DR. KIMBERLY E. BODNER (NPI# 1659868149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659868149 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY E. BODNER |
| Credential | PHD |
| Practice Address |
2500 Metrohealth Dr Cleveland OH 44109-1900 |
| Practice Telephone | 2167787800 |
| Mailing Telephone | 2167787800 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
2500 METROHEALTH DR |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102340 | William Robert Roscoe | Optometrist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2005-05-31 |
| 1366041980 | Anthony Rimpf | Pharmacist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-23 |
| 1528667896 | Mary Gut | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-19 |
| 1629676507 | Juyoun Park | Social Worker | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-13 |
| 1245838473 | Afeez Kolawole Adisa | Pediatrics | 2500 Metrohealth Dr, Cleveland, OH 44109-1998 | 2020-10-10 |
| 1386241867 | Andrew Kociubuk | Registered Nurse | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-07 |
| 1992311666 | Laura Lynn Posey | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-18 |
| 1508472143 | Yusuf Alawadhi | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr, Cleveland, OH 44109-1998 | 2020-09-18 |
| 1255945424 | Christopher Paul Boutton | Nurse Anesthetist, Certified Registered | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-03 |
| 1992319636 | Ella Mathieson | Registered Nurse | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
| Find all providers in zip 44109 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417061623 | Robert A. Catanese | Clinical Neuropsychologist | 2775 Executive Park Nw, Suite 1, Cleveland, TN 37312-2723 | 2006-08-18 |
| 1467464313 | Thomas W Frazier II | Clinical Neuropsychologist | 29600 Fairmount Blvd, Cleveland, OH 44124-4577 | 2006-08-12 |
| 1669090841 | Sarah Lynn Anderson | Clinical Neuropsychologist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-07-14 |
| 1528615903 | Kayela Kim Arrotta | Clinical Neuropsychologist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-08-21 |
| 1992276661 | Catherine Lee | Clinical Neuropsychologist | 11100 Euclid Avenue, Department of Neurology, Cleveland, OH 44106 | 2018-12-06 |
| 1942659263 | Kamini Krishnan | Clinical Neuropsychologist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2016-06-07 |
| 1255774360 | Felicia Fraser | Clinical Neuropsychologist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2013-04-09 |
| 1265663660 | Christopher Bailey | Clinical Neuropsychologist | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2009-08-03 |
| 1639326515 | Daniel Jonathan Harvey | Clinical Neuropsychologist | 10701 East Blvd, Mailing Code 116b(w), Cleveland, OH 44106-1702 | 2008-08-22 |
| 1407012883 | Philip Stephen Fastenau | Clinical Neuropsychologist | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2008-08-05 |
| Find all providers in CLEVELAND | ||||
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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.