MIDSOUTH PSYCHOLOGICAL SERVICES, LLC (NPI# 1780170936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780170936 |
Entity Type | Organization |
Organization Name | MIDSOUTH PSYCHOLOGICAL SERVICES, LLC |
Practice Address |
996 Wilkinson Trce Ste A8 Bowling Green KY 42103 |
Mailing Address |
996 Wilkinson Trce Ste A8 Bowling Green KY 42103-3408 |
Practice Telephone | 2708390971 |
Practice Fax Number | 2703939835 |
Enumeration Date | 2018-07-10 |
Last Update Date | 2018-09-05 |
Authorized Official Name | DANIEL MCBRIDE (OWNER) |
Authorized Official Telephone | 2708390971 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
Street Address |
996 WILKINSON TRCE STE A8 |
City | BOWLING GREEN |
State | KY |
Zip Code | 42103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417595208 | Hannah Jo Turner | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103-3408 | 2019-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
1952578593 | Steven Snodgrass | Surgery | 996 Wilkinson Trace, Suite B 3, Bowling Green, KY 42103 | 2008-05-13 |
Find all providers in zip 42103 |
Taxonomy Code | 103TP2701X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Group Psychotherapy |
Definition to come... |
Notes: [1/1/2007: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861530610 | Counseling Associates | Psychologist | 1316 Frederica Street, Owensboro, KY 42301 | 2007-02-02 |
1487687174 | Merclan Pllc | Psychologist | 6200 Crestwood Sta, Suite A, Crestwood, KY 40014-7418 | 2006-07-08 |
1174021364 | Elizabeth Sullivan | Psychologist | 7508 New Lagrange Rd, Suite 5, Louisville, KY 40222 | 2018-01-23 |
1336261023 | Amy C Cappiccie | Psychologist | 1316 Frederica St, Owensboro, KY 42301 | 2007-04-04 |
1235266693 | Shirley Hazelwood | Psychologist | 1316 Frederica St, Owensboro, KY 42301 | 2007-02-27 |
1790824712 | Donald Preuss | Psychologist | 1316 Frederica St, Owensboro, KY 42301 | 2007-02-06 |
1609914456 | Margaret Ann Huston | Psychologist | 1316 Frederica St, Owensboro, KY 42301 | 2007-02-02 |
1093853772 | Angela Basham Bell | Psychologist | 1316 Frederica St, Owensboro, KY 42301 | 2007-02-02 |
1740328426 | Greta Jo Mcdonough | Psychologist | 1316 Frederica St, Owensboro, KY 42301 | 2007-02-02 |
1588702344 | Michelle L Mayfield | Psychologist | 1316 Frederica St, Owensboro, KY 42301 | 2007-02-02 |
Find all providers with the same taxonomy |
City | BOWLING GREEN |
Zip Code | 42103 |
Please comment or provide details below to improve the information on MIDSOUTH PSYCHOLOGICAL SERVICES, LLC.
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.