SHAKESHA S ANDERSON CLARKE (NPI# 1942367313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942367313 |
| Entity Type | Individual |
| Full Name | SHAKESHA S ANDERSON CLARKE |
| Practice Address |
271 Ft Richardson Ave Life Skills Support Center- 17mdg Goodfellow Afb TX 76908-4901 |
| Mailing Address |
5216 Fairway Dr San Angelo TX 76904-8759 |
| Practice Telephone | 3256543122 |
| Practice Fax Number | 3256545161 |
| Mailing Telephone | 3256543122 |
| Mailing Fax Number | 3256545161 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
271 FT RICHARDSON AVE LIFE SKILLS SUPPORT CENTER- 17MDG |
| City | GOODFELLOW AFB |
| State | TX |
| Zip Code | 76908-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609961077 | Iris Belmar Ortiz Gonzalez | Dentist | 271 Ft Richardson Ave, Goodfellow Afb, TX 76908 | 2006-10-03 |
| 1609936848 | Robert Wesley Rainey | Pharmacist | 271 Ft Richardson Ave, Goodfellow Afb, TX 76908 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164590048 | George E Jones Jr. | Pharmacist | 271 Fort Richardson Avenue, San Angelo, TX 76908 | 2006-12-01 |
| 1679649750 | Denise Robin Lyons | Dentist | Dept of The Air Force, 17th Dental Flight (aetc), Goodfellow Afb, TX 76908 | 2006-11-28 |
| 1326132010 | David Franklin-fernandez | Physician Assistant | 271 Fort Richardson, Goodfellow Afb, TX 76908 | 2006-10-03 |
| 1386106409 | Olivia Rosemary Tighe | Student in an Organized Health Care Education/Training Program | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908 | 2019-04-06 |
| 1740785906 | Krishna Kidambi | Internal Medicine | 271 Fort Richardson Avenue, San Angelo, TX 76908 | 2018-03-28 |
| 1295263663 | Peter Dang | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908 | 2017-05-30 |
| 1134589211 | Michelle Quinn | Family Medicine | 271 Fort Richardson Ave, Goodfellow Air Force Base, TX 76908 | 2016-03-02 |
| 1699057414 | Lakeshia Tamara Carter-logan | Physician Assistant | 271 Fort Richardson Ave, 17th Medical Group, Goodfellow Afb, TX 76908 | 2011-09-19 |
| 1548550064 | Egypt-rah Y Mcadoo | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908 | 2011-04-18 |
| 1861705865 | Justin T Gathercoal | Family Medicine | 17th Medical Operations Squadron, Goodfellow Afb, San Angelo, TX 76908 | 2010-07-19 |
| Find all providers in zip 76908 | ||||
| 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 |
|---|---|---|---|---|
| 1568859650 | Devin Merritt | Psychologist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2015-04-16 |
| 1659618338 | Michelle Suzanne Rivera Hanby | Psychologist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2013-01-15 |
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|---|---|---|---|---|
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| 1659986495 | Kennetha L. Fry Phd Pllc | Psychologist | 2626 S Loop W Ste 545, Houston, TX 77054-2679 | 2020-09-09 |
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| 1558988030 | Catherine Wisenberg Abrahamson | Psychologist | 2806 Winding Shore Ln, Katy, TX 77450-5707 | 2020-06-30 |
| 1396361788 | Tyler Stone | Psychologist | 9515 Curry Landing Dr, Houston, TX 77095-7235 | 2020-06-22 |
| 1770108839 | Tamara Knapp-grosz | Psychologist | 9312 Benefit Dr, Aubrey, TX 76227-5726 | 2020-06-14 |
| 1548885296 | Marlene Williams | Psychologist | 12810 Hillcrest Rd # B123, Dallas, TX 75230-1525 | 2020-06-09 |
| 1386267201 | Courtney Nelson | Psychologist | 10420 Estate Ln, Dallas, TX 75238-2211 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
| City | GOODFELLOW AFB |
| Zip Code | 76908 |
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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.