KENNETH PATE BAIN (NPI# 1902894157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902894157 |
| Entity Type | Individual |
| Full Name | KENNETH PATE BAIN |
| Credential | PHD |
| Practice Address |
3724 Olentangy River Rd Suite A Columbus OH 43214-3435 |
| Mailing Address |
5350 Frantz Rd Dublin OH 43016-4259 |
| Practice Telephone | 6145661749 |
| Practice Fax Number | 6145661916 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2014-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 4060 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2013136 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562059 | Kenneth Noel Bain | Pharmacist | 207 E End Blvd N, Marshall, TX 75670-3603 | 2020-09-10 |
| 1063470714 | Kenneth Bain | Family Medicine | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 | 2006-05-03 |
| Street Address |
3724 OLENTANGY RIVER RD SUITE A |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-3435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669641114 | Estes Neuropsychology, LLC | Clinical Neuropsychologist | 1655 N Gladstone Ave Ste D, Columbus, IN 47201-5380 | 2008-02-28 |
| 1710109269 | James Charles Tanley | Clinical Neuropsychologist | 1500 West Third Avenue, Suite 131, Columbus, OH 43212-2816 | 2007-05-03 |
| 1013130871 | Bradley Wayne Estes | Clinical Neuropsychologist | 2675 Fox Pointe Dr A, Columbus, IN 47203-3391 | 2007-04-10 |
| 1568504967 | Kristie J Nies | Clinical Neuropsychologist | 931 Chatham Ln Ste 201, Columbus, OH 43221-2417 | 2007-02-13 |
| 1164588364 | Flora De Filippo | Clinical Neuropsychologist | 52 Horseshoe Ln N, Columbus, NJ 08022-1056 | 2006-12-29 |
| 1376602151 | A Step Ahead Pediatric Therapy | Clinical Neuropsychologist | 2625 Foxpointe Drive, Columbus, IN 47203-3278 | 2006-12-07 |
| 1952488157 | Gordon Douglas Schneider | Clinical Neuropsychologist | 799 W Mills St Ste C, Columbus, NC 28722-8645 | 2006-11-01 |
| 1396849873 | Scott Jay Stewart | Clinical Neuropsychologist | 1304 15th St., Columbus, GA 31901-2241 | 2006-09-12 |
| 1568470292 | John D. Corrigan | Clinical Neuropsychologist | 480 W. 9th Avenue, Dodd Hall, Columbus, OH 43210 | 2006-08-05 |
| 1124049556 | Roxanne Angela Lewis | Clinical Neuropsychologist | 200 E Campus View Blvd, Suite 200, Columbus, OH 43235-4678 | 2006-07-21 |
| Find all providers in COLUMBUS | ||||
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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.