LEON PUTTLER


Address: 505 N Jackson St, Jackson, MI 49201-1266
Phone: 5177485301

LEON PUTTLER (NPI# 1720552078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720552078
Entity Type Individual
Full Name LEON PUTTLER
Credential PH.D.
Practice Address 505 N Jackson St
Jackson
MI 49201-1266
Practice Telephone 5177485301
Mailing Telephone 5177485301
Enumeration Date 2019-01-18
Last Update Date 2019-01-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 6301010652 MI Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
505 N Jackson St, Jackson, MI 492011266 5177485301

Office Location

Street Address 505 N JACKSON ST
City JACKSON
State MI
Zip Code 49201-1266

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457357055 Miraflor Reyes Pediatrics 505 N Jackson St, Jackson, MI 49201-1266 2005-06-28
1205441193 Alexis Roe Pharmacist 505 N Jackson St, Jackson, MI 49201-1266 2020-09-09
1760004824 Heather Rae Shoffstall Mcalvey Student in an Organized Health Care Education/Training Program 505 N Jackson St, Jackson, MI 49201-1266 2020-05-12
1003456955 Karen Lizeth Hernandez Martinez Social Worker 505 N Jackson St, Jackson, MI 49201-1266 2020-01-08
1265918924 Jenna Prater Pharmacist 505 N Jackson St, Jackson, MI 49201-1266 2018-07-16
1467938449 Jaskarandeep Singh Student in an Organized Health Care Education/Training Program 505 N Jackson St, Jackson, MI 49201-1266 2018-07-13
1215423744 Gurpinderjit Virk Student in an Organized Health Care Education/Training Program 505 N Jackson St, Jackson, MI 49201-1266 2018-07-09
1528554052 Supreet Bains Student in an Organized Health Care Education/Training Program 505 N Jackson St, Jackson, MI 49201-1266 2018-07-09
1053807578 Mahad Rayale Student in an Organized Health Care Education/Training Program 505 N Jackson St, Jackson, MI 49201-1266 2018-07-09
1922594456 Asma Aziz Student in an Organized Health Care Education/Training Program 505 N Jackson St, Jackson, MI 49201-1266 2018-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174137863 Sally Ann Shaw Behavior Technician 3699 Miles Rd., Jackson, MI 49201 2020-09-01
1780293043 Alyn Kristin Kay Technician Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 2020-07-23
1841827946 Maverick Jubane Student in an Organized Health Care Education/Training Program Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 2020-03-26
1306486584 Cody Williams Technician, Other 1001 Laurence Avenue St E, Jackson, MI 49201 2020-01-15
1720632292 Krystie Lynn Adorjan Speech-Language Pathologist 1175 W Parnall Rd, Jackson, MI 49201 2019-08-01
1407412653 Howard Franklin Tanner II Speech-Language Pathologist 102 East Michigan Avenue, Jackson, MI 49201 2019-05-14
1356863740 Rima Zarar Qayyum Speech-Language Pathologist 4800 Firethorn Dr., Jackson, MI 49201 2017-07-07
1306384383 Briana Nesmith Speech-Language Pathologist 2025 Ann Arbor Road, Jackson, MI 49201 2017-02-09
1255878062 W.a. Foote Memorial Hospital, Inc Otolaryngology 205 N.east Ave, Jackson, MI 49201 2017-01-31
1306212881 Aisha Henderson Social Worker 729 West Michigan Avenue, Jackson, MI 49201 2015-08-19
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144792169 Snake River Consulting LLC Psychologist 430 Pine Dr, Jackson, WY 83001-8417 2019-01-02
1972834604 Sue C Radtke Psychologist 4476 Bittersweet Ct, Jackson, WI 53037-9754 2010-01-20
1043549280 University of Mississippi Medical Center Psychologist 2500 N State St # H819-01, Jackson, MS 39216-4500 2009-12-17
1356511562 John Patterson Thorn Psychologist 270 Veronica Lane, Suite C-1, Jackson, WY 83001-0000 2008-03-04
1013109552 Terri Martin Revelle Psychologist 111 E. Jefferson St., Jackson, NC 27845 2007-08-17
1184830143 Toby S Altfeld Psychologist 156 C West University Parkway, Jackson, TN 38305 2007-05-15
1497968911 Mollie Wyatt Psychologist 4055 I-55 North, Suite 293, Jackson, MS 39211 2007-05-08
1124249719 John David Vickery Psychologist 3363 Highway 45 North, Jackson, TN 38305 2007-05-01
1215157425 Angela O'briant Herzog Psychologist Forty-five Hundred Interstate Fifty-five North, Suite 208, Jackson, MS 39211 2007-04-27
1295877165 Rose Margaret Hochheiser Psychologist 140 King Street, Jackson, WY 83001 2007-02-13
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Competitor

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City JACKSON
Zip Code 49201

Improve Information

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Dataset Information

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.

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