ANDREW R. GULJAS (NPI# 1467667733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467667733 |
| Entity Type | Individual |
| Full Name | ANDREW R. GULJAS |
| Credential | PSYD |
| Practice Address |
4218 W Western Ave South Bend IN 46619-2617 |
| Practice Telephone | 5742331524 |
| Practice Fax Number | 5742331612 |
| Mailing Telephone | 5742331524 |
| Mailing Fax Number | 5742331612 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2015-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
4218 W WESTERN AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46619-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497798284 | Victory Clinical Services II LLC | Psychologist | 4218 W Western Ave, South Bend, IN 46619-2622 | 2006-06-13 |
| 1578190815 | Jeremy Sean Molica | Counselor | 4218 W Western Ave, South Bend, IN 46619-2622 | 2020-03-26 |
| 1306472659 | Kelly Franklin | Counselor | 4218 W Western Ave, South Bend, IN 46619-2622 | 2020-03-19 |
| 1730689027 | Melissa Lewis | Counselor | 4218 W Western Ave, South Bend, IN 46619-2622 | 2018-02-14 |
| 1912381575 | Imani Ingram | Counselor | 4218 W Western Ave, South Bend, IN 46619-2622 | 2015-07-14 |
| 1811388424 | John Anthony Krecek | Counselor | 4218 W Western Ave, South Bend, IN 46619-2622 | 2015-02-18 |
| 1679988893 | Joie Wroblewski | Counselor | 4218 W Western Ave, South Bend, IN 46619-2622 | 2014-06-26 |
| 1386858629 | Erin T. Lacourt | Counselor | 4218 W Western Ave, South Bend, IN 46619-2617 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578015103 | Martin's Super Markets, Inc. | Pharmacy | 525 S. Mayflower Rd, South Bend, IN 46619 | 2016-10-31 |
| 1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
| 1902227911 | Patricia Ann Miller | Counselor | 4218 Western Ave, South Bend, IN 46619 | 2013-12-17 |
| 1740611953 | Cynthia G. Finney | Counselor | 4218 Western Avenue, So Bend, IN 46619 | 2013-12-13 |
| 1437433406 | Angela Nicole Zolvinski | Pharmacist | 4444 W. Western Ave, South Bend, IN 46619 | 2011-10-07 |
| 1871674556 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4600 W Washington St, South Bend, IN 46619 | 2006-10-18 |
| 1942302203 | April Holtgren | Family Medicine | 1901 #b Western Ave, South Bend, IN 46619 | 2006-09-05 |
| 1447737002 | Graciela Jimenez-martinez | Registered Nurse | 1901 #b Western Avenue, South Bend, IN 46619 | 2018-07-25 |
| 1821397878 | Wright Dream | In Home Supportive Care | 706 S Sheridan St, South Bend, IN 46619 | 2011-03-16 |
| 1740439223 | Scott J. Vanslambrouck | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46619 | 2008-09-09 |
| Find all providers in zip 46619 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121172 | Tyrone B Barnes | Psychologist | 3805 N Wittfield St, Indianapolis, IN 46235-2123 | 2020-10-12 |
| 1447874300 | Catherine A Welsh | Psychologist | 12732 Fuller Ct, Fishers, IN 46038-1084 | 2020-06-05 |
| 1184260010 | James R Hurst Phd LLC | Psychologist | 6910 N Main St Unit 12, Granger, IN 46530-9681 | 2019-11-26 |
| 1376827915 | Boyd Randal Horton | Psychologist | 1800 N Meridian St Ste 202, Indianapolis, IN 46202-1443 | 2011-09-30 |
| 1316244627 | Michael Anthony Johnson | Psychologist | 6208 N College Ave, Indianapolis, IN 46220-1927 | 2011-02-22 |
| 1982884136 | Ann Louise Cangemi | Psychologist | 10123 Red Oak Ct, Fort Wayne, IN 46804-5223 | 2007-11-05 |
| 1194880088 | Thomas James Johnson | Psychologist | Indiana State University Department of Psychology, 450 North 7th Street, Terre Haute, IN 47809-0001 | 2006-12-22 |
| 1144202292 | Antonio Carrelli | Psychologist | 927 N Pennsylvania St, Indianapolis, IN 46204-1020 | 2005-11-15 |
| 1346804390 | Kimberly Dick | Psychologist | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2019-04-25 |
| 1669931341 | Amanda Adhami | Psychologist | 645 N Walnut St, Bloomington, IN 47404-3846 | 2019-03-13 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46619 |
Please comment or provide details below to improve the information on ANDREW R. GULJAS.
| 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.