DR. MICHELLE WHITEHEAD (NPI# 1851423776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851423776 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE WHITEHEAD |
| Credential | MHNP PHD |
| Practice Address |
26 Nw Irving Bend OR 97701 |
| Practice Telephone | 5541382516 |
| Practice Fax Number | 5413826798 |
| Mailing Telephone | 5541382516 |
| Mailing Fax Number | 5413826798 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
1017 | OR | Behavioral Health & Social Service Providers |
| X | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
093006739N6 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 118427 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635547 | Michelle Catherine Whitehead | Behavior Technician | 1520 Nutmeg Pl Ste 110, Costa Mesa, CA 92626-2557 | 2020-06-30 |
| 1023555679 | Michelle Renae Whitehead | Specialist/Technologist | 4700 College Oak Dr, Sacramento, CA 95841-4217 | 2017-01-20 |
| 1487006425 | Michelle Whitehead | Physician Assistant | 1572 Wilmington Pike, West Chester, PA 19382-8371 | 2016-07-01 |
| 1881934701 | Michelle Whitehead | Physical Therapy Assistant | 1835 Savoy Dr, Suite 100, Atlanta, GA 30341-1072 | 2013-03-01 |
| 1336325679 | Michelle Whitehead | Registered Nurse | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2008-01-17 |
| Street Address |
26 NW IRVING |
| City | BEND |
| State | OR |
| Zip Code | 97701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811014012 | Glenn Trueblood | Clinical Neuropsychologist | 26 Nw Irving, Bend, OR 97701 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780992305 | Cassie Laurel O'brien | Psychologist | 45 Nw Greeley Ave, Bend, OR 97703-2943 | 2010-09-16 |
| 1326352063 | David J. Kleber | Psychologist | 384 Sw Upper Terrace Dr., Suite 209, Bend, OR 97702 | 2010-08-05 |
| 1962735746 | Kathleen Ann Hoyt | Psychologist | 855 Sw Yates Dr, Suite 101, Bend, OR 97702-3217 | 2009-09-11 |
| 1083859235 | Robert F Burch Phd PC | Psychologist | 390 Sw Columbia St Ste 210, Bend, OR 97702-3227 | 2008-12-02 |
| 1700085792 | John Vincent Prignano | Psychologist | 635 Nw Colorado Ave, Bend, OR 97701-3257 | 2007-07-11 |
| 1730384975 | Bruce W. Bundy, Psyd, PC | Psychologist | 205 Se Davis Ave Ste A, Bend, OR 97702-1333 | 2007-06-18 |
| 1386849941 | Frances F Miller | Psychologist | 548 Nw Greyhawk, Bend, OR 97701 | 2007-06-15 |
| 1841402872 | Michael Grayson Conner | Psychologist | 965 Ne Wiest Way, Bend, OR 97701-4285 | 2007-05-03 |
| 1356485734 | Linda Jane Schrader-patton | Psychologist | 731 Nw Franklin Ave Ste 103, Bend, OR 97701-2752 | 2007-02-17 |
| 1477618346 | Susan Lynn Dragovich | Psychologist | 1012 Nw Wall 260, Bend, OR 97701 | 2006-12-22 |
| Find all providers in BEND | ||||
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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.