MR. MICHAEL BERNARD VANDEWALLE (NPI# 1477676732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477676732 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL BERNARD VANDEWALLE |
| Credential | D.O. |
| Practice Address |
1834a Jaclif Ct Tallahassee FL 32308-4400 |
| Mailing Address |
3078 Shamrock St N Tallahassee FL 32309-2735 |
| Practice Telephone | 8506816001 |
| Practice Fax Number | 8506816003 |
| Mailing Telephone | 2292260741 |
| Mailing Fax Number | 2292279360 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2014-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
OS10021 | FL | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
054355 | GA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
OS10021 | FL | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
054355 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 278020801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013925007 | Michael F Vandewalle | Chiropractor | 11824 Jollyville Rd, Suite 500, Austin, TX 78759-2322 | 2006-08-04 |
| Street Address |
1834A JACLIF CT |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821474875 | Nandrycka King Albert | Counselor | 1834a Jaclif Ct, Tallahassee, FL 32308-4400 | 2015-07-31 |
| 1366842452 | Angela Ramsey | Counselor | 1834a Jaclif Ct, Tallahassee, FL 32308-4400 | 2014-08-26 |
| 1386068013 | Johnathan Phillips | Social Worker | 1834a Jaclif Ct, Tallahassee, FL 32308-4400 | 2014-02-18 |
| 1518216290 | Quinicka Bryant | Counselor | 1834a Jaclif Ct, Tallahassee, FL 32308-4400 | 2012-09-10 |
| 1508114950 | Daniel I Goehrig | Counselor | 1834a Jaclif Ct, Tallahassee, FL 32308-4400 | 2012-08-15 |
| 1497002992 | Zaraus Tyrone Beard II | Counselor | 1834a Jaclif Ct, Tallahassee, FL 32308-4400 | 2012-08-14 |
| 1689921140 | Melissa Comeau | Counselor | 1834a Jaclif Ct, Tallahassee, FL 32308-4400 | 2012-08-14 |
| 1033465521 | Jemirah Helena Holland | Counselor | 1834a Jaclif Ct, Tallahassee, FL 32308-4400 | 2012-08-02 |
| 1699021170 | Shakelia L Epps | Counselor | 1834a Jaclif Ct, Tallahassee, FL 32308-4400 | 2012-08-02 |
| 1861748477 | Jouasha K Lang | Social Worker | 1834a Jaclif Ct, Tallahassee, FL 32308-4400 | 2012-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073900841 | James Willard Pfeifer | Psychiatry & Neurology | 2019 Centre Pointe Blvd Ste 102, Tallahassee, FL 32308 | 2015-04-20 |
| 1508166174 | Rasik Patel LLC | Psychiatry & Neurology | 2218 Upland Way, Tallahassee, FL 32311-3497 | 2010-10-28 |
| 1811139090 | Kathy L Lee | Psychiatry & Neurology | 3592 Mossy Creek Ln, Tallahassee, FL 32311 | 2009-04-02 |
| 1942403183 | Prasanti Tatini | Psychiatry & Neurology | 1820 Miccosukee Commons Dr, Tallahassee, FL 32308-5432 | 2007-06-06 |
| 1912114760 | Thu Thai | Psychiatry & Neurology | 4064 Mclaughlin Dr, Tallahassee, FL 32309-2759 | 2007-05-17 |
| 1528188398 | Pankaj Padmakant Chokhawala | Psychiatry & Neurology | 2209 Demeron Rd, Tallahassee, FL 32308-0943 | 2007-03-29 |
| 1437291994 | Nayyer Iqbal | Psychiatry & Neurology | Apalachee Center, Inc., 2634-j Capital Circle, Ne, Tallahassee, FL 32308-4106 | 2007-02-13 |
| 1437222403 | Faisal A Munasifi | Psychiatry & Neurology | 1407 M D Ln Ste A, Tallahassee, FL 32308-5349 | 2006-11-16 |
| 1093805186 | Jeffrey Thomas Ferraro | Psychiatry & Neurology | 2606 Centennial Pl Ste A, Tallahassee, FL 32308-0572 | 2006-10-13 |
| 1558384941 | Fred Stribling | Psychiatry & Neurology | 1367 E Lafayette St, Suite B, Tallahassee, FL 32301-4774 | 2006-07-26 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on MR. MICHAEL BERNARD VANDEWALLE.
| 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.