MIDWESTERN PSYCHOLOGICAL CONSULTANTS, LTD (NPI# 1487195582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487195582 |
| Entity Type | Organization |
| Organization Name | MIDWESTERN PSYCHOLOGICAL CONSULTANTS, LTD |
| Practice Address |
6201 W Main St Suite 130 Maryville IL 62062-6870 |
| Practice Telephone | 6189795087 |
| Practice Fax Number | 6185041160 |
| Mailing Telephone | 6189795087 |
| Mailing Fax Number | 6185041160 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | DR. ROBIN LEE MYERS (OWNER) |
| Authorized Official Telephone | 6189795087 |
| Authorized Official Credential | PSY.D., ABPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071006112 | IL | Behavioral Health & Social Service Providers |
| Street Address |
6201 W MAIN ST SUITE 130 |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-6870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487602827 | Reginald Wynn Holt | Counselor | 6201 W Main St, Suite 110, Maryville, IL 62062-6870 | 2006-05-05 |
| 1891330585 | Rachel Kent | Counselor | 6201 W Main St, Maryville, IL 62062-6870 | 2019-11-17 |
| 1174962419 | Stephanie A Henson | Social Worker | 6201 W Main St, Suite 130, Maryville, IL 62062-6870 | 2013-06-20 |
| 1902161730 | William Schwartz | Counselor | 6201 W Main St, Suite 110, Maryville, IL 62062-6870 | 2012-07-09 |
| 1912274374 | Anne Rappaport | Counselor | 6201 W Main St, Suite 110, Maryville, IL 62062-6870 | 2011-11-29 |
| 1528103108 | Robin L. Myers | Psychologist | 6201 W Main St, Ste 130, Maryville, IL 62062-6870 | 2007-02-21 |
| 1245247600 | Melissa S Jordan-murphy | Counselor | 6201 W Main St, Suite110, Maryville, IL 62062-6870 | 2006-08-01 |
| 1720009889 | Nancy Jane Bracey | Counselor | 6201 W Main St, Suite 110, Maryville, IL 62062-6870 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366578783 | Linda S Pucci | Psychologist | 202 River Ford Dr, Maryville, TN 37804-3902 | 2007-02-27 |
| 1891803789 | David J. Bender | Psychologist | 296 Gamble Avenue, Maryville, TN 37801-4943 | 2006-08-29 |
| 1811907041 | R Jeff Slavin Phd PC | Psychologist | 530 E Broadway Ave, Maryville, TN 37804-5730 | 2006-08-09 |
| 1962751339 | Jennifer Ann Hardy | Psychologist | 659 Morganton Square Dr, Maryville, TN 37801-4763 | 2012-08-31 |
| 1073728846 | Kathryn Flagler | Psychologist | 294 Gamble Ave, Maryville, TN 37801-4943 | 2007-05-14 |
| 1528103108 | Robin L. Myers | Psychologist | 6201 W Main St, Ste 130, Maryville, IL 62062-6870 | 2007-02-21 |
| 1386784205 | William John Kenney Jr. | Psychologist | 400 S Washington St, Maryville, TN 37804-5801 | 2007-02-08 |
| 1033216254 | David J Bender Phd PC | Psychologist | 296 Gamble Avenue, Maryville, TN 37801-4943 | 2006-09-20 |
| 1598772717 | Greta D Smith | Psychologist | 659 Morganton Square Dr, Maryville, TN 37801-4763 | 2006-08-01 |
| 1972589638 | Walter Worley Fain IIi | Psychologist | 659 Morganton Square Dr, Maryville, TN 37801-4763 | 2005-12-15 |
| Find all providers in MARYVILLE | ||||
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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.