DR. MARY LOU MIED (NPI# 1003057860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003057860 |
| Entity Type | Individual |
| Full Name | DR. MARY LOU MIED |
| Credential | PH.D. |
| Practice Address |
919 Village Ctr #9 Lafayette CA 94549-3598 |
| Mailing Address |
Po Box 472 Lafayette CA 94549-0472 |
| Practice Telephone | 9259420834 |
| Practice Fax Number | 9259420837 |
| Mailing Telephone | 9259420834 |
| Mailing Fax Number | 9259420837 |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2010-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 21629 | CA | Behavioral Health & Social Service Providers |
| Street Address |
919 VILLAGE CTR #9 |
| City | LAFAYETTE |
| State | CA |
| Zip Code | 94549-3598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053478305 | Judith Kathleen Watkins | Marriage & Family Therapist | 919 Village Ctr, Suite 5, Lafayette, CA 94549-3598 | 2007-01-03 |
| 1851548366 | Karolyn Kalinowski Palmer | Counselor | 919 Village Ctr, Suite 4, 5, 6, Lafayette, CA 94549-3598 | 2008-08-26 |
| 1174779409 | Kelley Smith Daly | Marriage & Family Therapist | 919 Village Ctr, Lafayette, CA 94549-3598 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
| 1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
| 1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
| 1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
| Find all providers in zip 94549 | ||||
| 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 |
|---|---|---|---|---|
| 1083116651 | Laura Kathleen Williams | Psychologist | 935 Moraga Rd Ste 215, Lafayette, CA 94549-4562 | 2018-02-28 |
| 1649780958 | Elizabeth Owens | Psychologist | 3468 Mt Diablo Blvd Ste B200, Lafayette, CA 94549-7102 | 2017-10-02 |
| 1598126351 | Acadiana Medical Psychological Services, LLC | Psychologist | 93 Magnate Dr, Lafayette, LA 70508-3840 | 2016-03-08 |
| 1023476892 | Mary L. Freeman, Ph.d. | Psychologist | 601 W Saint Mary Blvd Ste 406, Lafayette, LA 70506-3564 | 2016-02-08 |
| 1457729329 | Elyse Marie Manteris | Psychologist | 582 Beauprez Ave, Lafayette, CO 80026-3455 | 2015-09-09 |
| 1982015764 | Taylor Kathleen Locker | Psychologist | 678b N 36th St, Lafayette, IN 47905-4474 | 2014-05-14 |
| 1013341072 | Christopher David Keiper | Psychologist | 616 S 15th St, Lafayette, IN 47905-1232 | 2013-08-27 |
| 1730468216 | Janine Danniballe | Psychologist | 1245 Ilium Cir, Lafayette, CO 80026-1217 | 2011-08-15 |
| 1750674024 | Louisiana Geriatric Psychological Services, A Professional Corporation | Psychologist | 2851 Johnston St, Suite 313, Lafayette, LA 70503-3243 | 2011-05-19 |
| 1356555874 | Renee Babin Bonin | Psychologist | 200 Beaullieu Dr Bldg 9b-1, Lafayette, LA 70508-7230 | 2007-05-10 |
| Find all providers in LAFAYETTE | ||||
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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.