DR. WANDA HALL-MYERS (NPI# 1083643431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083643431 |
| Entity Type | Individual |
| Full Name | DR. WANDA HALL-MYERS |
| Credential | PH.D. |
| Practice Address |
711 Jefferson Ave Memphis TN 38105-5003 |
| Mailing Address |
2595 Central Ave Memphis TN 38104-5905 |
| Practice Telephone | 9014486511 |
| Practice Fax Number | 9014487097 |
| Mailing Telephone | 9018423160 |
| Mailing Fax Number | 9018422360 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | P0000002394 | TN | Behavioral Health & Social Service Providers |
| Street Address |
711 JEFFERSON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921226 | Ronald Rafael Espinal | Pediatrics | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2005-09-06 |
| 1043822711 | Alexandra Marie Vohs | Psychologist | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2020-08-23 |
| 1487276523 | Shana Jen Crispin | Social Worker | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2020-05-12 |
| 1699305102 | Elizabeth Adams | Psychologist | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2020-01-23 |
| 1023677028 | Katherine Eileen O'bar | Dietitian, Registered | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2019-06-12 |
| 1659831451 | Philip A Norfolk | Psychologist | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2019-03-20 |
| 1780140376 | Takiiah Parker | Behavioral Analyst | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2019-02-19 |
| 1811467731 | Jessica M James | Behavior Technician | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2018-12-04 |
| 1619472065 | Jaime Tolleth | Behavioral Analyst | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2018-03-28 |
| 1255849691 | Michelle Elizabeth Pleasant | Behavior Technician | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2018-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
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| 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 |
|---|---|---|---|---|
| 1750916839 | Deborah Elaine Renard | Psychologist | 1834 Dearing Rd, Memphis, TN 38117-7408 | 2020-03-09 |
| 1598314007 | Christina Mae Martinez | Psychologist | 3415 Valley Park Cv, Memphis, TN 38115-4325 | 2019-09-06 |
| 1386178044 | Cherokee Health Systems | Psychologist | 2547 Frayser Blvd, Memphis, TN 38127-5829 | 2017-04-19 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1225448376 | Alison Gregg Dowd | Psychologist | 1030 Jefferson Ave # 116a4, Memphis, TN 38104-2127 | 2014-04-29 |
| 1346580552 | Bianca Branch | Psychologist | 4166 W Bufford Ellington Dr, Memphis, TN 38111 | 2013-02-25 |
| 1275830648 | Katherine Ruth Hiestand | Psychologist | 1722 Tutwiler Ave, Memphis, TN 38107-4538 | 2011-02-22 |
| 1316249956 | Trisha Marie Nash | Psychologist | 2064 Young Ave, Memphis, TN 38104-5653 | 2010-12-02 |
| 1245560978 | Jasmine Brooke Bradley | Psychologist | 1418 E Crestwood Dr, Memphis, TN 38119-6002 | 2009-12-31 |
| 1144557588 | William B Little Jr. | Psychologist | 5349 Estate Office Dr Ste 3, Memphis, TN 38119 | 2009-11-05 |
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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.