MS. DIANE H. BORNEMAN (NPI# 1619213774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619213774 |
| Entity Type | Individual |
| Full Name | MS. DIANE H. BORNEMAN |
| Credential | PSYCHOLOGIST |
| Practice Address |
3299 Gull Rd. 1st W 3rd Fl Nazareth MI 49074-0063 |
| Mailing Address |
84 S Lake Doster Dr Plainwell MI 49080-9109 |
| Practice Telephone | 2695538060 |
| Practice Fax Number | 2695538104 |
| Mailing Telephone | 2696643066 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301008718 | MI | Behavioral Health & Social Service Providers |
| Street Address |
3299 GULL RD. 1ST W 3RD FL |
| City | NAZARETH |
| State | MI |
| Zip Code | 49074-0063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241190 | Alexandria Schweon | Speech-Language Pathologist | 6318 Mud Run Rd, Nazareth, PA 18064-8649 | 2020-09-24 |
| 1568076479 | Abilities Personified for Life Enhancement | Home Health | 1202 Bangor Rd, Nazareth, PA 18064-8609 | 2020-09-08 |
| 1922611086 | K.a.d. Counseling, LLC | Clinic/Center | 32 S Broad St Fl 2nd, Nazareth, PA 18064-2117 | 2020-08-28 |
| 1568080067 | Wendy A. Reiss, Pmhnp - Bc | Nurse Practitioner | 25 East Center Street, Nazareth, PA 18064-2254 | 2020-07-10 |
| 1912528951 | Janine Wargo | Psychologist | 4647 Willow Ln, Nazareth, PA 18064-8555 | 2020-04-30 |
| 1053943910 | Angela Pilla | Counselor | 100 W Allen St, Nazareth, PA 18064-1058 | 2020-02-09 |
| 1265063598 | Abigale Labar | Physical Therapist | 4059 Jandy Blvd, Nazareth, PA 18064-8819 | 2020-01-27 |
| 1164060505 | Universal Rehabilitation & Fitness Center, Inc | Physical Medicine & Rehabilitation | 2714 Monacacy Rd, Nazareth, PA 18064-1457 | 2019-12-17 |
| 1235777673 | Universal Rehabilitation & Fitness Center, Inc | Physical Medicine & Rehabilitation | 2716 Monacacy Rd, Nazareth, PA 18064-1457 | 2019-12-17 |
| 1023656469 | Universal Rehabilitation & Fitness Center, Inc | Physical Medicine & Rehabilitation | 2720 Monacacy Rd, Nazareth, PA 18064-1457 | 2019-12-17 |
| Find all providers in NAZARETH | ||||
| 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 |
|---|---|---|---|---|
| 1912528951 | Janine Wargo | Psychologist | 4647 Willow Ln, Nazareth, PA 18064-8555 | 2020-04-30 |
| 1922640051 | Jannice Bailey | Psychologist | 4618 Fir Dr, Nazareth, PA 18064-9605 | 2019-10-10 |
| 1790114387 | Kimberly Gentempo-mcallister Pys D LLC | Psychologist | 299 Industrial Park Rd, Nazareth, PA 18064-2439 | 2013-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1932700036 | Estela M Rivero | Psychologist | 2627 Oak Valley Dr Apt 205, Ann Arbor, MI 48103-7705 | 2020-11-04 |
| 1144829037 | Damon Moore | Psychologist | 15450 E Jefferson Ave Ste 180, Grosse Pointe Park, MI 48230-2031 | 2020-10-21 |
| 1073112355 | Sarah Nicole Kesler | Psychologist | 230 Collingwood St Ste 250, Ann Arbor, MI 48103-3845 | 2020-10-19 |
| 1518564947 | Margaret L Blevins | Psychologist | 21769 Meridian Rd, Grosse Ile, MI 48138-1453 | 2020-10-08 |
| 1770197717 | Susan J Goldberg | Psychologist | 442 Randolph St, Northville, MI 48167-1465 | 2020-09-08 |
| 1255944096 | Eric S. Samson | Psychologist | 2045 E West Maple Rd Ste D405, Commerce Township, MI 48390-3801 | 2020-08-30 |
| 1891308904 | Susan Gottlieb Phd LLC | Psychologist | 23800 Orchard Lake Rd Ste 104, Farmington Hills, MI 48336-2561 | 2020-08-28 |
| 1538784012 | Bethany S Gourley | Psychologist | 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 | 2020-06-10 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 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.