MICHAEL E WYRICK (NPI# 1679074082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679074082 |
Entity Type | Individual |
Full Name | MICHAEL E WYRICK |
Credential | PHD |
Practice Address |
1420 Longview Dr Booneville AR 72927-3830 |
Practice Telephone | 4796756392 |
Mailing Telephone | 4796756392 |
Enumeration Date | 2018-02-22 |
Last Update Date | 2018-02-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
80-15P | AR | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841897493 | Michael Wayne Wyrick | Physical Therapy Assistant | 1612 Englewood Ave, Royal Oak, MI 48073-2881 | 2020-10-07 |
Street Address |
1420 LONGVIEW DR |
City | BOONEVILLE |
State | AR |
Zip Code | 72927-3830 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538675103 | Kimes Family Dentistry Pllc | Clinic/Center | 1090 E Main St, Booneville, AR 72927 | 2017-12-19 |
1730505876 | Booneville Chiropractic, Inc | Clinic/Center | 181 West 6th Street, Booneville, AR 72927 | 2014-03-13 |
1427486794 | Mercy Hospital Booneville | Clinic/Center | 128 Daniel Avenue, Booneville, AR 72927 | 2013-10-24 |
1982968822 | Emily M Kimes | Dentist | 1090 East Main St, Booneville, AR 72927 | 2012-06-26 |
1801928627 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 87 Reed Rd, Highway 116 South, Booneville, AR 72927 | 2007-03-09 |
1932274362 | Big World Drug Enterprises Inc | Pharmacy | 1531 East Main Street, Booneville, AR 72927 | 2006-11-21 |
1801907142 | J Thad Shirey | Dentist | 1090 Hwy 10 East, Booneville, AR 72927 | 2006-08-31 |
1013941806 | Booneville Community Hospital | General Acute Care Hospital | 880 W. Main St., Booneville, AR 72927 | 2006-07-10 |
1023007770 | Oak Manor Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 150 Morton Avenue, Booneville, AR 72927 | 2005-10-17 |
1073518593 | Booneville Community Hospital, Inc. | Home Health | 880 W Main, Booneville, AR 72927 | 2005-06-21 |
Find all providers in zip 72927 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619461241 | Jessica Lauren Fugitt | Psychologist | 221 W 2nd St Ste 519, Little Rock, AR 72201-2505 | 2018-06-18 |
1598996076 | Taking Charge | Psychologist | 1116 S State St, Pine Bluff, AR 71601-5851 | 2009-08-02 |
1386892370 | Phyllis Jane Thomas | Psychologist | 506 Green Mountain Cir, # 70, Little Rock, AR 72211-2632 | 2008-09-03 |
1124274469 | Lewis E. Campbell | Psychologist | 4705 Somers Ave, Suite 1027, North Little Rock, AR 72116-7034 | 2008-08-18 |
1639361165 | Adam Benton | Psychologist | 4004 Mccain Blvd., Suite 203, North Little Rock, AR 72116 | 2007-08-17 |
1194897884 | Brian L Harlan, Md, Plc | Psychologist | 2616 W Beebe Capps Expy, Searcy, AR 72143-4968 | 2006-11-15 |
1639137458 | Don A Neal | Psychologist | 2500 Rike Drive, Pine Bluff, AR 71603 | 2006-05-02 |
1255339461 | Becky L. Porter | Psychologist | 2024 Arkansas Valley Dr, Suite 604, Little Rock, AR 72212-4166 | 2005-07-12 |
1295995736 | Nancy M. Perry | Psychologist | 11825 Hinson Rd, Suite 102, Little Rock, AR 72212-3404 | 2008-06-09 |
1861525826 | Ascent Acquisitions Corp-psc | Psychologist | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2007-03-13 |
Find all providers with the same taxonomy |
City | BOONEVILLE |
Zip Code | 72927 |
Please comment or provide details below to improve the information on MICHAEL E WYRICK.
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.