MRS. AMY M WHITE BLAKESLEY (NPI# 1588716963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588716963 |
| Entity Type | Individual |
| Full Name | MRS. AMY M WHITE BLAKESLEY |
| Other Name | AMY MADHUSUDAN WHITE |
| Credential | PSYD |
| Practice Address |
402 S Kansas Chanute KS 66720 |
| Practice Telephone | 6204317890 |
| Practice Fax Number | 6204317927 |
| Mailing Telephone | 6204317890 |
| Mailing Fax Number | 6204317927 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP11450 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE SHIELD | 119749 | 01 |
| Street Address |
402 S KANSAS |
| City | CHANUTE |
| State | KS |
| Zip Code | 66720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477607133 | Mary E Schaake | Counselor | 402 S Kansas, Chanute, KS 66720 | 2007-01-22 |
| 1922150317 | Peggy L Massoth | Social Worker | 402 S Kansas, Chanute, KS 66720 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548813967 | Clinical Colleagues Ks Pa | Anesthesiology | 629 Plummer Ave, Chanute, KS 66720 | 2019-07-24 |
| 1912314386 | Matthew M Bogle | Nurse Practitioner | 2613 S Santa Fe Ave, Chanute, KS 66720 | 2014-07-17 |
| 1386057792 | Kenneth Eugene Wood Jr. | Contractor | 215 N Washington Ave, Chanute, KS 66720 | 2014-06-04 |
| 1578825006 | Jillina L Frazell | Registered Nurse | 2613 South Santa Fe, Chanute, KS 66720 | 2012-06-11 |
| 1871897629 | Katie Maria Holtzman | Physical Therapist | 629 S. Plummer, Chanute, KS 66720 | 2011-01-07 |
| 1669565610 | Pharmacy Mangagement, LLC | Pharmacy | 1720 S Santa Fe Ave, Box 126, Chanute, KS 66720 | 2006-10-02 |
| 1710995519 | William D Vietti | Optometrist | 32 W Main, Chanute, KS 66720 | 2006-08-04 |
| 1568408821 | Timothy D. Weilert | Chiropractor | 720 S. Santa Fe, Chanute, KS 66720 | 2006-06-22 |
| 1699743989 | Jack L Lowe | Optometrist | 15 N Highland, Chanute, KS 66720 | 2006-03-10 |
| 1629048343 | Gregg Alan Rickabaugh | Nurse Anesthetist, Certified Registered | 629 S Plummer, Chanute, KS 66720 | 2006-01-25 |
| Find all providers in zip 66720 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942352562 | Dawn D Ready | Psychologist | 402 South Kansas, Chanute, KS 66748 | 2007-01-16 |
| 1083766307 | Doug E Wright | Psychologist | 402 South Kansas, Chanute, KS 66720 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785852 | Freudhawk Psychological Enterprises, LLC | Psychologist | 1307 E Iron Ave, Salina, KS 67401-3231 | 2020-06-23 |
| 1750914321 | Brian Patrick Russell | Psychologist | 730 New Hampshire St Ste 3m, Lawrence, KS 66044-3174 | 2020-02-21 |
| 1700429982 | Carolyn Sue Pepper | Psychologist | 2614 S 25th St, Leavenworth, KS 66048-4338 | 2019-10-21 |
| 1992355143 | Peabody,inc. | Psychologist | 7381 W 133rd St Ste 203, Overland Park, KS 66213-4777 | 2019-09-18 |
| 1174097042 | Heidi Marie Pontinen | Psychologist | 1901 E First St., Newton, KS 67114-0467 | 2019-01-14 |
| 1295232015 | Connection Therapy, LLC | Psychologist | 309 Happy Hollow St, Vermillion, KS 66544-8633 | 2018-04-09 |
| 1902304116 | Psychological Health Services, LLC | Psychologist | 626 Nebraska Ave, Holton, KS 66436-1462 | 2018-01-23 |
| 1588182885 | Glen M. Harnden | Psychologist | 16970 Grandview St, Overland Park, KS 66085-9376 | 2017-09-07 |
| 1063938850 | Lindsey Marie Backer-fulghum | Psychologist | Wichita State University, Counseling & Testing Center, 1845 Fairmount St., Wichita, KS 67260-0091 | 2017-08-14 |
| 1861913659 | Janelle Jeffrey | Psychologist | 1013 W 8th St Ste A, Junction City, KS 66441-2281 | 2017-06-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. AMY M WHITE BLAKESLEY.
| 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.