DR. EBERT H. VAN BUREN (NPI# 1639200488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639200488 |
| Entity Type | Individual |
| Full Name | DR. EBERT H. VAN BUREN |
| Credential | PSYCHOLOGIST |
| Practice Address |
2215 Liberty St Monroe LA 71201-3623 |
| Practice Telephone | 3183236162 |
| Practice Fax Number | 3183236162 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 30 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1930253 | 05 |
| Street Address |
2215 LIBERTY ST |
| City | MONROE |
| State | LA |
| Zip Code | 71201-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750575684 | The Stress Clinic | Point of Service | 2215 Liberty St, Monroe, LA 71201-3623 | 2007-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| 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 |
|---|---|---|---|---|
| 1629553235 | Alyssa Sacka | Psychologist | 25 S Monroe St Ste 303, Monroe, MI 48161-2209 | 2018-09-28 |
| 1548563182 | Gary Kinstlinger | Psychologist | 1 Dinev Court, Monroe, NY 10950 | 2010-12-20 |
| 1013219120 | Jack Grobstein | Psychologist | 22 Merriewold Ln N, Monroe, NY 10950-1916 | 2010-11-22 |
| 1043547235 | James Perrone | Psychologist | 23 Wheeler Rd, Monroe, CT 06468-2420 | 2009-11-09 |
| 1710014873 | Earl H. Baker | Psychologist | 1502 Stubbs Ave, Monroe, LA 71201-5628 | 2007-02-27 |
| 1922180561 | Jacob Kirschenbaum | Psychologist | 315a Forsgate Dr, Monroe, NJ 08831-1539 | 2006-10-20 |
| 1669577201 | William J Medick | Psychologist | 730 N Macomb St Ste 225, Monroe, MI 48162-2969 | 2006-09-14 |
| 1174549190 | Jennifer Lynn Westfal | Psychologist | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2006-07-14 |
| 1881629996 | George Philip Popper | Psychologist | 105 E Franklin St, Monroe, NC 28112-4850 | 2006-07-11 |
| 1598711699 | Jennifer L. Cilino-folks | Psychologist | 515 22nd Avenue, Monroe Clinic, Monroe, WI 53566-1569 | 2006-05-26 |
| Find all providers in MONROE | ||||
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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.