MR. BARRY C CULLISON (NPI# 1699860403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699860403 |
Entity Type | Individual |
Full Name | MR. BARRY C CULLISON |
Credential | CADAC IV |
Practice Address |
23426 Us Highway 33 Elkhart IN 46517-3600 |
Mailing Address |
850 N Harrison St Warsaw IN 46580-3163 |
Practice Telephone | 5748758482 |
Practice Fax Number | 5748758901 |
Mailing Telephone | 5742677169 |
Mailing Fax Number | 5742693995 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C598 | IN | Behavioral Health & Social Service Providers |
Street Address |
23426 US HIGHWAY 33 |
City | ELKHART |
State | IN |
Zip Code | 46517-3600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760082937 | Amanda Saiz | Behavioral Analyst | 23426 Us Highway 33, Elkhart, IN 46517-3600 | 2020-10-27 |
1124638218 | Olivia Ann Ganser | Behavioral Analyst | 23426 Us Highway 33, Elkhart, IN 46517-3600 | 2020-08-04 |
1174141014 | Brianna M Mcgookin | Behavioral Analyst | 23426 Us Highway 33, Elkhart, IN 46517-3600 | 2020-07-07 |
1346893278 | Briana Pletcher | Behavioral Analyst | 23426 Us Highway 33, Elkhart, IN 46517-3600 | 2019-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457743585 | Raymond Kraucunas | Pharmacist | 102 E Hively Ave., Elkhart, IN 46517 | 2015-02-26 |
1972834828 | Tyler Thomas Hawkins | Physical Therapy Assistant | 3965 Doral Ln., Elkhart, IN 46517 | 2010-01-15 |
1407008394 | Emily Anne Stults | Nurse Practitioner | 505 South Third St, Ste 160, Elkhart, IN 46517 | 2008-10-22 |
1902922453 | Assisted Living Concepts Inc | Assisted Living Facility | 27833 County Road 24, Elkhart, IN 46517 | 2007-03-22 |
1023145984 | Family Nursing Services, Inc. | Home Health | 58025 Cr 9, Elkhart, IN 46517 | 2007-02-27 |
1639178650 | Bethany L. Mcdaniel-vanderzwaag | Family Medicine | 3421 S Main St, Elkhart, IN 46517 | 2005-07-20 |
1770586737 | Timothy Alan Quist | Podiatrist | 24021 Us 33 East, Elkhart, IN 46517 | 2005-05-24 |
1649516469 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2600 Morehouse Ave, Elkhart, IN 46517 | 2012-12-26 |
1538340716 | Timothy A Quist Dpm, PC | Podiatrist | 24021 Us 33 East, Elkhart, IN 46517 | 2007-11-16 |
1598889776 | Family Nursing Services, Inc. | Home Health | 58025 Cr 9, Elkhart, IN 46517 | 2007-03-16 |
Find all providers in zip 46517 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104946045 | B. Kay Bontrager | Counselor | 2921 Greenleaf Blvd, Elkhart, IN 46514-4363 | 2007-03-31 |
1619448834 | Center for Problem Resolution | Counselor | 211 S 5th St, Elkhart, IN 46516-2834 | 2018-12-16 |
1740727759 | Carol Ryan | Counselor | 311 W High St, Elkhart, IN 46516-2827 | 2017-01-28 |
1578939385 | Francesca Hrezo | Counselor | 221 E Crawford St, Elkhart, IN 46514-2713 | 2015-08-15 |
1396183273 | Cheryl Renee Hollingsworth | Counselor | 204 S Main St, Elkhart, IN 46516-3120 | 2013-06-12 |
1366701815 | Cynthia A Troxell | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1533 | 2012-05-03 |
1467741215 | Stephanie K Szabo | Counselor | 1004 Parkway Ave Ste D, Elkhart, IN 46516-9349 | 2011-04-01 |
1225332695 | James W Clifton | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1533 | 2010-12-29 |
1710205869 | Steven Michael Leapman | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1533 | 2010-05-13 |
1316279672 | Julia L Carrico | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1533 | 2010-02-11 |
Find all providers in ELKHART |
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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.