DR. NANCY ANNE GULANICK (NPI# 1750505996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750505996 |
| Entity Type | Individual |
| Full Name | DR. NANCY ANNE GULANICK |
| Credential | PH.D. |
| Practice Address |
300 N Michigan St South Bend IN 46601-1295 |
| Practice Telephone | 5742877399 |
| Practice Fax Number | 5742878484 |
| Mailing Telephone | 5742877399 |
| Mailing Fax Number | 5742878484 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 20010342A | IN | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
20010342A | IN | Behavioral Health & Social Service Providers |
| X | 103TC1900X |
Psychologist Specialization: Counseling |
20010342A | IN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 20010342A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PSYCHOLOGIST LICENSE # | 20010342A | 01 |
| Street Address |
300 N MICHIGAN ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972679991 | Mary Fran Brandenberger | Social Worker | 300 N Michigan St, Suite 323, South Bend, IN 46601-1295 | 2006-11-28 |
| 1386981124 | Christine Nowak | Counselor | 300 N Michigan St, Suite 405, South Bend, IN 46601-1295 | 2013-01-14 |
| 1598882441 | Katherine Jane Graham | Counselor | 300 N Michigan St, Suite 209, South Bend, IN 46601-1295 | 2007-03-24 |
| 1063542629 | Courtney L Lane | Social Worker | 300 N Michigan St, Suite 420, South Bend, IN 46601-1295 | 2007-03-06 |
| 1235286352 | Mary Jane Vachon | Counselor | 300 N Michigan St, Box 42, South Bend, IN 46601-1295 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| 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 |
|---|---|---|---|---|
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1144498353 | Academic Solutions of Michiana, Inc | Psychologist | 2012 Ironwood Circle, South Bend, IN 46635-1888 | 2008-02-11 |
| 1851491526 | John Anthony Petersen | Psychologist | 922 E Wayne St # 205, South Bend, IN 46617-3024 | 2006-09-23 |
| 1841308756 | Joyce Block | Psychologist | 300 North Michigan St #208, South Bend, IN 46601 | 2006-08-29 |
| 1982632329 | Jeffrey T Feathergill | Psychologist | 211 W Washington St Ste 2311, South Bend, IN 46601-1708 | 2006-06-28 |
| 1851860878 | Afc Psychological Services, LLC | Psychologist | 1251 N Eddy St Ste 200, South Bend, IN 46617-1478 | 2018-11-20 |
| 1275083768 | Heidi Jo Krug | Psychologist | 2955 Mckinley Ave, Suite C, South Bend, IN 46615-2733 | 2016-10-07 |
| 1295181154 | James Fenstermacher | Psychologist | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2016-05-10 |
| 1598145484 | William Bruinsma | Psychologist | 1000 S Michigan St, South Bend, IN 46601-3426 | 2015-06-04 |
| 1952794570 | Matthew Jackson | Psychologist | 714 N Michigan St, South Bend, IN 46601-1035 | 2015-03-06 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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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.