence, KY 41042-4873 | 2006-12-28 |
| 1992899611 | Bryan D Carter | Psychologist | 200 East Chestnut Street, Louisville, KY 40202 | 2006-10-03 |
| 1275522146 | William Pfohl | Psychologist | 1011 Lehman Ave, Suite 106 Box 6, Bowling Green, KY 42103-6502 | 2005-10-13 |
| 1245845163 | Morgan Daffin | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-09-09 |
| 1053934612 | Kayla N Larosa | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-05-18 |
| Find all providers with the same taxonomy | ||||
| City | MADISONVILLE |
| Zip Code | 42431 |
Please comment or provide details below to improve the information on SUSAN LYNN PHELPS.
| 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.