MARK S. SHIVELY (NPI# 1568518348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568518348 |
| Entity Type | Individual |
| Full Name | MARK S. SHIVELY |
| Credential | LSPE |
| Practice Address |
515 Tremont St Chattanooga TN 37405-4152 |
| Practice Telephone | 4232672134 |
| Practice Fax Number | 4232672146 |
| Mailing Telephone | 4232672134 |
| Mailing Fax Number | 4232672146 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2015-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PE1594 | TN | Behavioral Health & Social Service Providers |
| Street Address |
515 TREMONT ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37405-4152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878059 | Natasha A Anderson | Social Worker | 711 Signal Mountain Rd., 241, Chattanooga, TN 37405 | 2020-10-16 |
| 1093340333 | Dave Aitken | Chiropractor | 110 Woodland Ave., Chattanooga, TN 37405 | 2020-03-06 |
| 1285127944 | Kristin Stark | Marriage & Family Therapist | 1307 Hixson Pike, Chattanooga, TN 37405 | 2018-06-07 |
| 1205339033 | Ignite Chiropractic, LLC | Chiropractor | 200 Manufacturers Rd, Ste 210, Chattanooga, TN 37405 | 2018-03-18 |
| 1710486881 | Alexis Beasley Gaylor | Specialist/Technologist | 1185 Mountian Creek Road, Apt 405, Chattanooga, TN 37405 | 2018-02-05 |
| 1821538562 | Red Bank Operations, LLC | Skilled Nursing Facility | 1020 Runyan Drive, Chattanooga, TN 37405 | 2017-02-28 |
| 1619414166 | Jacquelyn Ann Casey | Social Worker | 201 Frazier Avenue, Suite E, Chattanooga, TN 37405 | 2017-01-23 |
| 1154876746 | Joan Stewart Mickles | Counselor | 9 Fairhills Drive, Chattanooga, TN 37405 | 2016-08-24 |
| 1750741088 | Weena Rivera | Counselor | 936 Mountain Creek Rd E-59, Apt E59, Chattanooga, TN 37405 | 2016-02-29 |
| 1063814515 | Mcallister Personal Care Consultants | Home Health | 419 N. Market Street, Chattanooga, TN 37405 | 2014-09-16 |
| Find all providers in zip 37405 | ||||
| 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 |
|---|---|---|---|---|
| 1295166874 | Pam Guess | Psychologist | 3914 Saint Elmo Ave Ste C, Chattanooga, TN 37409-1269 | 2013-12-06 |
| 1578608311 | Jonna Gail Carson-webb | Psychologist | 6172 Airways Blvd Ste 102, Chattanooga, TN 37421 | 2007-02-20 |
| 1801948849 | Jan F Sherbak | Psychologist | 3023 Broad St, Chattanooga, TN 37408-3075 | 2007-01-18 |
| 1710097837 | Tabi Rebekah Upton | Psychologist | One Northgate Park, Ste 201, Chattanooga, TN 37415 | 2006-08-30 |
| 1275569774 | Christopher Douglas Blazina | Psychologist | 6110 Shallowford Rd, C O Crc, Chattanooga, TN 37421-1615 | 2006-06-25 |
| 1356302061 | Gary William Cundiff Jr Jr. | Psychologist | 2000 Stein Drive, Chattanooga, TN 37421 | 2006-03-31 |
| 1912972738 | Glenn Gordon Geralds | Psychologist | 1 Northgate Park, Suite 201, Chattanooga, TN 37415-6909 | 2006-02-23 |
| 1427046200 | Marzi Lisa Radpour-wiley | Psychologist | 6216 Airpark Dr, Chattanooga, TN 37421-2988 | 2005-10-06 |
| 1164838058 | Ann Graham Parker | Psychologist | 615 Derby St, Chattanooga, TN 37404-1632 | 2014-07-11 |
| 1215350194 | County of Hamilton | Psychologist | 730 East 11th Street, Chattanooga, TN 37403-3104 | 2014-01-28 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37405 |
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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.