DR. WAYNE MIRACLE (NPI# 1982717385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982717385 |
| Entity Type | Individual |
| Full Name | DR. WAYNE MIRACLE |
| Credential | ED.D. HSPP |
| Practice Address |
413 S. Liberty St. Muncie IN 47305-2341 |
| Practice Telephone | 7652888586 |
| Mailing Telephone | 7652888586 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2010-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100333760 | 05 | |
| IN | MAGELLAN | 112439000 | 01 |
| IN | ANTHEM BCBS | 000000186190 | 01 |
| Street Address |
413 S. LIBERTY ST. |
| City | MUNCIE |
| State | IN |
| Zip Code | 47305-2341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962561654 | Behavioral Support Services, LLC. | Counselor | 405 S. Walnut St., Suite 309-11, Muncie, IN 47305 | 2006-12-08 |
| 1548376619 | Charles P Slavin | Dentist | 315 W Washington St, Muncie, IN 47305 | 2006-08-22 |
| 1437135522 | Delaware County Auditor | Ambulance | 401 E Jackson, Muncie, IN 47305 | 2005-12-20 |
| 1033505375 | Shereene Grant | Family Medicine | 333 S Madison St, Muncie, IN 47305 | 2015-04-14 |
| 1023626744 | Meridian Health Services Corp. | Clinic/Center | 801 N Walnut St # 1, Muncie, IN 47305-1458 | 2020-07-20 |
| 1598821266 | Larry Lee Mccallister | Family Medicine | 217 S Cherry St, Muncie, IN 47305-1506 | 2006-12-28 |
| 1124189899 | Open Door Community Services, Inc | Homemaker | 926 W Main St, Muncie, IN 47305-1539 | 2006-12-13 |
| 1104215508 | Kacyn Tucker-ramer | Behavioral Analyst | 920 W Main St, Muncie, IN 47305-1539 | 2015-01-22 |
| 1518040625 | Robin L Cooper | Nurse Practitioner | 806 W Jackson St, Muncie, IN 47305-1551 | 2006-10-23 |
| 1184924524 | Jennessa R Johnston | Nurse Practitioner | 806 W Jackson St, Muncie, IN 47305-1551 | 2010-11-02 |
| Find all providers in zip 47305 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699003749 | Christine Henry | Psychologist | 4900 N Wheeling Ave, Suite 1, Muncie, IN 47304-7000 | 2009-12-01 |
| 1932399524 | Donald Richard Nicholas | Psychologist | Ball State Univ, Department of Counseling Psychology, Tc622, Muncie, IN 47306-1099 | 2007-07-30 |
| 1184707556 | Vietnam Veterans Family Assistance Center | Psychologist | 723 W Centennial Ave, Muncie, IN 47303-2974 | 2006-10-22 |
| 1114954062 | Robyn Kittrell | Psychologist | 1904 West Royale Drive, Muncie, IN 47304-2264 | 2006-06-27 |
| 1982630596 | Quinton Thomas Edwards, Jr. | Psychologist | 707 W University Ave, Muncie, IN 47303-3865 | 2006-06-24 |
| 1417953670 | Jodi Lynn Nixon | Psychologist | 1904 W. Royale Dr., Muncie, IN 47304-2664 | 2005-06-22 |
| 1710500574 | Brandy Latrice Pugh | Psychologist | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-05-27 |
| 1558900753 | Ashley Hutchison | Psychologist | 2205 N Wheeling Ave, Muncie, IN 47303-1602 | 2020-01-06 |
| 1225524481 | Shari Mathews | Psychologist | 1806 W Royale Dr, Muncie, IN 47304-2243 | 2018-07-10 |
| 1457848459 | Ashley Lynn Boester-dean | Psychologist | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2018-04-16 |
| Find all providers in MUNCIE | ||||
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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.