JENNY QUEVEDO (NPI# 1578921888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578921888 |
| Entity Type | Individual |
| Full Name | JENNY QUEVEDO |
| Credential | PHD |
| Practice Address |
408 Healthwest Dr Dothan AL 36303-2054 |
| Practice Telephone | 3347027222 |
| Practice Fax Number | 3344464224 |
| Mailing Telephone | 3347027222 |
| Mailing Fax Number | 3344464224 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2145 | AL | Behavioral Health & Social Service Providers |
| Street Address |
408 HEALTHWEST DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750303053 | Susannah C. Daughtry | Pharmacist | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2006-07-24 |
| 1669025854 | Chelesia Burkes-brown | Nurse Practitioner | 408 Healthwest Dr, Dothan, AL 36303 | 2019-07-17 |
| 1295166346 | Dothan Behavioral Medicine Clinic PC | Pharmacy | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2013-11-27 |
| 1538508643 | Angela Dawkins | Nurse Practitioner | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2013-06-21 |
| 1780020602 | Holley Brock | Counselor | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2013-05-18 |
| 1336277540 | Dothan Behavioral Medicine Clinic PC | Psychiatry & Neurology | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2007-03-01 |
| 1154471548 | Nelson Handal | Psychiatry & Neurology | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134525207 | Cogito Mental Health Services, LLC | Psychologist | 248 N Foster St, Dothan, AL 36303-4542 | 2014-11-17 |
| 1740683473 | David Payne | Psychologist | 104 Huckleberry Ln, Dothan, AL 36303-1306 | 2014-10-08 |
| 1265489538 | David Carl Ghostley | Psychologist | 202 N Bell St, Dothan, AL 36303-4310 | 2006-05-30 |
| 1801887799 | Randall G. Jordan | Psychologist | 1841 Honeysuckle Rd, Dothan, AL 36305-4269 | 2005-10-31 |
| 1841340809 | Maryla Izabella Madura | Psychologist | 1841 Honeysuckle Rd, Dothan, AL 36305-4269 | 2007-01-11 |
| 1215032990 | Melanie K Cotter | Psychologist | 100 Westside Drive, Dothan, AL 36303 | 2006-09-14 |
| 1225079114 | David C Ghostley Psyd Inc | Psychologist | 202 N Bell St, Dothan, AL 36303-4310 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063050300 | Abby Pullen Clark | Psychologist | 801 Noble St Ste 400, Anniston, AL 36201-5698 | 2019-12-17 |
| 1720624380 | Cynthia Ann Neville | Psychologist | 203 17th St N, Bessemer, AL 35020-5726 | 2019-11-19 |
| 1457992588 | Teashia Adkins Goodwin | Psychologist | 500 Southland Dr Ste 155-f, Vestavia, AL 35226-3711 | 2019-09-30 |
| 1750941365 | Kristen Marie Smith | Psychologist | 3125 Independence Dr Ste 114, Birmingham, AL 35209-4163 | 2019-06-17 |
| 1952864225 | Parris Psychology | Psychologist | 1971 Appalachian Hwy, Hokes Bluff, AL 35903-4747 | 2019-04-12 |
| 1245791789 | Lori Lea Holth | Psychologist | 5820 Morris Ave, Gadsden, AL 35903-4831 | 2019-03-27 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1487139119 | Natalie Harrison | Psychologist | 400 Vestavia Pkwy Ste 101, Vestavia, AL 35216-3750 | 2018-09-28 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1508391467 | Eric Todd Bloch | Psychologist | 2061 County Road 430, Smiths Station, AL 36877 | 2017-04-27 |
| Find all providers with the same taxonomy | ||||
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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.