DR. ARDIS G. CECIL (NPI# 1912941139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912941139 |
| Entity Type | Individual |
| Full Name | DR. ARDIS G. CECIL |
| Credential | PH.D. |
| Practice Address |
Life Skills Clinic 42d Abw Medical Group Maxwell Afb AL 36112 |
| Mailing Address |
151 E Poplar St Prattville AL 36066-3638 |
| Practice Telephone | 3349535055 |
| Mailing Telephone | 3343657657 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2269 | CO | Behavioral Health & Social Service Providers |
| Street Address |
LIFE SKILLS CLINIC 42D ABW MEDICAL GROUP |
| City | MAXWELL AFB |
| State | AL |
| Zip Code | 36112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841836970 | Alison Bees Thompson | Social Worker | 42nd Medical Group, 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2019-11-25 |
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| 1477015196 | Jennifer Marie Hudson | Counselor | Jennifer Hudson, 300 South Twining St Bldg 760, Maxwell Afb, AL 36112 | 2019-04-02 |
| 1255801049 | Jose Edwin Aviles | Military Health Care Provider | Kelly Street, Montgomery, AL 36112 | 2018-12-05 |
| 1306316963 | Lydia Price Beringer | Speech-Language Pathologist | 300 S. Twining Street 42 Nd Medical Group, Maxwell Afb, AL 36112 | 2018-11-27 |
| 1114431301 | Dean M Kot | Physician Assistant | Mxf, Kelly St, Apo, AA 36112 | 2017-11-27 |
| 1417353590 | Jamie Ellis | Social Worker | 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2014-11-17 |
| 1629419650 | Elias N Hydrick | Family Medicine | 300 S. Twining St., Bldg 760, Maxwell Afb, 42nd Medical Group, Montgomery, AL 36112 | 2013-07-06 |
| 1639454200 | Sharon Lewis | Pharmacist | 300 Southtwining St, Montgomery, AL 36112 | 2011-10-14 |
| 1104158518 | Sylvia Ann Newell | Dietitian, Registered | 50 W Ash St Bldg 841, Montgomery, AL 36112 | 2010-02-10 |
| Find all providers in zip 36112 | ||||
| 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 |
|---|---|---|---|---|
| 1639734056 | Zachary Gerdes | Psychologist | 300 S Twining St, Bldg 760, Maxwell Air Force Base 42d Medical Group, Maxwell Afb, AL 36112-6219 | 2019-05-01 |
| 1659469336 | John Campbell Jr. | Psychologist | 42d Medical Group, 300 Twining Street, Maxwell Afb, AL 36112 | 2006-10-10 |
| 1437163920 | Michael T. Kindt | Psychologist | 300 Twining St, 42d Mdg, Maxwell Afb, AL 36112 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520204 | Tricia Witte | Psychologist | 4405 Woodland Hills Dr, Tuscaloosa, AL 35405-5420 | 2020-08-26 |
| 1659906212 | Keisha Wilson | Psychologist | 6573 Kings Branch Dr N, Mobile, AL 36618-4697 | 2020-03-04 |
| 1194284265 | Jeremiah Precious Barnett | Psychologist | 8449 Crossland Loop Ste 121, Montgomery, AL 36117-0919 | 2019-03-18 |
| 1568936102 | Quinton Lamar Agee | Psychologist | 4479 Flagstone Ln, Pinson, AL 35126-3700 | 2019-01-16 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1700387750 | Krista Ruth Mehari | Psychologist | 75 S University Blvd Ucom 2000, Mobile, AL 36688-0001 | 2018-02-26 |
| 1043726482 | Chenetra D Buchannon | Psychologist | 2400 Hospital Rd # 4a-209, Tuskegee, AL 36083-5001 | 2017-12-21 |
| 1265983878 | Claudia Mcdade | Psychologist | 375a Beach Club Trl, 1804, Gulf Shores, AL 36542-8314 | 2016-10-18 |
| 1700332657 | Grace Therapeutic & Counseling Services Inc | Psychologist | 7 East 13th St Suite 225, Anniston, AL 36201 | 2016-08-31 |
| Find all providers with the same taxonomy | ||||
| City | MAXWELL AFB |
| Zip Code | 36112 |
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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.