TERESA FAILLACE (NPI# 1548330145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548330145 |
| Entity Type | Individual |
| Full Name | TERESA FAILLACE |
| Credential | LCSW |
| Practice Address |
1495 W 8th Street Florence OR 97439-0007 |
| Mailing Address |
Po Box 183 Florence OR 97439 |
| Practice Telephone | 5419976452 |
| Practice Fax Number | 5419976452 |
| Mailing Telephone | 5419976452 |
| Mailing Fax Number | 5419976452 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2013-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | OR2025 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | SC268890 | 05 |
| Street Address |
1495 W 8TH STREET |
| City | FLORENCE |
| State | OR |
| Zip Code | 97439-0007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586488 | Kelcie-may S Toledo | Pharmacist | 700 Us-101, Florence, OR 97439 | 2020-04-02 |
| 1144875444 | Steven Mee | Dentist | 1225 Us - 101, Florence, OR 97439 | 2019-08-05 |
| 1164944351 | Karie James | Massage Therapist | 2010 11th St, Florence, OR 97439 | 2017-07-10 |
| 1205266046 | Deborah Lynne Grigsby | Counselor | 1490 1st Street, Unit #1, Florence, OR 97439 | 2013-11-14 |
| 1811247398 | Luke Henry | Occupational Therapist | 1951 East 21st Street, Florence, OR 97439 | 2012-09-12 |
| 1144589102 | Ryan Charles Korando | Denturist | 1705 22nd Street, Florence, OR 97439 | 2012-05-11 |
| 1568728640 | Deborah Lynn Pasternak | Massage Therapist | 1495 8th Street, Suite C, Florence, OR 97439 | 2012-04-03 |
| 1275844185 | Serena Appel | Counselor | 1525 12th St Ste 8, Florence, OR 97439 | 2010-06-24 |
| 1669702056 | Monarch Medical Group LLC | Clinic/Center | 2775 Hwy 101, Suite B, Florence, OR 97439 | 2010-01-06 |
| 1871722231 | Aen Brauer | Social Worker | 1445 W 8th St, Florence, OR 97439 | 2009-07-07 |
| Find all providers in zip 97439 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| 1063777092 | Bonnie L. Atkinson LLC | Psychologist | 444 N Cedar St, Florence, AL 35630-5406 | 2012-07-05 |
| 1487820171 | Camille Ann Hernandez | Psychologist | 65 East Ruggles Rd, Florence, AZ 85232-2951 | 2008-05-02 |
| 1780808600 | Eleanor Ashton | Psychologist | 28 Gregory Lane, Florence, MA 01062 | 2007-04-12 |
| 1609908433 | Bonnie Lynn Atkinson | Psychologist | 444 N Cedar Street, Florence, AL 35630 | 2007-03-09 |
| 1942346002 | Tammy D Hatfield | Psychologist | 410 Meijer Dr, Florence, KY 41042-5128 | 2007-01-29 |
| 1861552580 | Bonnie Gruszecki | Psychologist | 138 Overlook Dr, Florence, MA 01062-3529 | 2006-12-11 |
| 1700896453 | Alexandr Michal Federer | Psychologist | 323 S. Mcqueen St, Florence, SC 29501 | 2006-08-08 |
| 1932143617 | Roy Grando | Psychologist | 3250 N Pinal Pkwy, Medical Unit, Florence, AZ 85132-9459 | 2006-06-15 |
| 1780638338 | Beth E Brinsko | Psychologist | 75 Cavalier Blvd Ste 300, Florence, KY 41042-3950 | 2006-05-19 |
| Find all providers in FLORENCE | ||||
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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.