DR. THOMAS LLOYD SLATTERY (NPI# 1821358987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821358987 |
| Entity Type | Individual |
| Full Name | DR. THOMAS LLOYD SLATTERY |
| Credential | PSY.D. |
| Practice Address |
808 S Eldorado Rd Suite 102 Bloomington IL 61704-6071 |
| Practice Telephone | 3093104636 |
| Practice Fax Number | 3095884115 |
| Mailing Telephone | 3093104636 |
| Mailing Fax Number | 3095884115 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 071008362 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235115601 | Thomas Raymond Slattery Jr. | Radiology | 250 King of Prussia Rd, 3rd Fl., Radnor, PA 19087-5235 | 2005-12-19 |
| Street Address |
808 S ELDORADO RD SUITE 102 |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-6071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568491199 | Allison Dawn Denehy | Counselor | 808 S Eldorado Rd, Bloomington, IL 61704-6071 | 2006-07-03 |
| 1528461522 | Rebecca Evans | Occupational Therapist | 808 S Eldorado Rd, Suite 102, Bloomington, IL 61704-6071 | 2014-10-03 |
| 1922417740 | Nicole Uhlmann | Social Worker | 808 S Eldorado Rd, Ste 102, Bloomington, IL 61704-6071 | 2014-08-06 |
| 1629412507 | Tomike Lana | Psychologist | 808 S Eldorado Rd, Suite 102, Bloomington, IL 61704-6071 | 2013-04-23 |
| 1184067191 | Heather O'brien | Psychologist | 808 S Eldorado Rd, Suite 102, Bloomington, IL 61704-6071 | 2013-04-09 |
| 1164728127 | Bobby Joe Leebold | Social Worker | 808 S Eldorado Rd, Suite 102, Bloomington, IL 61704-6071 | 2011-02-08 |
| 1003116112 | Amanda D Ball | Counselor | 808 S Eldorado Rd, Ste 102, Bloomington, IL 61704-6071 | 2010-10-25 |
| 1326352881 | Kelly Jo Knutson | Psychologist | 808 S Eldorado Rd, Ste 102, Bloomington, IL 61704-6071 | 2010-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| 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 |
|---|---|---|---|---|
| 1477171122 | Ellen Vaughan | Psychologist | 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 | 2020-07-09 |
| 1528536083 | Rebecca Martinez Reid | Psychologist | 2201 E Woodstock Pl, Bloomington, IN 47401-6180 | 2018-11-02 |
| 1427455179 | Lori K Campbell | Psychologist | 3925 E Hagan St, Ste 102, Bloomington, IN 47401-8649 | 2014-11-24 |
| 1013233584 | Michele Koselke | Psychologist | 205 N College Ave Ste 312, Bloomington, IN 47404-3953 | 2010-04-08 |
| 1114167194 | Robert C Kissel | Psychologist | 6063 Nehrt Rd, Bloomington, IN 47408-9107 | 2009-03-03 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1669656724 | Gay Robb Hallberg | Psychologist | 11060 Oregon Curv, Bloomington, MN 55438-2806 | 2007-12-26 |
| 1326250184 | Jennifer Elizabeth Bradley | Psychologist | 205 N College Ave Ste 514, Bloomington, IN 47404-3952 | 2007-05-04 |
| 1376685693 | Deborah A. Zera | Psychologist | 525 S Walker St, Suite 104, Bloomington, IN 47403-2152 | 2007-02-13 |
| 1700924800 | Susan J Rautio-dietz | Psychologist | 532 N Walnut St, Suite D, Bloomington, IN 47404-3809 | 2007-02-01 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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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.