JAMES W. LANE (NPI# 1710009840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710009840 |
| Entity Type | Individual |
| Full Name | JAMES W. LANE |
| Credential | PHD |
| Practice Address |
6810 State Route 162 Suite 215 Maryville IL 62062-8501 |
| Mailing Address |
1836 Lackland Hill Pkwy Attn Credentialing Dept Saint Louis MO 63146-3572 |
| Practice Telephone | 6182885711 |
| Practice Fax Number | 6182884088 |
| Mailing Telephone | 3149890300 |
| Mailing Fax Number | 3148101399 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2008-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275823718 | James E. Lane | Pharmacist | 508 W Dixie Ave, Elizabethtown, KY 42701-2437 | 2011-04-18 |
| 1033382585 | James Garrett Lane | Chiropractor | 3534 S National Ave, Springfield, MO 65807-7309 | 2008-04-04 |
| 1427271949 | James Lane | Dentist | 1826 Ward Dr Ste 203, Murfreesboro, TN 37129-0579 | 2007-04-11 |
| 1942321229 | James R. Lane | Psychologist | 4015 S Mcclintock Dr Ste 101, Tempe, AZ 85282-5877 | 2007-04-03 |
| 1063507507 | James Thomas Lane | Physical Therapist | 49 Vance Ave., Black Mountain, NC 28711 | 2006-10-03 |
| 1649233990 | James Ward Lane | Dentist | 208 Main Street, Cornell, WI 54732 | 2006-04-08 |
| 1316545346 | James Mitchell Lane | Physical Therapist | 4701 City Center Pkwy, Port Orange, FL 32129-4153 | 2020-10-12 |
| 1871087239 | James W Lane | Physician Assistant | 635 N Fairbanks Ct, Chicago, IL 60611 | 2018-06-19 |
| 1528506169 | James Michael Lane | Clinic/Center | 140 Thorne Blvd, Gallatin, TN 37066-1509 | 2017-02-02 |
| 1235563685 | James P Lane | Psychologist | 7272 Wurzbach Rd, Suite 601, San Antonio, TX 78240-4801 | 2013-08-21 |
| Street Address |
6810 STATE ROUTE 162 SUITE 215 |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-8501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009943 | Mark Stephen Fedder | Internal Medicine | 6810 State Route 162, Suite 211, Maryville, IL 62062-8501 | 2005-08-02 |
| 1003295213 | Msa Alliance, LLC Dba-southern Illinois Vascular and Vein Surgery | Surgery | 6810 State Route 162, Suite 100, Maryville, IL 62062 | 2015-05-20 |
| 1467867234 | Premier Foot and Ankle of Illinois, PC | Podiatrist | 6810 State Route 162, Suite 20, Maryville, IL 62062-8587 | 2014-06-30 |
| 1043521719 | Gabriel Cardenas Jr. | Podiatrist | 6810 State Route 162, Suite 20, Maryville, IL 62062-8587 | 2010-06-28 |
| 1780818831 | Patricia Renee Verdu | Registered Nurse | 6810 State Route 162, Maryville, IL 62062-8501 | 2009-05-04 |
| 1518143254 | James J. Dalla Riva, Md, PC | Specialist | 6810 State Route 162, Suite 301, Maryville, IL 62062-8501 | 2008-01-11 |
| 1184806101 | Mark Fedder, Md, PC | Internal Medicine | 6810 State Route 162, Suite 211, Maryville, IL 62062-8501 | 2007-11-30 |
| 1518178730 | Melissa Ann Kershaw | Internal Medicine | 6810 State Route 162, Ste 102, Maryville, IL 62062-8501 | 2007-05-28 |
| 1245373489 | Fairview Heights Medical Group Sc | Internal Medicine | 6810 State Route 162, Suite 203, Maryville, IL 62062-8501 | 2007-02-15 |
| 1659423085 | Ursula Louise Thatch | Obstetrics & Gynecology | 6810 State Route 162, Ste 100, Maryville, IL 62062-8501 | 2007-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
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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 |
|---|---|---|---|---|
| 1134443526 | Apple Psychological Consultants, LLC | Psychologist | 339 High St., Maryville, TN 37804-5831 | 2010-03-15 |
| 1801809033 | Patricia Ann Stark | Psychologist | 2802 Maryville Road, Maryville, IL 62062 | 2006-08-15 |
| 1760557482 | Rehabcare Group East, Inc. | Psychologist | 6800 State Route 162, Maryville, IL 62062-8500 | 2006-11-21 |
| 1780614669 | Maryville Medical Services, LLC | Psychologist | 6810 State Route 162, Suite 215, Maryville, IL 62062-8501 | 2006-07-04 |
| 1164428322 | Bill D. Graham | Psychologist | 1212 S Main St, Maryville, MO 64468-2604 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275265 | Susan Benjamin Feingold Psyd and Associates LLC | Psychologist | 1038 N Crosby St, Chicago, IL 60610-2404 | 2020-11-02 |
| 1326648247 | Ashley Head | Psychologist | 1161 S Walnut Ave, Arlington Heights, IL 60005-3053 | 2020-10-29 |
| 1932709052 | Mitchell B. Hoberman, Psy.d., P.C. | Psychologist | 8952 Samoset Trl, Skokie, IL 60076-1914 | 2020-10-28 |
| 1013524818 | Lincoln Park Psychology, Inc. | Psychologist | 644 W Webster Ave # B, Chicago, IL 60614-3710 | 2020-09-25 |
| 1962016386 | Brittney Aubin | Psychologist | 2555 N Clark St Apt 201, Chicago, IL 60614-1722 | 2020-09-02 |
| 1548873771 | Michael Wierman | Psychologist | 545 Newport Ct, Island Lake, IL 60042-9137 | 2020-08-27 |
| 1295348506 | Amaoli LLC | Psychologist | 164 Division St Ste 617, Elgin, IL 60120-5533 | 2020-08-26 |
| 1770192130 | Justin Davis Goldman | Psychologist | 15 Spinning Wheel Rd Ste 406, Hinsdale, IL 60521-5400 | 2020-07-30 |
| 1790393650 | Jerry Mark Otoole | Psychologist | 5700 Caton Farm Rd, Plainfield, IL 60586-9905 | 2020-07-16 |
| 1376165910 | Ji Yun Kang | Psychologist | 610 E John St Rm 236, Champaign, IL 61820-5717 | 2020-05-16 |
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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.