MRS. MARY LEWIS HARDIN (NPI# 1669547204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669547204 |
| Entity Type | Individual |
| Full Name | MRS. MARY LEWIS HARDIN |
| Credential | HSP-PA |
| Practice Address |
302 N Main St Fairmont NC 28340-1730 |
| Mailing Address |
Po Box 369 Fairmont NC 28340-0369 |
| Practice Telephone | 9106286718 |
| Practice Fax Number | 9106286719 |
| Mailing Telephone | 9106286718 |
| Mailing Fax Number | 9106286719 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1909 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6107316 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994719 | Mary Mosby Hardin | Psychologist | 1737 S Naperville Rd, Wheaton, IL 60189-5894 | 2019-07-24 |
| 1487170924 | Mary Angela Hardin | Registered Nurse | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2017-08-16 |
| 1073975009 | Mary Elizabeth Hardin | Internal Medicine | 7823 Spivey Station Blvd Ste 310, Jonesboro, GA 30236 | 2016-03-29 |
| 1538207733 | Mary Alice Hardin | Nurse Practitioner | 1821 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2007-02-01 |
| 1295805455 | Mary Frances Hardin | Nurse Practitioner | 341 E Main St, Paris, KY 40361-2116 | 2006-11-08 |
| Street Address |
302 N MAIN ST |
| City | FAIRMONT |
| State | NC |
| Zip Code | 28340-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301079 | Southeastern Psychological Services | Specialist | 302 N Main St, Fairmont, NC 28340-1730 | 2005-07-29 |
| 1265703201 | The Dream Academy, Inc. | Case Management | 302 N Main St, Fairmont, NC 28340-1730 | 2012-01-23 |
| 1700164613 | Therapeutic Behavioral Healthcare Services, LLC | Home Health | 302 N Main St, Fairmont, NC 28340-1730 | 2011-07-26 |
| 1821313958 | Anthony Pittman | Counselor | 302 N Main St, Fairmont, NC 28340-1730 | 2010-03-31 |
| 1689906521 | Therapeutic Behavioral Healthcare Services | Home Health | 302 N Main St, Fairmont, NC 28340-1730 | 2010-02-03 |
| 1033441977 | Therapeutic Behavioral Healthcare Services | Counselor | 302 N Main St, Fairmont, NC 28340-1730 | 2010-02-03 |
| 1104158047 | Therapeutic Behavioral Healthcare Services | Day Training, Developmentally Disabled Services | 302 N Main St, Fairmont, NC 28340-1730 | 2010-02-03 |
| 1780916627 | Therapeutic Behavioral Healthcare Services | Foster Care Agency | 302 N Main St, Fairmont, NC 28340-1730 | 2010-02-03 |
| 1891026886 | Therapeutic Behavioral Healthcare Services | Community/Behavioral Health | 302 N Main St, Fairmont, NC 28340-1730 | 2010-01-15 |
| 1508990979 | Melissa Johanna Spencer | Specialist | 302 N Main St, Fairmont, NC 28340-1730 | 2007-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023250347 | Independent Community-based Services LLC | Home Health | 107 N Morro St., Fairmont, NC 28340 | 2009-04-01 |
| 1801960083 | Greenbrier Ltc Inc | Assisted Living Facility | 703 South Walnut St, Fairmont, NC 28340 | 2006-11-20 |
| 1275969487 | Robeson Health Care Corporation | Pharmacy | 1212 S Walnut St, Fairmont, NC 28340 | 2013-09-19 |
| 1033221130 | Jeffrey Lemont Hunter | Counselor | 314 S Main St, Fairmont, NC 28340 | 2006-08-31 |
| 1912924648 | Danny Cox | Durable Medical Equipment & Medical Supplies | 234 S Main St, Homecare Medical Products, Fairmont, NC 28340 | 2006-07-17 |
| 1417914722 | Robeson Health Care Corporation | Counselor | 1212 S Walnut St, Fairmont, NC 28340 | 2006-04-28 |
| 1952768426 | Latanya Breeden | Adult Companion | 609 Martin Luther King Dr, Fairmont, NC 28340-1311 | 2016-01-28 |
| 1033252440 | Stephens Outreach Center, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 608a Martin Luther King Dr, Fairmont, NC 28340-1312 | 2007-02-15 |
| 1629027842 | James Clifton Herring Jr. | Optometrist | 1516 Alexander St, Fairmont, NC 28340-1406 | 2006-05-06 |
| 1225142391 | Sean Brian Woken | Chiropractor | 208 Iona St, Fairmont, NC 28340-1616 | 2006-08-18 |
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| 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 |
|---|---|---|---|---|
| 1912392838 | Chiron Psychotherapy Pllc | Psychologist | 1907 Constitution Dr, Fairmont, WV 26554-8527 | 2015-03-30 |
| 1306984893 | Tina M Yost | Psychologist | 2019 Pleasant Valley Road, Fairmont, WV 26554 | 2007-02-05 |
| 1144535964 | Brandon Scott Dugan | Psychologist | 1420 N State St, Fairmont, MN 56031-3619 | 2010-08-17 |
| 1528387057 | Christopher Scott Corbet | Psychologist | 232 S Main St, Fairmont, NC 28340-1904 | 2010-05-24 |
| 1316097793 | Jennifer Mae Robinson | Psychologist | 1314 Locust Ave, Fairmont, WV 26554-1436 | 2007-01-10 |
| 1699840165 | Ashley Lannen Booth | Psychologist | 302 N Main St, Fairmont, NC 28340-1730 | 2006-11-21 |
| 1316011042 | Clyde Aaron Collins | Psychologist | 302 N Main St, Fairmont, NC 28340-1730 | 2006-11-17 |
| 1285708917 | Michael Christopher Paoni | Psychologist | 302 N Main St, Fairmont, NC 28340-1730 | 2006-11-17 |
| 1942285192 | Mark Anderson | Psychologist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2005-12-09 |
| 1992789515 | Julie Borg | Psychologist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2005-12-06 |
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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.