DR. GLENDA YVONNE FAULKNER (NPI# 1861621039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861621039 |
| Entity Type | Individual |
| Full Name | DR. GLENDA YVONNE FAULKNER |
| Credential | PHD |
| Practice Address |
1301 Ivywood Dr Suite 100 Brandon FL 33510-2253 |
| Mailing Address |
Po Box 1341 Brandon FL 33509-1341 |
| Practice Telephone | 8139673111 |
| Practice Fax Number | 8136941423 |
| Mailing Telephone | 8139673111 |
| Mailing Fax Number | 8136841423 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2011-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY5240 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1301 IVYWOOD DR SUITE 100 |
| City | BRANDON |
| State | FL |
| Zip Code | 33510-2253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| 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 |
|---|---|---|---|---|
| 1992304711 | Thomas Francis Ryan | Psychologist | 1015 Sonesta Ave, Brandon, FL 33511-6658 | 2020-10-22 |
| 1417571100 | Elizabeth D.c. Taylor | Psychologist | The Granary, 29 Union Street, Brandon, VT 05733-0573 | 2020-05-29 |
| 1154772101 | Kyle Babb | Psychologist | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-06-30 |
| 1194032862 | Reed Evan Bradford | Psychologist | 103 Bridgepointe Blvd, Brandon, MS 39047-7001 | 2010-09-01 |
| 1164686135 | David J Shaw | Psychologist | 3817 Cloverhill Ct, Brandon, FL 33511-7937 | 2008-07-17 |
| 1629266986 | Joanna English Morse | Psychologist | 213 N Parsons Ave, Brandon, FL 33510-4513 | 2007-10-11 |
| 1528001989 | Mary J Watson | Psychologist | 2406 Oak Landing Drive, Brandon, FL 33511-7607 | 2006-06-14 |
| 1972052637 | Daniela Venosa, Psy.d., P.a. | Psychologist | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2016-09-22 |
| 1760835193 | Matthew Reese | Psychologist | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-07-21 |
| 1225480023 | Katherine Davidson | Psychologist | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-07-06 |
| Find all providers in BRANDON | ||||
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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.