DR. ELLEN D. GRAHAM (NPI# 1629106331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629106331 |
| Entity Type | Individual |
| Full Name | DR. ELLEN D. GRAHAM |
| Other Name | DR. TERESA ELLEN GRAHAM |
| Credential | PH.D. |
| Practice Address |
1832 Memorial Dr Clarksville TN 37043-6311 |
| Mailing Address |
2212 Glory Dr Clarksville TN 37043-1812 |
| Practice Telephone | 9316453552 |
| Mailing Telephone | 9313787376 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2013-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2947 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427155175 | Ellen Anne Graham | Counselor | 1346 N Mulberry Ave, Upland, CA 91786-2739 | 2006-09-17 |
| 1023545381 | Ellen Irene Graham | Student in an Organized Health Care Education/Training Program | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2017-05-17 |
| Street Address |
1832 MEMORIAL DR |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-6311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073570297 | Aruna Devi Amara Thati | Family Medicine | 1832 Memorial Dr, Clarksville, TN 37043-6311 | 2006-05-01 |
| 1144793852 | Tennessee Center of Integrated Medicine | Family Medicine | 1832 Memorial Dr, Clarksville, TN 37043-6311 | 2019-01-04 |
| 1255743373 | Mandy Childers | Nurse Practitioner | 1832 Memorial Dr, Clarksville, TN 37043 | 2014-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| 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 |
|---|---|---|---|---|
| 1992294102 | Imani Behavioral Health, Pllc | Psychologist | 933 Tracy Ln Ste D, Clarksville, TN 37040-6894 | 2018-05-02 |
| 1649655358 | Ranielle Lea Blohm | Psychologist | 821 E Accipiter Cir, Clarksville, TN 37043-2711 | 2015-07-23 |
| 1639467228 | Jeremy Lynch | Psychologist | 2295 Raleigh Ct, Suite B, Clarksville, TN 37043-1946 | 2011-07-15 |
| 1326265844 | Jodi Lynn Goodin | Psychologist | 1329 Applegate Ln, Southern Indiana Rehabilitation Hosptial, Clarksville, IN 47129 | 2007-04-18 |
| 1174748107 | Patti L Wilson | Psychologist | 2830 Scenic Dr, Clarksville, TN 37043-5312 | 2007-04-16 |
| 1194868315 | Denise Ann Zecca | Psychologist | 151 W Dunbar Cave Rd, 307, Clarksville, TN 37040-6087 | 2007-02-15 |
| 1558403378 | Alexandra Childs Smith | Psychologist | 215 Franklin Street, Clarksville, TN 37040-3443 | 2007-02-12 |
| 1558407445 | Michael C Sheehan | Psychologist | 1821 Haynes St, Suite 1, Clarksville, TN 37043-4548 | 2007-01-29 |
| 1508923129 | James M. Dodson | Psychologist | 298 Warfield Blvd, Suite B, Clarksville, TN 37043-1828 | 2007-01-02 |
| 1790884088 | Thomas R Stephenson | Psychologist | 1021 Poplar Street, Clarksville, AR 72830 | 2006-09-22 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
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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.