JACLYN HILLIS (NPI# 1831627504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831627504 |
| Entity Type | Individual |
| Full Name | JACLYN HILLIS |
| Credential | PSYD |
| Practice Address |
1640 Neil Ave Columbus OH 43201-2333 |
| Practice Telephone | 6142925766 |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2017-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
7438 | OH | Behavioral Health & Social Service Providers |
| Street Address |
1640 NEIL AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43201-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649390964 | Richard Andrew Mitsak | Psychiatry & Neurology | 1640 Neil Ave, Room 438, Columbus, OH 43201 | 2007-03-30 |
| 1073868774 | Meera Menon | Psychiatry & Neurology | 1640 Neil Ave, Younkin Success Center, 4th Floor, Columbus, OH 43201-2333 | 2012-07-18 |
| 1700093424 | Denise Lucille Deschenes | Psychiatry & Neurology | 1640 Neil Ave, 4th Floor, Columbus, OH 43201-2333 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629618814 | Chequtra Dauer May | Licensed Practical Nurse | 819 Leona Ave, Columbus, OH 43201 | 2020-01-15 |
| 1528551769 | Amelia Carpenter | Physical Therapist | 1433 Neil Ave Apt B, Columbus, OH 43201 | 2018-06-12 |
| 1962901942 | Makoto Asahara | Counselor | 1301 N High Street, Columbus, OH 43201 | 2018-02-06 |
| 1740739366 | Nicholas Baggett | Nurse Practitioner | 1301 North High Street, North Central Mental Health Services, Columbus, OH 43201 | 2016-09-23 |
| 1679930259 | Morgan Staten | Specialist/Technologist | 1620 N 4th St, Columbus, OH 43201 | 2016-01-27 |
| 1376976050 | Robert William Sweeney Jr. | Specialist/Technologist | 535 Irving Schottenstein Drive, Woody Hayes Athletic Center, Columbus, OH 43201 | 2013-08-16 |
| 1447453428 | Mary Anne Brown | Home Health Aide | 144 E. Woodruff Ave., Apt. J, Columbus, OH 43201 | 2007-06-07 |
| 1962623405 | Rachel Marie Mautz | Student in an Organized Health Care Education/Training Program | 150 W 10th Avenue, Columbus, OH 43201 | 2007-05-01 |
| 1700925419 | Jeffrey Smith | Preventive Medicine | 505 King Avenue, Columbus, OH 43201 | 2007-02-06 |
| 1073685681 | Harold L Dyer | Internal Medicine | 1132 Hunter Ave, Columbus, OH 43201 | 2006-11-15 |
| Find all providers in zip 43201 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245522 | Epiphany Psychotherapy & Consultation, LLC | Psychologist | 341 S 3rd St Ste 100-344, Columbus, OH 43215-5463 | 2020-08-11 |
| 1275184723 | Reset Button Counseling LLC | Psychologist | 4041 N High St Ste 300l, Columbus, OH 43214-3200 | 2019-09-26 |
| 1376021022 | Deloveh Psychological Services, LLC | Psychologist | 4041 N High St Ste 300f, Columbus, OH 43214-3200 | 2018-08-04 |
| 1235636697 | Lisa Christian | Psychologist | 460 Medical Center Dr Rm 112, Columbus, OH 43210-1229 | 2018-04-11 |
| 1093226581 | Amanda Conn | Psychologist | 454 E Main St Ste 240, Columbus, OH 43215-5380 | 2017-10-24 |
| 1144749441 | Chelsea Kane | Psychologist | 480 Medical Center Dr Rm 2145, Columbus, OH 43210-1229 | 2017-09-18 |
| 1346769445 | Karla L Delcour | Psychologist | 2200 W. Broad Street, Columbus, OH 43223 | 2017-09-11 |
| 1477003143 | Bethel Olentangy Psychological Services | Psychologist | 4949 Olentangy River Road, Columbus, OH 43214 | 2016-10-06 |
| 1417302209 | Kristen Hurley | Psychologist | 2675 Fox Pointe Dr Ste A, Columbus, IN 47203-3391 | 2016-04-28 |
| 1699135392 | Krystal Marie Hernandez-kane | Psychologist | 620 E Broad St, Columbus, OH 43215-4037 | 2016-02-24 |
| Find all providers in COLUMBUS | ||||
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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.