JAN F SHERBAK (NPI# 1801948849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801948849 |
| Entity Type | Individual |
| Full Name | JAN F SHERBAK |
| Credential | PSY.D. |
| Practice Address |
3023 Broad St Chattanooga TN 37408-3075 |
| Practice Telephone | 4237525207 |
| Practice Fax Number | 4237525299 |
| Mailing Telephone | 4237525207 |
| Mailing Fax Number | 4237525299 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-04-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | P02400 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 3164854 | 01 |
| TN | MAGELLAN | 455336000 | 01 |
| Street Address |
3023 BROAD ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37408-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043766975 | Athletic Edge Physical Therapy | Clinic/Center | 1440 Adams St Ste A, Chattanooga, TN 37408 | 2016-08-31 |
| 1609287689 | Access 2 Rehab | Physical Therapist | 612 East 11th Street, Chattanooga, TN 37408 | 2014-05-13 |
| 1366873853 | Holli Richey | Social Worker | 320 E. Main St., Suite 200, Chattanooga, TN 37408 | 2013-12-09 |
| 1427397900 | Bevin Gracy | Counselor | 3069 Broad St Ste 7d, Chattanooga, TN 37408 | 2013-02-04 |
| 1932450756 | Tiffany Allen Hobbs | Registered Nurse | 1800 Rossville Avenue, Suite 114, Chattanooga, TN 37408 | 2012-09-20 |
| 1467708594 | Ctr. for Individ. & Family Effectiveness | Community/Behavioral Health | 2441 Broad St., Ste. 150, Chattanooga, TN 37408 | 2012-07-26 |
| 1538431192 | Brandon Tyler Whitworth | Physical Therapist | 1440 Adams St, Chattanooga, TN 37408 | 2012-01-29 |
| 1699059550 | David Jamison Mcdowell | Psychologist | 3097 S. Broad St., Chattanooga, TN 37408 | 2011-10-10 |
| 1093918385 | Jason L Reich | Counselor | 320 E Main Street, Suite 200, Chattanooga, TN 37408 | 2007-06-06 |
| 1063636785 | Carol Burns Stoney | Counselor | 3085 South Broad St, Suite J, Chattanooga, TN 37408 | 2007-04-12 |
| Find all providers in zip 37408 | ||||
| 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 |
|---|---|---|---|---|
| 1295166874 | Pam Guess | Psychologist | 3914 Saint Elmo Ave Ste C, Chattanooga, TN 37409-1269 | 2013-12-06 |
| 1578608311 | Jonna Gail Carson-webb | Psychologist | 6172 Airways Blvd Ste 102, Chattanooga, TN 37421 | 2007-02-20 |
| 1568518348 | Mark S. Shively | Psychologist | 515 Tremont St, Chattanooga, TN 37405-4152 | 2007-01-26 |
| 1710097837 | Tabi Rebekah Upton | Psychologist | One Northgate Park, Ste 201, Chattanooga, TN 37415 | 2006-08-30 |
| 1275569774 | Christopher Douglas Blazina | Psychologist | 6110 Shallowford Rd, C O Crc, Chattanooga, TN 37421-1615 | 2006-06-25 |
| 1356302061 | Gary William Cundiff Jr Jr. | Psychologist | 2000 Stein Drive, Chattanooga, TN 37421 | 2006-03-31 |
| 1912972738 | Glenn Gordon Geralds | Psychologist | 1 Northgate Park, Suite 201, Chattanooga, TN 37415-6909 | 2006-02-23 |
| 1427046200 | Marzi Lisa Radpour-wiley | Psychologist | 6216 Airpark Dr, Chattanooga, TN 37421-2988 | 2005-10-06 |
| 1164838058 | Ann Graham Parker | Psychologist | 615 Derby St, Chattanooga, TN 37404-1632 | 2014-07-11 |
| 1215350194 | County of Hamilton | Psychologist | 730 East 11th Street, Chattanooga, TN 37403-3104 | 2014-01-28 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37408 |
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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.