OLGA VADYMOUND BERKOUT (NPI# 1629372115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629372115 |
| Entity Type | Individual |
| Full Name | OLGA VADYMOUND BERKOUT |
| Credential | PHD |
| Practice Address |
303 N Madison St Corinth MS 38834-5072 |
| Practice Telephone | 6627282185 |
| Practice Fax Number | 6627282345 |
| Mailing Telephone | 6627282185 |
| Mailing Fax Number | 6627282345 |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers |
| Street Address |
303 N MADISON ST |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-5072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831141399 | William L Marcy | Family Medicine | 303 N Madison St, Corinth, MS 38834-5072 | 2006-05-16 |
| 1558914887 | Brandi Nicole Monaghan | Case Manager/Care Coordinator | 303 N Madison St, Corinth, MS 38834-5072 | 2019-07-16 |
| 1891279774 | Anna Palmer | Case Manager/Care Coordinator | 303 N Madison St, Corinth, MS 38834-5072 | 2018-09-18 |
| 1992237432 | Meghan Koger | Social Worker | 303 N Madison St, Corinth, MS 38834-5072 | 2017-04-03 |
| 1215478003 | Brooke Norris | Case Manager/Care Coordinator | 303 N Madison St, Corinth, MS 38834-5072 | 2017-03-14 |
| 1134669401 | Shannon Phillips | Social Worker | 303 N Madison St, Corinth, MS 38834-5072 | 2017-03-06 |
| 1598207276 | Phillip Fentress Mobley | Counselor | 303 N Madison St, Corinth, MS 38834-5072 | 2016-11-10 |
| 1811349657 | Wynn Gober Mccandless | Counselor | 303 N Madison St, Corinth, MS 38834-5072 | 2016-07-05 |
| 1275987166 | Kandis Z'lunte Randle | Counselor | 303 N Madison St, Corinth, MS 38834-5072 | 2016-04-18 |
| 1669826558 | Laquisha Ray | Counselor | 303 N Madison St, Corinth, MS 38834-5072 | 2016-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952827560 | Shelia Anderson | Psychologist | 480 S Captain Gloster Dr, Gloster, MS 39638-3700 | 2017-08-15 |
| 1174953525 | Sharkey-issaquena Adult Daycare | Psychologist | 449 Oakland Drive, Greenville, MS 38701 | 2013-11-21 |
| 1366888737 | Carrol Ann Hudspeth | Psychologist | 1134 E Broad St, Monticello, MS 39654-7681 | 2013-05-13 |
| 1548265416 | Nona Faye Owens | Psychologist | 5509 Old Highway 80, Bolton, MS 39041-9191 | 2005-06-16 |
| 1619476413 | Karlyn Elizabeth Boling | Psychologist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2018-02-07 |
Please comment or provide details below to improve the information on OLGA VADYMOUND BERKOUT.
| 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.