DR. MARLYSSA RAE FILLMORE (NPI# 1831741461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831741461 |
| Entity Type | Individual |
| Full Name | DR. MARLYSSA RAE FILLMORE |
| Credential | PHD |
| Practice Address |
2050 Doctors Park Dr Columbus IN 47203-2221 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 8129478976 |
| Mailing Telephone | 3175284800 |
| Enumeration Date | 2019-07-13 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
10228724 | IN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 462376399 | 3175288921 |
| Street Address |
2050 DOCTORS PARK DR |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47203-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083275465 | The Academic Achievement Center, LLC | Clinic/Center | 2050 Doctors Park Dr, Columbus, IN 47203-2221 | 2019-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767955 | Sean Meador | Pharmacist | 3630 31st Street, Columbus, IN 47203 | 2018-04-23 |
| 1013319367 | Sandra Smith | Nurse Practitioner | 2329 North Marr Road, Wow Clinic, Columbus, IN 47203 | 2014-09-18 |
| 1174939680 | Hana Hoffman | Occupational Therapist | 2625 Foxpointe Dr., Suite A, Columbus, IN 47203 | 2014-07-03 |
| 1801219209 | Michelle Ann Ballard | Alzheimer Center (Dementia Center) | 2564 Foxpointe Drive, Keepsake Village, Columbus, IN 47203 | 2014-01-22 |
| 1639454606 | Jaime Denise Miller | Physical Therapist | 2625 Foxpointe Dr. 3a, Columbus, IN 47203 | 2011-10-20 |
| 1538443155 | Jessica Paige Laymon | Social Worker | 1680 Whitney Court, Columbus, IN 47203 | 2011-09-30 |
| 1720375124 | Hannah C Burke | Physical Therapist | 2625 Foxpointe Dr, Columbus, IN 47203 | 2011-07-06 |
| 1033419437 | Patricia J. Lisinski | Physician Assistant | 2510 Sandcrest Drive, Columbus, IN 47203 | 2010-11-01 |
| 1245495175 | David Brent Gadberry | Registered Nurse | 2122 Sumpter Trl, Columbus, IN 47203 | 2008-07-21 |
| 1710003231 | Ellen H Rudolph | Dentist | 3200 Sycamore Ct. Suite 1-c, Columbus, IN 47203 | 2007-03-22 |
| Find all providers in zip 47203 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083160998 | Sophia Whitehouse | Psychologist | 1499 Hard Rd, Columbus, OH 43235-1991 | 2016-08-31 |
| 1982158739 | Alyssa Diefenthaler | Psychologist | 755 Rathmell Rd, Columbus, OH 43207-4737 | 2016-08-10 |
| 1922466184 | Tuongvi Nguyen | Psychologist | 4765 Hoseah St, Columbus, OH 43228-9091 | 2016-02-03 |
| 1588064711 | Lauren Martin Brown | Psychologist | 2869 Acarie Dr, Columbus, OH 43219-6198 | 2014-08-25 |
| 1386044618 | Keilah Shumaker | Psychologist | 1930 Crown Park Ct Ste 100, Columbus, OH 43235-2402 | 2014-08-22 |
| 1629477104 | Julie Babyak | Psychologist | 1344 Presidential Dr, Apartment 120, Columbus, OH 43212-1278 | 2014-08-20 |
| 1700285533 | Charlotte Eschenbrenner | Psychologist | 131 E North Broadway St, Columbus, OH 43214-4111 | 2014-08-18 |
| 1477962678 | Alecia Marie Russell | Psychologist | 1444 Shady Lane Rd, Columbus, OH 43227-2110 | 2014-08-13 |
| 1790184943 | Sara Timms | Psychologist | 1228 Churchbell Way, Columbus, OH 43235-2110 | 2014-08-13 |
| 1972912269 | Casey Warner | Psychologist | 452 Blenheim Rd, Columbus, OH 43214-3222 | 2014-08-12 |
| 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.