LISA ORF MIKECIN (NPI# 1609926872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609926872 |
| Entity Type | Individual |
| Full Name | LISA ORF MIKECIN |
| Other Name | LISA ORF PUTNAM |
| Credential | PH.D. |
| Practice Address |
1032 Crosswinds Ct Wentzville MO 63385 |
| Mailing Address |
1800 Community Clinton MO 64735-8804 |
| Practice Telephone | 8884031071 |
| Mailing Telephone | 6608858131 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2006029894 | MO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 914 Hemsath Rd., Suite 104b, St. Charles, MO 633038322 | 6369164646 | 6369164747 |
| Street Address |
1032 CROSSWINDS CT |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316910987 | Nighat S Qadri | Internal Medicine | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2006-02-13 |
| 1922605575 | Teresa Ray | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-10-07 |
| 1063027563 | Brittany Anyce Moore | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-09-11 |
| 1700491495 | Jacqueline Marie Dann | Social Worker | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-09-10 |
| 1033720123 | Rebecca A Benes | Social Worker | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-08-12 |
| 1831707181 | Leah Norvell | Dentist | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-07-22 |
| 1568070324 | Samantha Marie Ackerman | Dentist | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-07-17 |
| 1558987016 | Kristen Leigh Wurth | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-06-22 |
| 1063046142 | Michaela Kathryn Mabry | Social Worker | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-02-27 |
| 1134769664 | Joshua Ronald Dunn | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1841718459 | Linda Duree | Counselor | 7105 Whisper Creek Dr, Wentzville, MO 63385 | 2017-09-03 |
| 1811349368 | Sara Kleinlein | Social Worker | 500 Medical Drive, Wentzville, MO 63385 | 2016-07-08 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1831561273 | Jay F. Hauser, Dds, PC | Dentist | 11 Wentzville Bluffs Drive, Wentzville, MO 63385 | 2015-10-26 |
| 1720402035 | Shara Kuehl | Speech-Language Pathologist | One Campus Drive, Wentzville, MO 63385 | 2014-02-06 |
| 1336480474 | Simply Loyal In Home and Transport Services LLC | Home Health | 152 Enterprise Dr, Wentzille, MO 63385 | 2013-03-14 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| Find all providers in zip 63385 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083260574 | Ayanda Chakawa | Psychologist | 3101 Broadway Blvd Fl 10, Kansas City, MO 64111-2673 | 2019-08-12 |
| 1154626893 | Family First Center for Autism and Child Development, Inc. | Psychologist | 5863 Nw 72nd St, Suite 180, Kansas City, MO 64151-1483 | 2011-01-11 |
| 1730411570 | Rosemary Parece | Psychologist | 4010 Washington St Ste 401, Kansas City, MO 64111-2614 | 2010-02-04 |
| 1811222409 | Catherine Hood Judkins, Ph.d., L.L.C. | Psychologist | 14500 S Outer 40 Rd, Suite 202, Chesterfield, MO 63017-5780 | 2009-10-15 |
| 1982849329 | Jessica Rose Wood | Psychologist | 1126 E Highway Ww, Marshall, MO 65340-4641 | 2008-12-15 |
| 1396907226 | Michael J Thomas Jr. | Psychologist | 8901 Mayfield Ct, Saint Louis, MO 63136-5016 | 2008-07-01 |
| 1205989688 | Mary Ellen Degnan | Psychologist | 108 E Green Meadows Rd Ste 5, Columbia, MO 65203-3633 | 2007-01-19 |
| 1679638654 | April Dawn Koontz | Psychologist | 14500 S. Outer 40 Rd, Ste #202, Chesterfield, MO 63017 | 2006-12-27 |
| 1720178239 | Charles Michael Borduin | Psychologist | 211 S. 8th Street, Psychological Services Clinic University of Missouri, Columbia, MO 65211 | 2006-10-13 |
| 1881799302 | Kathryn Jo Mcconahay | Psychologist | 4400 Broadway St Ste 220, Kansas City, MO 64111-3342 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
| City | WENTZVILLE |
| Zip Code | 63385 |
Please comment or provide details below to improve the information on LISA ORF MIKECIN.
| 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.