CHARLES M SPELLMANN (NPI# 1902064868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902064868 |
Entity Type | Individual |
Full Name | CHARLES M SPELLMANN |
Credential | PHD |
Practice Address |
790 Roberts Drive Monticello AR 71655 |
Mailing Address |
10498 Loomis Landing Dr Devalls Bluff AR 72041 |
Practice Telephone | 8703672461 |
Practice Fax Number | 8703671690 |
Mailing Telephone | 8709987206 |
Enumeration Date | 2008-05-28 |
Last Update Date | 2008-05-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TF0200X |
Psychologist Specialization: Forensic |
7515P | AR | Behavioral Health & Social Service Providers |
Street Address |
790 ROBERTS DRIVE |
City | MONTICELLO |
State | AR |
Zip Code | 71655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508897067 | Walter Randolph Oglesby | Psychiatry & Neurology | 790 Roberts Drive, Delta Counseling Associates, Monticello, AR 71655-0820 | 2006-07-05 |
1780045153 | Marshae W Shaw | Social Worker | 790 Roberts Drive, Monticello, AR 71655 | 2016-03-14 |
1366742728 | Jeanie Sue Cater | Case Manager/Care Coordinator | 790 Roberts Drive, Monticello, AR 71655 | 2010-11-01 |
1225357643 | Candi T Daniels | Case Manager/Care Coordinator | 790 Roberts Drive, Monticello, AR 71655 | 2010-05-25 |
1174770325 | Misty Dawn Jones | Licensed Practical Nurse | 790 Roberts Drive, Monticello, AR 71655 | 2008-08-19 |
1619988359 | Charlie William Belknap | Social Worker | 790 Roberts Drive, Monticello, AR 71655 | 2006-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
1760991640 | Kristen Leigh Harvey | Registered Nurse | 162 University Heights Drive, Monticello, AR 71655 | 2017-09-24 |
1124578075 | Morgan Family Dentistry, Pllc | Dentist | 501 Hwy 425 South, Monticello, AR 71655 | 2016-10-04 |
1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
1487050076 | Sara Tucker | Speech-Language Pathologist | 178 W. College Street, Monticello, AR 71655 | 2014-11-10 |
1164859203 | Dustin Clint Eubanks | Chiropractor | 604 A West Bolling Street, Monticello, AR 71655 | 2013-10-03 |
1194009431 | Rebecca Shea Woodall | Social Worker | 600 Highway 425 North, Suite B, Monticello, AR 71655 | 2011-10-05 |
1568744522 | Britney Leigh Box | Occupational Therapist | 178 W College St, Monticello, AR 71655 | 2011-09-15 |
1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
Find all providers in zip 71655 |
Taxonomy Code | 103TF0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Forensic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013578384 | Cambria Collins | Psychologist | 9600 Satterfield Dr Apt 28, Little Rock, AR 72227-5653 | 2019-06-26 |
City | MONTICELLO |
Zip Code | 71655 |
Please comment or provide details below to improve the information on CHARLES M SPELLMANN.
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.