DAGOBERTO HEREDIA (NPI# 1558395467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558395467 |
| Entity Type | Individual |
| Full Name | DAGOBERTO HEREDIA |
| Practice Address |
346 Maine St Ste 150 Lawrence KS 66044-1393 |
| Mailing Address |
120 W 8th St Onaga KS 66521-9574 |
| Practice Telephone | (785) 841-7297 |
| Mailing Telephone | 7858417297 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
08-00268 | KS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1603 W 4th St, Holton, KS 664361153 | 7853643205 | 7853643468 |
| 114 W 8th St, Onaga, KS 665219574 | 7858894241 | 7858894270 |
| 120 W 8th St, Onaga, KS 665219574 | 7858894274 | 7858894714 |
| 302 Main St, Westmoreland, KS 665499684 | 7854579890 | 7854579891 |
| 112 E 2nd St, Frankfort, KS 664271403 | 7852924451 | 7852924286 |
| 606 1st St, Centralia, KS 664159637 | 7858573334 | 7858573397 |
| 206 S Grand Ave, Saint Marys, KS 665361637 | 7854373734 | 7854376186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710402599 | Dagoberto Heredia Jr. | Psychologist | 200 1st St Sw, Rochester, MN 55905 | 2017-08-14 |
| Street Address |
346 MAINE ST STE 150 |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66044-1393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992317283 | Jennifer A Robinson | Social Worker | 346 Maine St Ste 150, Lawrence, KS 66044-1393 | 2020-08-19 |
| 1689219768 | Heather M Fogle | Nurse Practitioner | 346 Maine St Ste 150, Lawrence, KS 66044-1393 | 2019-11-12 |
| 1790159234 | Cynthia Treaster | Social Worker | 346 Maine St Ste 150, Lawrence, KS 66044-1393 | 2015-11-20 |
| 1669657029 | Heartland Medical Clinic, Inc. | Family Medicine | 346 Maine St Ste 150, Lawrence, KS 66044-1393 | 2008-01-04 |
| 1710997150 | Mollie M Knipp Day | Dentist | 346 Maine St Ste 150, Lawrence, KS 66044-1393 | 2006-08-08 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279707 | Melissa J. Hoffman | Psychiatry & Neurology | 1828 Foxfire Dr, Lawrence, KS 66047-2015 | 2019-05-08 |
| 1669886008 | Spencer Harrison | Psychiatry & Neurology | 1130 W 4th St Ste 3200, Lawrence, KS 66044 | 2014-06-13 |
| 1932228319 | Mahasen T Desilva | Psychiatry & Neurology | 3210 Mesa Way Ste B, Lawrence, KS 66049-2346 | 2007-03-28 |
| 1871655019 | Jeff Smith Nichols | Psychiatry & Neurology | 1023 Kentucky St, Lawrence, KS 66044-2917 | 2006-12-14 |
| 1053498196 | Margo F. Spitzer | Psychiatry & Neurology | 14 Meadow Ln, Lawrence, NY 11559-1828 | 2006-11-01 |
| 1407931405 | C. Shaffia Laue | Psychiatry & Neurology | 1025 Kentucky St, Lawrence, KS 66044 | 2006-10-26 |
| 1659479954 | Mary Frank | Psychiatry & Neurology | 810 Kentucky St, Lawrence, KS 66044-2648 | 2006-09-20 |
| 1821194846 | Carol Marie Birt | Psychiatry & Neurology | 2600 W 6th St, Unit E-1, Lawrence, KS 66049-4318 | 2006-09-16 |
| 1518062827 | Thomas Joseph Mclaughlin | Psychiatry & Neurology | 599 Canal Street 5th Floor, Seven Hills Behavioral Health, Lawrence, MA 01840 | 2006-09-13 |
| 1902917727 | Eric B Atwood | Psychiatry & Neurology | 1200 Schwegler Dr Rm 2100, Lawrence, KS 66045-1963 | 2006-08-31 |
| 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.