THERESE C MIHLBAUER (NPI# 1609868504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609868504 |
Entity Type | Individual |
Full Name | THERESE C MIHLBAUER |
Credential | PH.D |
Practice Address |
2712 S Calhoun St Fort Wayne IN 46807-1402 |
Mailing Address |
2712 S. Calhoun Street Fort Wayne IN 46807-1402 |
Practice Telephone | 2607444326 |
Practice Fax Number | 2607440188 |
Mailing Telephone | 2607444326 |
Mailing Fax Number | 2607440188 |
Enumeration Date | 2005-08-17 |
Last Update Date | 2017-06-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | 20010502A | IN | Behavioral Health & Social Service Providers |
Y | 103TC1900X |
Psychologist Specialization: Counseling |
20010502A | IN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100081280 | 05 | |
IN | 200730270 | 05 |
Street Address |
2712 S CALHOUN ST |
City | FORT WAYNE |
State | IN |
Zip Code | 46807-1402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134731425 | Paige L Zehr | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2020-08-19 |
1013481027 | Tracy B. Hershberger | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2019-01-14 |
1871061887 | Ruth G. Davis | Social Worker | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2018-11-07 |
1487108254 | Kim Rozier | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2016-08-10 |
1144664574 | Vanessa Jones | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2013-04-29 |
1619216389 | Elizabeth Porter | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2013-01-31 |
1770758591 | Melissa K Sezginer | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2008-04-23 |
1245370360 | Diana Moore | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2007-02-07 |
1902945819 | Ruth Bracht | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2007-02-06 |
1053450940 | Kristine Haworth Connerly | Social Worker | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2007-02-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982234191 | Erin Hall | Case Manager/Care Coordinator | 5800 Faifield, Fort Wayne, IN 46807 | 2020-01-16 |
1912208745 | Lezly A Scott | Counselor | 2417 Fairfield Ave., Attn: Lezly Scott, Fort Wayne, IN 46807 | 2010-11-10 |
1851749147 | Eric Shoemaker | Family Medicine | 1007 W Rudisill Blvd, Fort Wayne, IN 46807 | 2016-05-27 |
1821464603 | Emily Nicole Ackerman | Physical Therapist | 5800 Fairfield Ave, Ste 150, Fort Wayne, IN 46807 | 2015-08-17 |
1477639698 | John P Crowley | Social Worker | 2805 Fairfield Ave, Fort Wayne, IN 46807 | 2006-10-31 |
1770131948 | Donzhae Lee | Student in an Organized Health Care Education/Training Program | 2510 Thompson Ave, Fort Wayne, IN 46807-1051 | 2019-08-30 |
1407919236 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 2522 Thompson Ave, Fort Wayne, IN 46807-1051 | 2006-12-19 |
1770725244 | Clinical Services, LLC | Clinic/Center | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2009-03-30 |
1831252592 | Rosie T Milner | Nurse Practitioner | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2006-12-17 |
1558379453 | James Curtis Potts | Dentist | 2703 Broadway, James C Potts Dds, Fort Wayne, IN 46807-1111 | 2006-08-04 |
Find all providers in zip 46807 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356776025 | Laura Michelle Oyer | Psychologist | 4150 Illinois Rd, Fort Wayne, IN 46804 | 2013-09-12 |
1992974620 | Indiana Professional Psychological Services, P.C. | Psychologist | 6408 Constitution Dr, Fort Wayne, IN 46804-1558 | 2008-02-27 |
1023221207 | Comprehensive Behavioral Services, LLC | Psychologist | 2809 E Dupont Rd, Fort Wayne, IN 46825-1668 | 2007-05-07 |
1689104929 | Erin Bowman, Phd, LLC | Psychologist | 9910 Dupont Circle Dr E Ste 140, Fort Wayne, IN 46825-1618 | 2017-06-19 |
1912356783 | Life Transitions Counseling Center, LLC | Psychologist | 4630 W Jefferson Blvd, #11a, Fort Wayne, IN 46804-6856 | 2016-06-12 |
1396080156 | T-med Services, Inc | Psychologist | 2510 E Dupont Rd, Suite 201, Fort Wayne, IN 46825-1601 | 2012-12-05 |
1427364520 | Hyun Ok Kim | Psychologist | 2410 N Glendale Dr Ste A, Fort Wayne, IN 46804 | 2010-08-26 |
1497076749 | David N Lombard, Ph.d, LLC | Psychologist | 3242 Mallard Cove Ln, Fort Wayne, IN 46804-2883 | 2010-06-21 |
1801067012 | Cornerstone Counseling & Consulting, P.c | Psychologist | 10315 Dawsons Creek Blvd, Suite F, Fort Wayne, IN 46825-1912 | 2008-03-14 |
1053488197 | Galen Arthur Yordy | Psychologist | 2805 Fairfield Ave, Fort Wayne, IN 46807-1218 | 2006-11-30 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46807 |
Please comment or provide details below to improve the information on THERESE C MIHLBAUER.
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.