MICHAEL SHAMALOV (NPI# 1467950477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467950477 |
| Entity Type | Individual |
| Full Name | MICHAEL SHAMALOV |
| Credential | HSPP |
| Practice Address |
500 8th Ave Terre Haute IN 47804-4072 |
| Mailing Address |
Po Box 55107 Indianapolis IN 46205-0107 |
| Practice Telephone | 8122318376 |
| Mailing Telephone | 3172537387 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
20043100A | IN | Behavioral Health & Social Service Providers |
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114162799 | Michael Shamalov | Pharmacist | 333 Crossways Park Dr, Woodbury, NY 11797-2066 | 2008-12-10 |
| Street Address |
500 8TH AVE |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47804-4072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740289834 | Bridget J Roberts-pittman | Psychologist | 500 8th Ave, Terre Haute, IN 47804-4072 | 2005-07-20 |
| 1689223216 | Natalie Hoopingarner | Social Worker | 500 8th Ave, Terre Haute, IN 47804-4072 | 2019-09-06 |
| 1972152510 | Kenzie Blackburn | Social Worker | 500 8th Ave, Terre Haute, IN 47804-4072 | 2019-09-06 |
| 1285190041 | Melissa Burns | Social Worker | 500 8th Ave, Terre Haute, IN 47804-4072 | 2019-02-18 |
| 1043678402 | Becky Robeson | Counselor | 500 8th Ave, Terre Haute, IN 47804-4072 | 2016-02-01 |
| 1972920783 | Chavez Phelps | Psychologist | 500 8th Ave, Terre Haute, IN 47804-4072 | 2014-03-19 |
| 1235571795 | Lynsey Grant | Marriage & Family Therapist | 500 8th Ave, Terre Haute, IN 47804-4072 | 2013-07-25 |
| 1902169352 | Glenna Bragg | Social Worker | 500 8th Ave, Terre Haute, IN 47804-4072 | 2012-06-20 |
| 1891001426 | Emily Shafer | Counselor | 500 8th Ave, Terre Haute, IN 47804-4072 | 2010-08-20 |
| 1235444092 | Anita Chellappah | Social Worker | 500 8th Ave, Terre Haute, IN 47804-4072 | 2010-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971885 | Tiffany Marshall | Physical Therapist | North At Uap Bone & Joint Center, Lower Level 1725 North 5th Street, Terre Haute, IN 47804 | 2017-09-29 |
| 1336565423 | Deondra Allison Cottrill | Physical Therapy Assistant | 1725 N. 5th Street, Union Hospital Therapy Services, Terre Haute, IN 47804 | 2014-03-13 |
| 1043635170 | Patricia Klos | Physical Therapy Assistant | 1606 Nth 7th Street, Terre Haute, IN 47804 | 2014-02-26 |
| 1043565476 | Debra Denehie Hills | Registered Nurse | 620 8th Avenue, Terre Haute, IN 47804 | 2012-07-23 |
| 1841503257 | Meredeth Su Gray | Dentist | 1608 Lafayette Avenue, Terre Haute, IN 47804 | 2010-07-15 |
| 1083946628 | John Barton, Lpt | Health Maintenance Organization | 1818 N 3rd Street, Terre Haute, IN 47804 | 2010-02-08 |
| 1750584009 | Kool Smiles In-3, PC | Dentist | 1800 Fort Harrison Rd, Terra Haute, IN 47804 | 2007-06-06 |
| 1619006988 | Union Hospital Inc | Student in an Organized Health Care Education/Training Program | 1513 N 6 1-2 Street, Terre Haute, IN 47804 | 2007-03-05 |
| 1730243080 | John Lee Nichols | Dentist | 1246 Maple Ave, Terre Haute, IN 47804 | 2006-12-21 |
| 1093894057 | Isaac N Mitre | Obstetrics & Gynecology | 1623 N 4th Street, Terre Haute, IN 47804 | 2006-11-02 |
| Find all providers in zip 47804 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881057305 | Jamie Ramsey | Psychologist | 500 8th Avenue, Terre Haute, IN 47804-0323 | 2016-04-01 |
| 1508285727 | Jennifer Hutchens | Psychologist | 620 8th Avenue, Terre Haute, IN 47804-0323 | 2014-04-15 |
| 1265857064 | Christine Love | Psychologist | 620 8th Ave, Terre Haute, IN 47804-2744 | 2014-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962993063 | Nicole C Allen | Psychologist | 595 W Edge Trl Apt O, Avon, IN 46123-6841 | 2018-05-24 |
| 1720436488 | Youth Opportunity Center | Psychologist | 103 W County Road 100 N, New Castle, IN 47362-8965 | 2016-06-02 |
| 1528449964 | Leroy Burgess | Psychologist | 300 S Saint Louis Blvd Ste 202, South Bend, IN 46617-3044 | 2015-06-11 |
| 1144555855 | Paula A. Neuman | Psychologist | 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 | 2009-10-14 |
| 1942491600 | Dixie J Pederson | Psychologist | 2 N 19th St, Lafayette, IN 47904-2950 | 2007-08-07 |
| 1285839480 | Center for Brief Therapy PC | Psychologist | 423 Airport N. Office Park, Ft. Wayne, IN 46825-6704 | 2007-06-18 |
| 1376600767 | Bart Ferraro | Psychologist | 2011 N Meridian St, Indianapolis, IN 46202-1305 | 2007-01-03 |
| 1326125998 | Mary Wollitz Dooley | Psychologist | 7125 E Us Hwy 36, Avon, IN 46123 | 2006-11-01 |
| 1235247396 | Linda Ohlsen Ferreira | Psychologist | 23 East 39th Street, Indianapolis, IN 46205-2645 | 2006-08-29 |
| 1497798284 | Victory Clinical Services II LLC | Psychologist | 4218 W Western Ave, South Bend, IN 46619-2622 | 2006-06-13 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47804 |
Please comment or provide details below to improve the information on MICHAEL SHAMALOV.
| 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.