MRS. POONAM TAVKAR-CONLEY (NPI# 1508280207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508280207 |
| Entity Type | Individual |
| Full Name | MRS. POONAM TAVKAR-CONLEY |
| Credential | PH.D. |
| Practice Address |
1147 Cully Rd Ste 102 Cordova TN 38018-8502 |
| Practice Telephone | 9016246390 |
| Practice Fax Number | 9016240604 |
| Mailing Telephone | 9016246390 |
| Mailing Fax Number | 9016240604 |
| Enumeration Date | 2014-02-15 |
| Last Update Date | 2014-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3012 | TN | Behavioral Health & Social Service Providers |
| Street Address |
1147 CULLY RD STE 102 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-8502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873906 | Virtual Adhd Services and Testing | Psychologist | 8935 Magnolia Leaf Cv, Cordova, TN 38018-7413 | 2020-05-19 |
| 1720635030 | Amy Rebekah Murrell | Psychologist | 8558 Ericson Cv, Cordova, TN 38018-7312 | 2019-08-21 |
| 1447698568 | Dr. Mary Wanat Pllc | Psychologist | 8820 Trinity Rd Ste 200, Cordova, TN 38018-2735 | 2013-06-11 |
| 1780759217 | Beth Lyons | Psychologist | 65 Germantown Ct Ste 417, Cordova, TN 38018-4259 | 2006-11-21 |
| 1255432258 | John Robert Hutson | Psychologist | 1540 Appleing Care Lane, 100, Cordova, TN 38016 | 2006-09-25 |
| 1184634362 | Geraldine Bishop Phd PC Inc | Psychologist | 1540 Appling Care Lane, Suite 100, Cordova, TN 38016 | 2006-08-09 |
| 1659306264 | Addie Guinn | Psychologist | 9215 Durhamshire Dr, Cordova, TN 38016-2361 | 2006-07-11 |
| 1265464630 | Wyatt Lee Nichols | Psychologist | 8142 Country Village Dr Ste 102, Cordova, TN 38016-2029 | 2006-07-07 |
| 1023064201 | Sheila L Cohen | Psychologist | 150 Timber Creek Dr, Suite 6, Cordova, TN 38018-4236 | 2006-05-26 |
| 1497743306 | Cynthia Ziegler Mealer | Psychologist | 245 Germantown Bend Cv, Cordova, TN 38018-7238 | 2005-10-13 |
| Find all providers in CORDOVA | ||||
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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.