DAVID H DECKER (NPI# 1063490043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063490043 |
| Entity Type | Individual |
| Full Name | DAVID H DECKER |
| Credential | M.D. |
| Practice Address |
710 N 8th St Springfield IL 62702-6324 |
| Mailing Address |
Po Box 19634 Springfield IL 62794-9634 |
| Practice Telephone | 2175887717 |
| Practice Fax Number | 2175251503 |
| Mailing Telephone | 2175887717 |
| Mailing Fax Number | 2175251503 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
036-067909 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036067909 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124332093 | David Q Decker | Pharmacist | 515 Cherokee Rdg, Athens, GA 30606-1825 | 2010-08-03 |
| 1215983499 | David Mark Decker | Physician Assistant | 700 G St, Conocophillips Tower Kuparuk Medical Nsk 31, Anchorage, AK 99501 | 2006-05-26 |
| 1548653462 | David Taylor Decker | Chiropractor | 1351 Kuser Rd, Suite 4, Hamilton, NJ 08619-3824 | 2015-03-17 |
| 1477809564 | David I. Decker | Speech-Language Pathologist | 500 W Court St, Kankakee, IL 60901-3661 | 2012-07-26 |
| 1245508902 | David Charles Decker | Pharmacist | 6920 Hall St, Holland, OH 43528-9485 | 2011-12-09 |
| 1003938903 | David Colin Decker | Pharmacist | 2450 S Reynolds Rd, Toledo, OH 43614-1419 | 2007-04-04 |
| 1659419612 | David Decker | Technician | 7700 S Broadway, Littleton, CO 80122-2602 | 2007-02-02 |
| 1548344633 | David Andrew Decker | Psychiatry & Neurology | 13067 N Telecom Pkwy, Temple Terrace, FL 33637-0926 | 2006-10-25 |
| 1598704082 | David Judson Decker | Psychologist | 1619 Dayton Ave, Suite 321, Saint Paul, MN 55104-6206 | 2006-06-06 |
| 1801856711 | David A Decker | Internal Medicine | 2501 N Orange Ave, Suite 249, Orlando, FL 32804-4603 | 2006-03-24 |
| Street Address |
710 N 8TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-6324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548248180 | Philip D Pan | Psychiatry & Neurology | 710 N 8th St, Springfield, IL 62702-6324 | 2006-01-04 |
| 1982211967 | Alicia C Urven | Counselor | 710 N 8th St, Springfield, IL 62702-6324 | 2020-09-24 |
| 1144856022 | Jon M Bormann | Counselor | 710 N 8th St, Springfield, IL 62702-6324 | 2020-03-23 |
| 1619500352 | Bryanna R Hea | Social Worker | 710 N 8th St, Springfield, IL 62702-6324 | 2020-02-21 |
| 1407489685 | Benjamin L Yamnitz | Social Worker | 710 N 8th St, Springfield, IL 62702-6324 | 2020-02-17 |
| 1861031163 | Leaha K Jones | Counselor | 710 N 8th St, Springfield, IL 62702-6324 | 2020-01-03 |
| 1386125060 | Melissa E. Norville | Counselor | 710 N 8th St, Springfield, IL 62702-6324 | 2018-08-22 |
| 1144710286 | Bridget Palmatier | Counselor | 710 N 8th St, Springfield, IL 62702-6324 | 2018-05-15 |
| 1932606225 | Alishia Williams | Counselor | 710 N 8th St, Springfield, IL 62702-6324 | 2018-04-12 |
| 1619474905 | Sarah Siegel | Social Worker | 710 N 8th St, Springfield, IL 62702-6324 | 2018-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
| 1700931433 | Purificacion Geronimo-flores | Psychiatry & Neurology | Mspcc, 235 Chestnut Street, Springfield, MA 01103 | 2007-01-24 |
| 1073607495 | Hayley Marks Cohen | Psychiatry & Neurology | 28 Millburn Avenue, Suite 3, Springfield, NJ 07081 | 2006-10-02 |
| 1679841381 | Rashi Govil | Psychiatry & Neurology | 417 Liberty St, Behavioral Health Network, Inc., Springfield, MA 01104-3736 | 2011-12-08 |
| 1174838452 | Nasir Iqbal Ahmad | Psychiatry & Neurology | 5220 S 6th Street Rd, Suite 1200, Springfield, IL 62703-5735 | 2010-08-11 |
| 1912138660 | Othman M Mohammad | Psychiatry & Neurology | 3300 Main St Fl 4, Springfield, MA 01107-1112 | 2009-07-29 |
| 1235382771 | David J Wood Md Frcpc,pc | Psychiatry & Neurology | 6551 Loisdale Ct, Suite 155, Springfield, VA 22150-1828 | 2008-10-28 |
| 1366638553 | Dennis Elroy Reynolds | Psychiatry & Neurology | 3995 Marcola Road, Springfield, OR 97477 | 2007-09-20 |
| 1790982668 | Zafar Abdur Rasheed | Psychiatry & Neurology | 8348 Traford Ln, 4th Floor, Springfield, VA 22152-1663 | 2007-07-02 |
| 1912053877 | Nathan P Somers | Psychiatry & Neurology | 3300 Main St, Springfield, MA 01107-1112 | 2007-01-25 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on DAVID H DECKER.
| 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.