SAMANTHA THIBODEAU


Address: 1000 Lincoln St, Emporia, KS 66801-2449
Phone: 6203432211

SAMANTHA THIBODEAU (NPI# 1053919738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053919738
Entity Type Individual
Full Name SAMANTHA THIBODEAU
Practice Address 1000 Lincoln St
Emporia
KS 66801-2449
Practice Telephone 6203432211
Practice Fax Number 6203421021
Mailing Telephone 6203432211
Mailing Fax Number 6203421021
Enumeration Date 2020-10-14
Last Update Date 2020-10-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Office Location

Street Address 1000 LINCOLN ST
City EMPORIA
State KS
Zip Code 66801-2449

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982205167 Lily Garcilazo Psychologist 1000 Lincoln St, Emporia, KS 66801-2449 2020-11-04
1568075695 Kaitlyn Jo Connor Psychologist 1000 Lincoln St, Emporia, KS 66801-2449 2020-08-28
1427660844 Stephany Graham Psychologist 1000 Lincoln St, Emporia, KS 66801-2449 2020-08-18
1215588124 Shelley Marie Coughlin Social Worker 1000 Lincoln St, Emporia, KS 66801-2449 2019-09-23
1417502816 Carmen Esch Licensed Practical Nurse 1000 Lincoln St, Emporia, KS 66801-2449 2019-08-03
1306499041 Kelley Lackey Counselor 1000 Lincoln St, Emporia, KS 66801-2449 2019-07-22
1073175824 Josie Danielle Williams Counselor 1000 Lincoln St, Emporia, KS 66801-2449 2019-07-02
1760042105 Timothy Aspleaf Counselor 1000 Lincoln St, Emporia, KS 66801-2449 2019-06-18
1962963462 Katey Elizabeth Staatz Psychologist 1000 Lincoln St, Emporia, KS 66801-2449 2019-03-27
1437614856 Nicole Marie Disalvo Counselor 1000 Lincoln St, Emporia, KS 66801-2449 2019-02-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225539141 Tina Marie Andrade Counselor 1500 Graphic Arts Road, Emporia, KS 66801 2018-02-26
1669918637 Paden Bradley Eveland Physical Medicine & Rehabilitation 1 Kellogg Circle Emporia State University, Emporia, KS 66801 2017-01-13
1932501467 Emily Prouse Dietitian, Registered 1 Kellogg Circle 250 Se Morse Hall, Emporia, KS 66801 2014-09-16
1407278112 Kansas Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1215 Merchant St, Emporia, KS 66801 2014-01-15
1508105800 Smith Agency LLC In Home Supportive Care 4245 W. Hwy 50, Emporia, KS 66801 2013-02-06
1891060919 Gould Coates Garcia Internal Medicine 2014 Canterbury Rd, Emporia, KS 66801 2012-03-22
1457511321 Amanda Lee Ruxton Family Medicine 1301 W 12th Ave Ste 101, Emporia, KS 66801 2008-06-13
1821262049 Qi Qiao Joina Wu Counselor 115 West 5th Street, Emporia, KS 66801 2008-04-18
1013189703 Kelly Elizabeth Long Counselor 115 W 5th, Emporia, KS 66801 2008-04-02
1851586275 Hyun Chan Shin Counselor 115 5th Ave, Emporia, KS 66801 2007-09-10
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780961425 Emporia Psychological Services Inc Psychologist 702 Commercial St Ste 3b, Emporia, KS 66801-3093 2011-11-09
1508958992 Timothy Sippola Psychologist 702 Commercial St, Suite 3b, Emporia, KS 66801-3093 2006-09-29
1790740132 John Michael Griffin Psychologist 307 B Dogwood Lane, Emporia, VA 23847 2006-04-19
1962963462 Katey Elizabeth Staatz Psychologist 1000 Lincoln St, Emporia, KS 66801-2449 2019-03-27
1720518517 Eric Michael Sears Psychologist 1000 Lincoln St, Emporia, KS 66801-2449 2017-06-14
1316473929 Melchizedek Ntim Gyakari Psychologist 1000 Lincoln St, Emporia, KS 66801-2449 2017-05-03
1487020251 Alexandria Lara Psychologist 1000 Lincoln St, Emporia, KS 66801-2449 2015-08-17
1124404652 Kristi Gildner Psychologist 1000 Lincoln St, Emporia, KS 66801-2449 2015-08-06
1982080834 Lauren Rickner Psychologist 1000 Lincoln St, Emporia, KS 66801-2449 2015-08-03
1952784753 Dacey Jo Telfer Psychologist 1000 Lincoln St, Emporia, KS 66801-2449 2015-06-30
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Competitor

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City EMPORIA
Zip Code 66801

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Dataset Information

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.

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