DR. THEODORE M SHARPE (NPI# 1104040765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104040765 |
| Entity Type | Individual |
| Full Name | DR. THEODORE M SHARPE |
| Credential | PH.D. |
| Practice Address |
2530 Sandcrest Blvd Columbus IN 47203-3047 |
| Mailing Address |
6045 Waterside Dr Columbus IN 47201-3917 |
| Practice Telephone | 8123723177 |
| Mailing Telephone | 8123766075 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20010197A | IN | Behavioral Health & Social Service Providers |
| Street Address |
2530 SANDCREST BLVD |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47203-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194831271 | Dawn Renae Goodman-martin | Counselor | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2006-08-22 |
| 1548593130 | Emory Mills | Social Worker | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2009-09-14 |
| 1225277122 | Frances W Taylor | Counselor | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2009-02-17 |
| 1740453554 | Eugenia Gail Lacey-gengelbach | Social Worker | 2530 Sandcrest Blvd, Columbus, IN 47201 | 2008-04-12 |
| 1679782338 | Amanda Marie Brock | Counselor | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2007-05-21 |
| 1851450001 | Dianne Farrar | Social Worker | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2006-12-06 |
| 1538237714 | Lori A Fowler | Social Worker | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2006-12-04 |
| 1528136652 | Kimberlee Sue Moorer | Counselor | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2006-11-30 |
| 1316013881 | Association of Personal and Family Counselors | Counselor | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2006-11-28 |
| 1265503452 | Lucinda Ann David | Social Worker | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2006-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767955 | Sean Meador | Pharmacist | 3630 31st Street, Columbus, IN 47203 | 2018-04-23 |
| 1013319367 | Sandra Smith | Nurse Practitioner | 2329 North Marr Road, Wow Clinic, Columbus, IN 47203 | 2014-09-18 |
| 1174939680 | Hana Hoffman | Occupational Therapist | 2625 Foxpointe Dr., Suite A, Columbus, IN 47203 | 2014-07-03 |
| 1801219209 | Michelle Ann Ballard | Alzheimer Center (Dementia Center) | 2564 Foxpointe Drive, Keepsake Village, Columbus, IN 47203 | 2014-01-22 |
| 1639454606 | Jaime Denise Miller | Physical Therapist | 2625 Foxpointe Dr. 3a, Columbus, IN 47203 | 2011-10-20 |
| 1538443155 | Jessica Paige Laymon | Social Worker | 1680 Whitney Court, Columbus, IN 47203 | 2011-09-30 |
| 1720375124 | Hannah C Burke | Physical Therapist | 2625 Foxpointe Dr, Columbus, IN 47203 | 2011-07-06 |
| 1033419437 | Patricia J. Lisinski | Physician Assistant | 2510 Sandcrest Drive, Columbus, IN 47203 | 2010-11-01 |
| 1245495175 | David Brent Gadberry | Registered Nurse | 2122 Sumpter Trl, Columbus, IN 47203 | 2008-07-21 |
| 1710003231 | Ellen H Rudolph | Dentist | 3200 Sycamore Ct. Suite 1-c, Columbus, IN 47203 | 2007-03-22 |
| Find all providers in zip 47203 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245522 | Epiphany Psychotherapy & Consultation, LLC | Psychologist | 341 S 3rd St Ste 100-344, Columbus, OH 43215-5463 | 2020-08-11 |
| 1275184723 | Reset Button Counseling LLC | Psychologist | 4041 N High St Ste 300l, Columbus, OH 43214-3200 | 2019-09-26 |
| 1376021022 | Deloveh Psychological Services, LLC | Psychologist | 4041 N High St Ste 300f, Columbus, OH 43214-3200 | 2018-08-04 |
| 1235636697 | Lisa Christian | Psychologist | 460 Medical Center Dr Rm 112, Columbus, OH 43210-1229 | 2018-04-11 |
| 1093226581 | Amanda Conn | Psychologist | 454 E Main St Ste 240, Columbus, OH 43215-5380 | 2017-10-24 |
| 1144749441 | Chelsea Kane | Psychologist | 480 Medical Center Dr Rm 2145, Columbus, OH 43210-1229 | 2017-09-18 |
| 1346769445 | Karla L Delcour | Psychologist | 2200 W. Broad Street, Columbus, OH 43223 | 2017-09-11 |
| 1477003143 | Bethel Olentangy Psychological Services | Psychologist | 4949 Olentangy River Road, Columbus, OH 43214 | 2016-10-06 |
| 1417302209 | Kristen Hurley | Psychologist | 2675 Fox Pointe Dr Ste A, Columbus, IN 47203-3391 | 2016-04-28 |
| 1699135392 | Krystal Marie Hernandez-kane | Psychologist | 620 E Broad St, Columbus, OH 43215-4037 | 2016-02-24 |
| Find all providers in COLUMBUS | ||||
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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.