DR. RAYMOND JUSTIN MYLES JR. (NPI# 1073970547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073970547 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND JUSTIN MYLES JR. |
| Credential | PSY.D. |
| Practice Address |
609a Warrior Road Fort Riley KS 66442 |
| Mailing Address |
609 A Warrior Road Fort Riley KS 66442 |
| Practice Telephone | 7852407090 |
| Mailing Telephone | 7852407090 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
571 | WY | Behavioral Health & Social Service Providers |
| Street Address |
609A WARRIOR ROAD |
| City | FORT RILEY |
| State | KS |
| Zip Code | 66442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821588 | Leona Marie Walker | Registered Nurse | Bldg. 650 Huebner Road, Fort Riley, 66442, Apo, AA 66442 | 2020-11-03 |
| 1306392915 | Tiffany Sapp | Dental Assistant | 7670 Estes Rd, Ft. Riley, KS 66442 | 2016-09-01 |
| 1326594938 | Kamilla Evans | Dental Assistant | Building 7670 Estes Road, Apo, AA 66442 | 2016-09-01 |
| 1669864096 | Luann Underwood | Counselor | 7424 Apennines Drive, Army Substance Abuse Program, Fort Riley, KS 66442 | 2015-02-23 |
| 1043622954 | Daniel K. Schuerch | Social Worker | 650 Huebner Rd Ofc 4b183, Fort Riley, KS 66442 | 2014-05-27 |
| 1295146223 | Logan Robert Gorges | Emergency Medicine | 814 Marshall Dr, Fort Riley, KS 66442 | 2014-05-13 |
| 1518386127 | Irwin Army Community Hospital | Clinic/Center | Normandy Drive Bldg 7665, Ft Riley, KS 66442 | 2014-04-10 |
| 1326465832 | Irwin Army Community Hospital | Clinic/Center | 7006 Normandy Ave, Ft Riley, KS 66442 | 2014-03-21 |
| 1770905812 | Caryn Deborah Wayne | Physician Assistant | Fort Riley, Apo, AA 66442 | 2014-01-08 |
| 1407282635 | Christopher Dale Zielke | Registered Nurse | 13a Forsyth Ave, Fort Riley, KS 66442 | 2013-09-19 |
| Find all providers in zip 66442 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699320051 | Susanna Luu | Psychologist | 8072 Normandy Dr, Fort Riley, KS 66442-7069 | 2019-08-02 |
| 1992271019 | Rachel L Prokop | Psychologist | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2018-10-16 |
| 1578873766 | Joseph Carmona | Psychologist | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2010-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785852 | Freudhawk Psychological Enterprises, LLC | Psychologist | 1307 E Iron Ave, Salina, KS 67401-3231 | 2020-06-23 |
| 1750914321 | Brian Patrick Russell | Psychologist | 730 New Hampshire St Ste 3m, Lawrence, KS 66044-3174 | 2020-02-21 |
| 1700429982 | Carolyn Sue Pepper | Psychologist | 2614 S 25th St, Leavenworth, KS 66048-4338 | 2019-10-21 |
| 1992355143 | Peabody,inc. | Psychologist | 7381 W 133rd St Ste 203, Overland Park, KS 66213-4777 | 2019-09-18 |
| 1174097042 | Heidi Marie Pontinen | Psychologist | 1901 E First St., Newton, KS 67114-0467 | 2019-01-14 |
| 1295232015 | Connection Therapy, LLC | Psychologist | 309 Happy Hollow St, Vermillion, KS 66544-8633 | 2018-04-09 |
| 1902304116 | Psychological Health Services, LLC | Psychologist | 626 Nebraska Ave, Holton, KS 66436-1462 | 2018-01-23 |
| 1588182885 | Glen M. Harnden | Psychologist | 16970 Grandview St, Overland Park, KS 66085-9376 | 2017-09-07 |
| 1063938850 | Lindsey Marie Backer-fulghum | Psychologist | Wichita State University, Counseling & Testing Center, 1845 Fairmount St., Wichita, KS 67260-0091 | 2017-08-14 |
| 1861913659 | Janelle Jeffrey | Psychologist | 1013 W 8th St Ste A, Junction City, KS 66441-2281 | 2017-06-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT RILEY |
| Zip Code | 66442 |
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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.