ROBERT JACKSON (NPI# 1740313766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740313766 |
| Entity Type | Individual |
| Full Name | ROBERT JACKSON |
| Credential | LCP |
| Practice Address |
6610 Se Quakervale Rd Riverton KS 66770-4185 |
| Mailing Address |
Po Box 550 Riverton KS 66770-0550 |
| Practice Telephone | 6208482300 |
| Practice Fax Number | 6208482301 |
| Mailing Telephone | 6208482300 |
| Mailing Fax Number | 6208482301 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 335 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701487 | Robert Jackson | Physical Therapist | 3056 Healthy Way Ste 116, Birmingham, AL 35243-2435 | 2019-10-11 |
| 1881003655 | Robert Donald Jackson | Social Worker | 151 Knollcroft Rd # 116d, Lyons, NJ 07939-5001 | 2014-08-06 |
| 1780005496 | Robert Earl Jackson Jr. | Community Health Worker | 17 Wickham Dr, Columbus, GA 31907-6328 | 2013-12-23 |
| 1073942371 | Robert Jackson | Massage Therapist | 502 11th St Se, Decatur, AL 35601-4908 | 2013-11-06 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1457515330 | Robert Anthony Jackson | Dentist | 2816 Veach Rd., Unit 305, Owensboro, KY 42303 | 2008-07-10 |
| 1437357399 | Robert D Jackson | Counselor | 5525 Erindale Dr Ste 112, Colorado Springs, CO 80918-6960 | 2007-07-03 |
| 1174736029 | Robert Allan Jackson | Physician Assistant | 2109 Brookview Ter Apt B, Pekin, IL 61554-7320 | 2007-05-08 |
| 1144389347 | Robert W Jackson | Dentist | 209 Mimosa Dr, Thomasville, GA 31792-6633 | 2006-12-06 |
| 1144305152 | Robert Eric Jackson | Internal Medicine | 291 Indian Lake Blvd, Hendersonville, TN 37075-3653 | 2006-10-26 |
| Street Address |
6610 SE QUAKERVALE RD |
| City | RIVERTON |
| State | KS |
| Zip Code | 66770-4185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447393533 | Spring River Mental Health & Wellness, Inc. | Clinic/Center | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2007-02-15 |
| 1083170690 | Daniel J Mcnally | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2019-02-19 |
| 1124584511 | Zoraida Price | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2019-02-11 |
| 1548627136 | Brandi Bruner | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2016-01-27 |
| 1710391248 | Cyndi Gayle Antoni | Social Worker | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2014-06-12 |
| 1699192617 | Fred Gammon | Counselor | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2014-03-27 |
| 1952656555 | Bradley Hilderbrand | Counselor | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2012-07-19 |
| 1871852277 | Sandra Main | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2012-05-07 |
| 1255620662 | Mark Hoag | Counselor | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2011-04-06 |
| 1992094031 | Emily Biondo | Counselor | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2011-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508854 | Grace V Robertson | Chiropractor | 6524 Se Quakerville Rd, Riverton, KS 66770 | 2019-09-26 |
| 1073746301 | Riverton Usd404 | Local Education Agency (LEA) | 6860 Se Hwy 66, Box 290, Riverton, KS 66770-0290 | 2009-09-03 |
| 1003244294 | Sue E. Terry | Nurse Practitioner | 6524 Se Quakervale Rd, Riverton, KS 66770-4214 | 2013-10-24 |
| 1629530290 | Riggs Chiropractic of Galena, LLC | Chiropractor | 6524 Se Quakervale Rd, Riverton, KS 66770-4214 | 2019-04-03 |
| 1710307582 | Spring River Mental Health and Wellness Inc | Family Medicine | 6524 Se Quakervale Rd, Riverton, KS 66770-4214 | 2014-04-21 |
| 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 |
|---|---|---|---|---|
| 1083170690 | Daniel J Mcnally | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2019-02-19 |
| 1124584511 | Zoraida Price | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2019-02-11 |
| 1548627136 | Brandi Bruner | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2016-01-27 |
| 1518262351 | Elizabeth Henderson | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2011-01-25 |
| 1326288408 | Sally Pullman-rinkel | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2009-03-02 |
| 1700919867 | Elizabeth Nicholson | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2007-03-14 |
| 1235262254 | Susan Lopez | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2007-03-13 |
| 1629101506 | Michael Willis | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2007-03-13 |
| 1972636827 | Jennifer Todd | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2007-03-13 |
| 1023141983 | Julie Vogel | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2007-03-13 |
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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.