TAMARACK CENTER, INC. (NPI# 1649272352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649272352 |
| Entity Type | Organization |
| Organization Name | TAMARACK CENTER, INC. |
| Practice Address |
800 Euclid Ave Bristol VA 24201-3916 |
| Practice Telephone | 2765911122 |
| Practice Fax Number | 2765911150 |
| Mailing Telephone | 2765911122 |
| Mailing Fax Number | 2765911150 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. RONALD WOODROW BRILL JR. (OWNER/OPERATOR) |
| Authorized Official Telephone | 2765911133 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 08100002356 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | TRIGON | 056271 | 01 |
| VA | VALUE OPTIONS | 007727 | 01 |
| VA | BCBS TN | 4037985 | 01 |
| Street Address |
800 EUCLID AVE |
| City | BRISTOL |
| State | VA |
| Zip Code | 24201-3916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811065980 | Ronald Woodrow Brill II | Psychologist | 800 Euclid Ave, Bristol, VA 24201-3916 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1871001420 | Karen Lavonne Ford | Case Manager/Care Coordinator | 727 Portsmouth Avenue, Bristol, VA 24201 | 2018-01-17 |
| 1558872176 | City of Bristol Va | Ambulance | 211 Lee St, Bristol, VA 24201 | 2017-10-23 |
| 1639396989 | Barry Robert Matheson | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
| 1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
| 1003982968 | American Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Island Rd, Bristol, VA 24201 | 2006-11-24 |
| 1134224827 | Theresa D Morris | Licensed Practical Nurse | 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-09-14 |
| 1083718605 | Tomhave Olson Dental Associates | Dentist | 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 | 2006-09-12 |
| 1972606408 | Terry H Gillenwater | Chiropractor | 2110 Euclid Ave, Bristol, VA 24201 | 2006-09-07 |
| Find all providers in zip 24201 | ||||
| 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 |
|---|---|---|---|---|
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1598291452 | Jill Niesen | Psychologist | 232 Cronin St, Bristol, CT 06010-7864 | 2017-05-11 |
| 1780948950 | Gary A. Wishart, Psy.d., Pllc | Psychologist | 601 Volunteer Pkwy, Suite G, Bristol, TN 37620-3653 | 2012-07-02 |
| 1881921500 | Mind Flex LLC | Psychologist | 254 Radcliffe St, 3rd Floor, Bristol, PA 19007-5014 | 2009-11-17 |
| 1720180458 | Ronald Langberg | Psychologist | 1816 Farragut Ave, Bristol, PA 19007-5606 | 2006-09-02 |
| 1336160977 | Steven Harold Shmurak | Psychologist | 1019 Farmington Ave, Bristol, CT 06010-3955 | 2006-07-21 |
| 1982689774 | Deborah R Rosenberg | Psychologist | 440 D North Main St, Bristol, CT 06010 | 2005-12-14 |
| 1538150735 | Daniel J Papapietro | Psychologist | 440 N Main St, #d, Bristol, CT 06010-4990 | 2005-11-04 |
| 1487001020 | Carolyn Dundon | Psychologist | 14 School St, School House Office Suite 2, Bristol, VT 05443-1210 | 2016-05-23 |
| 1154622546 | Kathleen Savino | Psychologist | 225 N Main St, The Wheeler Clinic, Suite 106, 1st Floor, Bristol, CT 06010-4926 | 2010-11-16 |
| Find all providers in BRISTOL | ||||
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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.