MS. THERISA J KREILEIN (NPI# 1942279427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942279427 |
| Entity Type | Individual |
| Full Name | MS. THERISA J KREILEIN |
| Credential | LCSW ACSW |
| Practice Address |
305 East Walnut St. Salem IN 47167-8659 |
| Mailing Address |
5003 N Rinkers Creek Rd Salem IN 47167-8659 |
| Practice Telephone | 8128835274 |
| Practice Fax Number | 8128835274 |
| Mailing Telephone | 8128835274 |
| Mailing Fax Number | 8128835274 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
34000140A | IN | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
412 | KY | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
34000140A | IN | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 0343 | KY | Behavioral Health & Social Service Providers |
| Street Address |
305 EAST WALNUT ST. |
| City | SALEM |
| State | IN |
| Zip Code | 47167-8659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679951792 | Forefront Dermatology, S.c. | Dermatology | 911 N Shelby Street, St. Vincent Salem Hospital, Specialty Clinic, Salem, IN 47167 | 2015-05-08 |
| 1407188162 | Sheila Belamour | Physical Therapy Assistant | 900 Anson Street, Salem, IN 47167 | 2010-02-05 |
| 1598988834 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 N. Nichols Ave., Salem, IN 47167 | 2007-04-11 |
| 1740303973 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 75 E. Oak Dr, Salem, IN 47167 | 2007-04-10 |
| 1689709594 | Renal Treatment Centers Illinois Inc | Clinic/Center | 1201 N Jim Day Road, Ste 103, Salem, IN 47167 | 2007-02-22 |
| 1780738161 | Martin F Kennedy Dds PC | Dentist | 1600 S State Rd 135, Salem, IN 47167 | 2007-01-22 |
| 1114079449 | Gene F Hedrick Dds PC | Dentist | 100 North Harrison Street, Salem, IN 47167 | 2007-01-17 |
| 1689626038 | Kristen Ingram | Family Medicine | 1002 N Shelby St Ste 1004, Salem, IN 47167 | 2006-05-16 |
| 1952825564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 S Main St, Salem, IN 47167 | 2017-07-26 |
| 1558770370 | Ashlee Austin | Occupational Therapist | 900 Anson St, Salem, IN 47167 | 2014-08-06 |
| Find all providers in zip 47167 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655012 | Drew Taylor Bassett | Psychologist | 1970 Roanoke Blvd # 116b1, Salem, VA 24153-6404 | 2020-06-29 |
| 1871114793 | Lola White Psyd LLC | Psychologist | 388 State St Ste 704, Salem, OR 97301-4023 | 2020-05-01 |
| 1992270615 | Dr Taloyo LLC | Psychologist | 3000 Market St Plaza Ne Ste 426, Salem, OR 97301-1894 | 2018-10-09 |
| 1023509825 | Kevin T Cannon | Psychologist | 10 Federal St Ste 307, Salem, MA 01970-3860 | 2018-05-29 |
| 1538659339 | Morgan K Eichorst | Psychologist | 1970 Roanoke Blvd # 116b, Salem, VA 24153-6478 | 2018-05-16 |
| 1093235038 | Lauren Katherine Meehan | Psychologist | 87 Stiles Rd Ste 106, Salem, NH 03079-2899 | 2017-06-21 |
| 1942660196 | Andrew Kenagy | Psychologist | 2601 25th St Se Ste 420, Salem, OR 97302 | 2016-03-01 |
| 1689926677 | Daniel V Smith | Psychologist | 2600 Center Street Ne (office Go5-216), Oregon State Hospital, Forensic Evaluation Service, Salem, OR 97301-2669 | 2012-10-15 |
| 1225333958 | Robert H. Jones, Ph.d., P.C. | Psychologist | 1307 Commercial St. S.e., Salem, OR 97302-4205 | 2011-01-11 |
| 1891006383 | Tessa Nicole Salisbury | Psychologist | 170 E 300 S, Salem, UT 84653-9453 | 2010-06-29 |
| Find all providers in SALEM | ||||
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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.