TERRY ARTHUR TRAVIS (NPI# 1699043976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699043976 |
| Entity Type | Individual |
| Full Name | TERRY ARTHUR TRAVIS |
| Credential | M.D. |
| Practice Address |
1200 Ravenswood Na Springfield IL 62711-6079 |
| Practice Telephone | 2178996229 |
| Mailing Telephone | 2178996229 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036.046727 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144888611 | Terry Travis | Behavior Technician | 1050 Fulton Ave # Swt235, Sacramento, CA 95825-4272 | 2019-05-30 |
| Street Address |
1200 RAVENSWOOD NA |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62711-6079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057220 | Merissa Pryor | Social Worker | 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711 | 2018-06-17 |
| 1255884623 | Dental Professionals of Illinois, P.C. | Dentist | 2740 Prairie Crossing Drive, Springfield, IL 62711 | 2016-08-02 |
| 1841682424 | Americare At Centennial Pointe Assisted Living LLC | Assisted Living Facility | 3440 Hedley Road, Springfield, IL 62711 | 2015-02-19 |
| 1306249248 | Schon Dental, LLC | Dentist | 2809 Mansion Road Suite D, Springfield, IL 62711 | 2014-10-07 |
| 1891105490 | John Weiss | Pharmacist | 4200 Conestoga Drive, Springfield, IL 62711 | 2014-05-05 |
| 1720350689 | Victor Harold Lary | Family Medicine | 3251 Spaulding Orchard Road, Springfield, IL 62711 | 2012-02-07 |
| 1902181795 | Amanda Rose Davis | Pharmacist | 2500 Koke Mill Rd, Springfield, IL 62711 | 2011-10-12 |
| 1316233703 | Karen Zerkle | Dentist | 2809 Mansion Rd, Suite D, Springfield, IL 62711 | 2011-06-23 |
| 1255520557 | Link Chiropractic LLC | Chiropractor | 7012 Kingsmill Ct, Springfield, IL 62711 | 2007-10-23 |
| 1669688230 | Victoria Lynn Driskill | Dentist | 4701 W. Wabash Ave, Springfield, IL 62711 | 2007-05-14 |
| Find all providers in zip 62711 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076683 | Forefront-khatkhate Medical Services PC | Psychiatry & Neurology | 600 S 2nd St Ste 404, Springfield, IL 62704-2542 | 2019-08-01 |
| 1659512184 | Julie A. Warren, Md LLC | Psychiatry & Neurology | 1911 S. National Avenue, Suite 405, Springfield, MO 65804 | 2009-03-12 |
| 1255577821 | William Basham | Psychiatry & Neurology | 5729 Main St # 330, Springfield, OR 97478-5426 | 2009-01-01 |
| 1679718043 | Leslie Jeanne Phelps | Psychiatry & Neurology | 1717 E. Primrose St., Apartment B204, Springfield, MO 65804-5413 | 2008-12-12 |
| 1134302656 | Interlink Behavioral Services, P.C. | Psychiatry & Neurology | 3121 S Terrace Green Ct, Springfield, MO 65804-4555 | 2007-12-06 |
| 1366621351 | Azra A Farooqui | Psychiatry & Neurology | 7745 Jewelweed Ct, Springfield, VA 22152-3148 | 2007-10-26 |
| 1093919714 | Lillian Joy Houston | Psychiatry & Neurology | 315 W Carpenter St Dept Of, Springfield, IL 62702-4901 | 2007-06-14 |
| 1881808145 | Yakhmi Mds | Psychiatry & Neurology | 1505 N Limestone St, Springfield, OH 45503-3317 | 2007-05-09 |
| 1588784706 | Asad Gobar | Psychiatry & Neurology | 5922 Hall St, Springfield, VA 22152-1401 | 2007-03-30 |
| 1619095643 | Joseph Glenn Bohlen | Psychiatry & Neurology | 3001 Spring Mill Drive, Suite D, Springfield, IL 62704-6599 | 2007-03-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62711 |
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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.