DR. ZETTA K BOWLES (NPI# 1992832547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992832547 |
| Entity Type | Individual |
| Full Name | DR. ZETTA K BOWLES |
| Other Name | DR. ZETTA K NICELY |
| Credential | PSY. D. |
| Practice Address |
140 Christiansburg Pike Ne Floyd VA 24091-3742 |
| Practice Telephone | 5407459290 |
| Practice Fax Number | 2763983331 |
| Mailing Telephone | 5407459290 |
| Mailing Fax Number | 2763983331 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2019-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0810004791 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 109 Virginia Highlander Rd, Sugar Grove, VA 243753062 | 3046612070 |
| Street Address |
140 CHRISTIANSBURG PIKE NE |
| City | FLOYD |
| State | VA |
| Zip Code | 24091-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902861974 | Tracy Lee Whitaker | Social Worker | 140 Christiansburg Pike Ne, Floyd, VA 24091-3742 | 2006-04-20 |
| 1578953303 | Amanda Elise Richardson | Physician Assistant | 140 Christiansburg Pike Ne, Floyd, VA 24091 | 2015-02-02 |
| 1740542232 | H Jedidiah Duensing | Family Medicine | 140 Christiansburg Pike Ne, Floyd, VA 24091-3742 | 2012-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417490145 | Greenecare Counseling LLC | Social Worker | 401 S. Locust St., Ste 102, Floyd, VA 24091 | 2016-11-29 |
| 1144631110 | Eagles Nest Regeneration Inc | Substance Abuse Rehabilitation Facility | 4410 Christianburg Pike Ne, Floyd, VA 24091 | 2014-05-13 |
| 1073854402 | Elise Karen Greene | Social Worker | 401 South Locust Street, Ste 102, Floyd, VA 24091 | 2013-03-11 |
| 1386636041 | Seyed Hessam Saadat | Family Medicine | 140 Christiansburg Pike, Tri-area Community Health Center At Floyd, Floyd, VA 24091 | 2005-08-18 |
| 1043749153 | Caroline Thomsen Egloff | Physical Therapist | 815 E Main St, Floyd, VA 24091 | 2017-06-12 |
| 1194908491 | Tri Area Community Health | Clinic/Center | 140 Christiansburg Pike, Floyd, VA 24091 | 2007-12-10 |
| 1205920592 | Patricia F Fedorchak | Nurse Practitioner | 911 E Main St, Floyd, VA 24091 | 2006-10-03 |
| 1174535207 | Lorraine Marie French | General Practice | 140 Christiansburg Pike, Tri-area Community Health At Floyd, Floyd, VA 24091 | 2006-08-13 |
| 1063436723 | Wall Residences, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1281 Huckleberry Ridge Rd Ne, Floyd, VA 24091-2037 | 2006-07-27 |
| 1083625982 | Strengthening Our System Inc | Day Training, Developmentally Disabled Services | 636 Sowers Rd Ne, Floyd, VA 24091-2076 | 2006-08-10 |
| Find all providers in zip 24091 | ||||
| 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] |
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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.