DR. VERNELL KENNEDY FOGLE (NPI# 1063411452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063411452 |
| Entity Type | Individual |
| Full Name | DR. VERNELL KENNEDY FOGLE |
| Credential | PH.D. |
| Practice Address |
1107 Belleview St Suite 102 Columbia SC 29201-1810 |
| Mailing Address |
1214 Anthony Ave Columbia SC 29201-1702 |
| Practice Telephone | 8033813171 |
| Practice Fax Number | 8033129983 |
| Mailing Telephone | 8032550852 |
| Mailing Fax Number | 8033129983 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2012-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
747 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PS0373 | 05 |
| Street Address |
1107 BELLEVIEW ST SUITE 102 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316459811 | Turning Point Behavioral Health Services | Family Medicine | 1107 Belleview St, Columbia, SC 29201-1810 | 2017-10-25 |
| 1013432004 | Paul Wade | Counselor | 1107 Belleview St, Columbia, SC 29201-1810 | 2017-08-10 |
| 1588036800 | Devoted Care and Transition Services-hospice, LLC | Clinic/Center | 1107 Belleview St, Columbia, SC 29201-1810 | 2015-10-26 |
| 1225341290 | N K R Medical Group Inc. | Pediatrics | 1107 Belleview St, Suite 101, Columbia, SC 29201-1810 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541040 | Charles A Burgess | Psychologist | 119 Parker Hall, Columbia, MO 65211-2340 | 2020-08-31 |
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1861964207 | Erin Joy Schuyler | Psychologist | 26 Barn Owl Ct, Columbia, SC 29209-4488 | 2018-12-26 |
| 1467944439 | Zixuan Wang | Psychologist | 10000 Town Center Ave Apt 434, Columbia, MD 21044-5447 | 2018-06-05 |
| 1366990384 | Amanda Marie Jones | Psychologist | 6851 Oak Hall Ln Ste 118, Columbia, MD 21045-5815 | 2016-09-19 |
| 1124574850 | Patrick Steele | Psychologist | 1531 Laurel St, Columbia, SC 29201 | 2016-09-01 |
| 1073968061 | Tara Acevedo, Psy.d., PC | Psychologist | 6213 Deep Earth Ln, Columbia, MD 21045-2565 | 2016-04-27 |
| 1467833798 | Matthew Edmond Fitzgerald | Psychologist | 6801 Oak Hall Ln # 2254, Columbia, MD 21045-9998 | 2015-06-11 |
| Find all providers in COLUMBIA | ||||
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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.