MR. MATTHEW REESE (NPI# 1760835193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760835193 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW REESE |
| Credential | ED.S |
| Practice Address |
300 S Splitrock Blvd Brandon SD 57005-1652 |
| Practice Telephone | 6055823446 |
| Practice Fax Number | 6055823229 |
| Mailing Telephone | 6055823446 |
| Mailing Fax Number | 6055823229 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 61777-4 | SD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134512460 | Matthew M Reese | Chiropractor | 1631 15th Ave W Ste 201, Seattle, WA 98119-2795 | 2015-03-11 |
| 1043543796 | Matthew Wallace Reese | Dentist | 1014 W Belmont Ave, Chicago, IL 60657-3303 | 2009-09-14 |
| 1417582685 | Matthew A Reese | Counselor | 139 W Market St Ste D, West Chester, PA 19382-2912 | 2020-03-09 |
| 1437600178 | Matthew Reese | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1533 | 2016-10-18 |
| 1558731919 | Matthew P Reese | Registered Nurse | 2637 Edenborn Ave, Metairie, LA 70002 | 2015-09-29 |
| 1992097067 | Matthew Dean Reese | Case Manager/Care Coordinator | 1509 1st Ave, Scottsbluff, NE 69361-3106 | 2011-05-09 |
| 1790783918 | Matthew Bradley Reese | Social Worker | 1596 Highway 33 S, New Tazewell, TN 37825-7104 | 2005-07-12 |
| Street Address |
300 S SPLITROCK BLVD |
| City | BRANDON |
| State | SD |
| Zip Code | 57005-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154772101 | Kyle Babb | Psychologist | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-06-30 |
| 1710430434 | Amy Nicole Dulaney | Speech-Language Pathologist | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-07-29 |
| 1225581473 | Annlee Ralston | Occupational Therapist | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-07-24 |
| 1346693538 | Krista Halseth | Speech-Language Pathologist | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-07-22 |
| 1154774362 | Renae Peyton | Registered Nurse | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-07-22 |
| 1477906790 | Taylor Delker | Specialist/Technologist | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-07-21 |
| 1790138212 | Wendy Bunker | Registered Nurse | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-07-20 |
| 1417300328 | Molly Calkins | Speech-Language Pathologist | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-07-15 |
| 1871946756 | Stephanie Sinclair | Psychologist | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-07-15 |
| 1225480023 | Katherine Davidson | Psychologist | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144794926 | Sarah Hewitt | Counselor | 316 E Holly Blvd, Brandon, SD 57005 | 2019-01-15 |
| 1790175388 | Cody Lee Kruckenberg | Chiropractor | 312 E Holly Blvd, Brandon, SD 57005 | 2015-02-03 |
| 1356577159 | Matthew Krivarchka | Dentist | 1511 W. Holly Boulevard, Brandon, SD 57005 | 2009-06-08 |
| 1851546253 | Karla Karrin Jorgenson | Occupational Therapist | 103 North Splitrock Blvd, Brandon, SD 57005 | 2008-11-26 |
| 1598954364 | David Fitzgerald Ward Dc | Chiropractor | 1302 E Rushmore, Brandon, SD 57005 | 2007-10-17 |
| 1477675437 | Kara Lynn Baas | Counselor | 1320 E Rushmore Drive, Suite 107, Brandon, SD 57005 | 2007-04-03 |
| 1124161773 | Michael R Juba | Dentist | 704 N Splitrock Blvd, Brandon, SD 57005 | 2007-02-14 |
| 1548334246 | Med Star Paramedic Inc | Non-emergency Medical Transport (VAN) | 922 E Redwood Blvd, Brandon, SD 57005 | 2006-11-17 |
| 1386723468 | Prairie Rehabilitation Services, Inc. | Durable Medical Equipment & Medical Supplies | 1220 E. Holly Blvd, Brandon, SD 57005 | 2006-11-02 |
| 1396780698 | Barbara Harvison | Physician Assistant | 1101 E Holly Blvd, Brandon, SD 57005 | 2006-06-19 |
| Find all providers in zip 57005 | ||||
| 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 |
|---|---|---|---|---|
| 1992304711 | Thomas Francis Ryan | Psychologist | 1015 Sonesta Ave, Brandon, FL 33511-6658 | 2020-10-22 |
| 1417571100 | Elizabeth D.c. Taylor | Psychologist | The Granary, 29 Union Street, Brandon, VT 05733-0573 | 2020-05-29 |
| 1154772101 | Kyle Babb | Psychologist | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-06-30 |
| 1194032862 | Reed Evan Bradford | Psychologist | 103 Bridgepointe Blvd, Brandon, MS 39047-7001 | 2010-09-01 |
| 1861621039 | Glenda Yvonne Faulkner | Psychologist | 1301 Ivywood Dr, Suite 100, Brandon, FL 33510-2253 | 2009-07-09 |
| 1164686135 | David J Shaw | Psychologist | 3817 Cloverhill Ct, Brandon, FL 33511-7937 | 2008-07-17 |
| 1629266986 | Joanna English Morse | Psychologist | 213 N Parsons Ave, Brandon, FL 33510-4513 | 2007-10-11 |
| 1528001989 | Mary J Watson | Psychologist | 2406 Oak Landing Drive, Brandon, FL 33511-7607 | 2006-06-14 |
| 1972052637 | Daniela Venosa, Psy.d., P.a. | Psychologist | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2016-09-22 |
| 1225480023 | Katherine Davidson | Psychologist | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-07-06 |
| Find all providers in BRANDON | ||||
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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.