MRS. AMY ELIZABETH BROCK (NPI# 1679098685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679098685 |
Entity Type | Individual |
Full Name | MRS. AMY ELIZABETH BROCK |
Other Name | AMY ELIZABETH CRAWFORD |
Credential | PSY S; NCSP |
Practice Address |
Po Box 1217 Wise VA 24293-1217 |
Practice Telephone | 2763288017 |
Practice Fax Number | 2763288017 |
Mailing Telephone | 2763288017 |
Enumeration Date | 2017-08-10 |
Last Update Date | 2019-01-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
0813000402 | VA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
Po Box 660, Wise, VA 242930660 | 2763286113 | |
2 Champions Ave, Big Stone Gap, VA 242191103 | 2765231290 | |
30 Champions Ave, Big Stone Gap, VA 242191103 | 2765230195 | |
2945 2nd Ave E, Big Stone Gap, VA 242193801 | 2765234900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
1366599516 | Amy Elizabeth Brock | Dentist | 1040 Cumberland Falls Hwy, Suite A, Corbin, KY 40701-2713 | 2007-01-03 |
1215274303 | Amy K Brock | Specialist | 1112 Finnegan Way, Bellingham, WA 98225-6622 | 2013-01-09 |
Street Address |
PO BOX 1217 |
City | WISE |
State | VA |
Zip Code | 24293-1217 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104442367 | New Hope Addiction Recovery Inc | Family Medicine | 106 Spring Avenue Ne, Wise, VA 24293 | 2020-06-23 |
1225652340 | Jessica Wertz | Technician | 7507 Caddo Rd, Wise, VA 24293 | 2020-06-04 |
1831743632 | Ttgi2 LLC | Pharmacy | 426 West Main Street, Wise, VA 24293 | 2019-07-30 |
1861919730 | Mckenzie Grace Trotter | Speech-Language Pathologist | 324 School Ave Southeast, Wise, VA 24293 | 2017-08-23 |
1043734023 | 3 Guys Transport LLC | Non-emergency Medical Transport (VAN) | 5519 Pole Bridge Road, Wise, VA 24293 | 2017-08-01 |
1013352699 | Tester Chiropractic LLC. | Chiropractor | 411 East Main Street, Wise, VA 24293 | 2013-05-08 |
1861737181 | Family Preservation Services, Inc | Community/Behavioral Health | 5913 Airport Road, Wise, VA 24293 | 2012-11-28 |
1255614749 | Family Preservation Services, Inc | Community/Behavioral Health | 342 School Street, Wise, VA 24293 | 2011-09-21 |
1891013520 | Wise Rescue Squad Inc | Ambulance | 302 Railroad Ave, Wise, VA 24293 | 2010-05-05 |
1477784148 | Family Preservation Services, Inc. | Community/Behavioral Health | 117 Independence Avenue, Wise, VA 24293 | 2009-07-29 |
Find all providers in zip 24293 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003922972 | Wise County Public Schools | Psychologist | 628 Lake St, Wise, VA 24293 | 2006-08-22 |
1427524032 | Shaina Morgan Hall | Psychologist | 628 Lake St Ne, Wise, VA 24293-7919 | 2018-10-22 |
1205351251 | Susan Taylor Mullins | Psychologist | 628 Lake St Ne, Wise, VA 24293-7919 | 2017-08-11 |
1487179438 | Maranda Vandyke Fuller | Psychologist | 628 Lake St Ne, Wise, VA 24293-7919 | 2017-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780299461 | Shelly Liaros | Psychologist | 405 Grafton Dr, Yorktown, VA 23692-2155 | 2020-09-10 |
1609480953 | Laura Taylor | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3014, Fairfax, VA 22031-4530 | 2020-09-03 |
1346853165 | Laura Meghan O'malley | Psychologist | 300 Apollo Ave, Danville, VA 24540-4227 | 2020-08-31 |
1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
1922611169 | Caroline Faith Dewerd | Psychologist | 4638 Battenburg Ln, Fairfax, VA 22030-6267 | 2020-08-27 |
1205467891 | Jennifer Molepske | Psychologist | 430 E Shirley Ave Ste B2, Warrenton, VA 20186-3725 | 2020-01-31 |
1811538077 | Brittany Lee Gill | Psychologist | 3005 Clarke Dr, Virginia Beach, VA 23456-7919 | 2019-09-30 |
1467002915 | Michelyn Cynthia Kemp | Psychologist | 4656 Noland Blvd, Williamsburg, VA 23188-7587 | 2019-09-17 |
1851948830 | Kyle Jacob Maziarski | Psychologist | 100 Panther Dr, Fredericksburg, VA 22406-7473 | 2019-08-23 |
1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
Find all providers with the same taxonomy |
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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.