MISHA GRAVES (NPI# 1902414006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902414006 |
| Entity Type | Individual |
| Full Name | MISHA GRAVES |
| Credential | PHD |
| Practice Address |
482 S Landmark Ave Bloomington IN 47403-5000 |
| Mailing Address |
1311 S Rechter Ct Bloomington IN 47401-6173 |
| Practice Telephone | 8123338474 |
| Mailing Telephone | 8123695704 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
482 S LANDMARK AVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821271 | Susan D Stolz | Nurse Practitioner | 482 S Landmark Ave, Bloomington, IN 47403-5000 | 2005-06-16 |
| 1528281169 | Erin E Black | Family Medicine | 482 S Landmark Ave, Bloomington, IN 47403-5000 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1376747048 | Donald R. Weller | Psychologist | 1714 E Circle Dr, Bloomington, IN 47401-6028 | 2007-06-14 |
| 1396947974 | Debra Dietrich | Psychologist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2007-06-05 |
| 1619585973 | Poppi Stowe | Psychologist | 10435 Cedar Ave, Bloomington, CA 92316-2403 | 2020-07-22 |
| 1609023902 | Rose Anne Jackson | Psychologist | 631 N College Ave, Bloomington, IN 47404-3871 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700523 | Julia Ann Edwards | Psychologist | 401 W Joliet St, Crown Point, IN 46307-3808 | 2020-11-02 |
| 1356955132 | Adam Grieve | Psychologist | 213 Buckingham Dr, Indianapolis, IN 46208-3625 | 2020-08-31 |
| 1831725498 | Alex Brewer | Psychologist | 925 N Meridian St Ste 100, Sunman, IN 47041-7771 | 2020-03-16 |
| 1174153332 | Scott Edmund Andrews | Psychologist | 105 S 225 E, Flora, IN 46929-9688 | 2020-01-16 |
| 1588208086 | Amanda Hudson | Psychologist | 8650 Columbia Ave, Munster, IN 46321-2518 | 2019-10-29 |
| 1306301387 | Benjamin A Cunningham | Psychologist | 1200 S Clinton St, Fort Wayne, IN 46802-3504 | 2019-02-05 |
| 1770048811 | Jacqueline Ansburg | Psychologist | 1767 Glasgow St, Valparaiso, IN 46385-7360 | 2019-02-03 |
| 1518443829 | Rebecca Gromala | Psychologist | 8410 Wicker Ave, Saint John, IN 46373-9710 | 2018-07-19 |
| 1154807360 | Lindsey Wixson | Psychologist | 15440 Mystic Rock Dr, Carmel, IN 46033-8146 | 2018-07-11 |
| 1669981411 | Catherine Carpenter | Psychologist | 8948 Chestnut Ln, Munster, IN 46321-3224 | 2017-09-25 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
Please comment or provide details below to improve the information on MISHA GRAVES.
| 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.