MR. MICHAEL DAVID DULLE (NPI# 1841519402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841519402 |
Entity Type | Individual |
Full Name | MR. MICHAEL DAVID DULLE |
Credential | M.A. |
Practice Address |
68 S 600 E Salt Lake City UT 84102-1007 |
Practice Telephone | 8014283469 |
Mailing Telephone | 8014283469 |
Mailing Fax Number | 8013593864 |
Enumeration Date | 2010-05-21 |
Last Update Date | 2010-05-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
5804086-6004 | UT | Behavioral Health & Social Service Providers |
Street Address |
68 S 600 E |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84102-1007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023615044 | Brook Sharp Shipley | Case Manager/Care Coordinator | 68 S 600 E, Salt Lake City, UT 84102-1007 | 2020-10-02 |
1467064253 | Michael E Nope | Counselor | 68 S 600 E, Salt Lake City, UT 84102-1007 | 2020-08-21 |
1942811948 | Andres Demecio Montoya | Case Manager/Care Coordinator | 68 S 600 E, Salt Lake City, UT 84102-1007 | 2020-08-12 |
1013528009 | Windell Tsabetsaye Hitlall | Case Manager/Care Coordinator | 68 S 600 E, Salt Lake City, UT 84102-1007 | 2020-08-12 |
1528676939 | Jami Bailey | Peer Specialist | 68 S 600 E, Salt Lake City, UT 84102-1007 | 2020-07-21 |
1316393283 | Richard Jack Clark | Peer Specialist | 68 S 600 E, Salt Lake City, UT 84102-1007 | 2016-05-10 |
1538531785 | Catherine Lea Sharp | Community Health Worker | 68 S 600 E, Salt Lake City, UT 84102-1007 | 2015-10-28 |
1104265537 | Odyssey House Corp | Substance Abuse Rehabilitation Facility | 68 S 600 E, Salt Lake City, UT 84102-1007 | 2013-06-19 |
1134466683 | Jessica Lyn Cowan | Community Health Worker | 68 S 600 E, Salt Lake City, UT 84102-1007 | 2013-01-03 |
1093007254 | Anya Brennan | Case Manager/Care Coordinator | 68 S 600 E, Salt Lake City, UT 84102-1007 | 2011-05-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
Find all providers in zip 84102 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902368640 | Jennifer Elizabeth | Counselor | 1583 S 1600 E, Salt Lake City, UT 84105-2829 | 2019-04-02 |
1487114138 | Kara Kristine Groicher | Counselor | 525 E 100 S Ste 320, Salt Lake City, UT 84102-4210 | 2019-03-20 |
1649644428 | Naomia Bell | Counselor | 5965 S 900 E Ste 430, Salt Lake City, UT 84121-1720 | 2015-11-17 |
1033506464 | Maikel Hernandez | Counselor | 207 E Williams Ave, Salt Lake City, UT 84111-4625 | 2015-04-23 |
1619242062 | Martin Lynn Macdonald | Counselor | 2872 S. Highland Drive, Touchstone Therapy Center, Salt Lake City, UT 84106 | 2012-03-19 |
1447522297 | Ivana Juarez | Counselor | 570 N 200 W, Apt 9, Salt Lake City, UT 84103-1334 | 2012-02-08 |
1891085346 | Randall Ann Smith | Counselor | 160 S 600 E, #300, Salt Lake City, UT 84102-1962 | 2011-04-17 |
1497054829 | Alyson R Ainscough | Counselor | 2549 Melbourne St, Salt Lake City, UT 84106-4003 | 2011-03-24 |
1144527243 | Crystal Nicole Garduno | Counselor | 1522 South 1100 East, Salt Lake City, UT 84105 | 2011-02-25 |
1215242003 | Edward Paul France | Counselor | 125 W Burton Ave, Salt Lake City, UT 84115-2610 | 2010-08-17 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84102 |
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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.