JESSICA MODRELL (NPI# 1528300183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528300183 |
| Entity Type | Individual |
| Full Name | JESSICA MODRELL |
| Credential | PSYD |
| Practice Address |
719 Massachusetts St Ste 122 Lawrence KS 66044-2345 |
| Practice Telephone | 7852144012 |
| Practice Fax Number | 4029916228 |
| Mailing Telephone | 7852144012 |
| Mailing Fax Number | 4029916228 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2019-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP2497 | KS | Behavioral Health & Social Service Providers |
| Street Address |
719 MASSACHUSETTS ST STE 122 |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66044-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041766 | Leslie Lynne Snow | Radiology | 325 Maine St Lawrence, Ks 66044, Lawerence, KS 66044 | 2019-03-08 |
| 1316439409 | Marjorie R Cooper Paschang | Counselor | 841 1/2 Massachusetts St Ste D, Lawrence, KS 66044 | 2018-06-04 |
| 1497255004 | Social Perspective, LLC | Social Worker | 211 E. 8th Street, #c, Lawrence, KS 66044 | 2018-02-20 |
| 1164920955 | Abby Hein | Pharmacist | 325 Maine Street, Pharmacy Dept, Lawrence, KS 66044 | 2018-01-26 |
| 1922515899 | The Magnolia Institute, LLC | Community/Behavioral Health | 729 1/2 Massachusetts. St., Suite 215, Lawrence, KS 66044 | 2018-01-02 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1497119499 | Anne Ferguson | Pharmacist | 1025 N 3rd St Ste 110, Heartland Homecare, Lawrence, KS 66044 | 2016-04-06 |
| 1467826180 | Americare At Monterey Village Assited Living LLC | Assisted Living Facility | 3901 Peterson Road, Lawrence, KS 66044 | 2015-11-18 |
| 1669886008 | Spencer Harrison | Psychiatry & Neurology | 1130 W 4th St Ste 3200, Lawrence, KS 66044 | 2014-06-13 |
| 1245658715 | Patrick Harper | Anesthesiology | 330 Arkansas St Ste 201, Lawrence, KS 66044 | 2014-04-02 |
| Find all providers in zip 66044 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
| 1750914321 | Brian Patrick Russell | Psychologist | 730 New Hampshire St Ste 3m, Lawrence, KS 66044-3174 | 2020-02-21 |
| 1689945669 | Alan Winder Psychological Services PC | Psychologist | 7 Sterling Pl, Lawrence, NY 11559-2414 | 2012-01-23 |
| 1205064953 | Patrick James Nicholas | Psychologist | 1035 Vermont St, Suite C, Lawrence, KS 66044-2921 | 2009-07-01 |
| 1124143060 | Robert Wray Barnett | Psychologist | 922 E 1100 Rd, Lawrence, KS 66047-9425 | 2007-03-20 |
| 1861578577 | Joy K Rannebeck | Psychologist | 3109 W 27th St, Lawrence, KS 66047-3207 | 2006-10-27 |
| 1942396825 | Elton M Squyres | Psychologist | 1017 Kentucky Street, Lawrence, KS 66044 | 2006-10-05 |
| 1407954555 | Pamela J. Botts | Psychologist | 719 Massachusetts, Lawrence, KS 66044 | 2006-09-20 |
| 1134144538 | Jerry Lyons | Psychologist | 2523 Knox Dr, Lawrence, KS 66046-5636 | 2006-07-13 |
| 1801827183 | Sarah Beth Kirk | Psychologist | 1415 Jayhawk Blvd, Ku Psychological Clinic, Fraser Hall, Lawrence, KS 66045-7556 | 2006-07-05 |
| Find all providers in LAWRENCE | ||||
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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.