LAUREL B BRUNDAGE (NPI# 1558359307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558359307 |
| Entity Type | Individual |
| Full Name | LAUREL B BRUNDAGE |
| Credential | PSY.D. |
| Practice Address |
7300 E Indiana St Ste 103 Evansville IN 47715-2794 |
| Mailing Address |
Po Box 3276 Evansville IN 47731-3276 |
| Practice Telephone | 8124018008 |
| Practice Fax Number | 8124018201 |
| Mailing Telephone | 8124730181 |
| Mailing Fax Number | 8124735822 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2015-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 20042407A | IN | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 00435 | IA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 00948 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0439240 | 05 | |
| JOHN DEERE HEALTH PLAN | IA01K6 | 01 | |
| IA | WELLMARK HEALTH PLAN | 34115 | 01 |
| Street Address |
7300 E INDIANA ST STE 103 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715-2794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619439387 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 7300 E Indiana St Ste 103, Evansville, IN 47715-7448 | 2019-04-02 |
| 1396260782 | Amy Greenfield Abuasabeh | Nurse Practitioner | 7300 E Indiana St Ste 103, Evansville, IN 47715-2794 | 2017-08-07 |
| 1497292585 | Sarah T Lashbrook | Social Worker | 7300 E Indiana St Ste 103, Evansville, IN 47715-2794 | 2017-01-26 |
| 1063622405 | Marideth Kates | Social Worker | 7300 E Indiana St Ste 103, Evansville, IN 47715-2794 | 2007-05-23 |
| 1023177177 | Mira M May | Social Worker | 7300 E Indiana St Ste 103, Evansville, IN 47715-2794 | 2006-12-06 |
| 1023185196 | Stanley K Metzger | Social Worker | 7300 E Indiana St Ste 103, Evansville, IN 47715-2794 | 2006-11-30 |
| 1023185204 | Dan Mcever | Social Worker | 7300 E Indiana St Ste 103, Evansville, IN 47715-2794 | 2006-11-30 |
| 1003983719 | Henry B Kaplan | Psychiatry & Neurology | 7300 E Indiana St Ste 103, Evansville, IN 47715-2794 | 2006-11-29 |
| 1265509897 | Vicki L Lane | Psychologist | 7300 E Indiana St Ste 103, Evansville, IN 47715-2794 | 2006-11-29 |
| 1245228493 | Steven D Luzader | Counselor | 7300 E Indiana St Ste 103, Evansville, IN 47715-2794 | 2005-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| 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 |
|---|---|---|---|---|
| 1881116390 | Matt Carson Rebeck | Psychologist | 815 John St Ste 135, Evansville, IN 47713-2746 | 2017-07-17 |
| 1639208309 | Libby L Brown | Psychologist | 7409 Eagle Crest Blvd Ste G, Evansville, IN 47715-9136 | 2007-03-05 |
| 1861571416 | Kenneth Stephen Goldstein | Psychologist | 2301 Se Browning Rd, Evansville, IN 47725-9046 | 2006-11-03 |
| 1629097639 | Deaconess Hospital, Inc. | Psychologist | 415 W Columbia St Ste 110, Evansville, IN 47710-1656 | 2006-07-19 |
| 1366405961 | Developmental Diagnostics, Inc. | Psychologist | 101 Plaza East Blvd, Suite 119, Evansville, IN 47715-2870 | 2006-04-06 |
| 1265439012 | Elizabeth Ann Kalb | Psychologist | 315 Mulberry St, Evansville, IN 47713 | 2005-07-07 |
| 1952750606 | St Marys Medical Group, LLC | Psychologist | 3700 Washington Ave, Evansville, IN 47750-0001 | 2016-06-03 |
| 1457767642 | Sarah E. Spurling | Psychologist | 3900 Washington Ave Ste 100, Evansville, IN 47714-0550 | 2014-07-08 |
| 1871905356 | Julie Hoeppner | Psychologist | 421 Chestnut St, Evansville, IN 47713-1227 | 2014-06-02 |
| 1346680121 | Koren Ganas | Psychologist | 415 W Columbia St Ste 110, Evansville, IN 47710-1656 | 2013-06-26 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47715 |
Please comment or provide details below to improve the information on LAUREL B BRUNDAGE.
| 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.