MR. CALVIN HALL JR. (NPI# 1104268952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104268952 |
Entity Type | Individual |
Full Name | MR. CALVIN HALL JR. |
Practice Address |
3101 Rackley Dr Tallahassee FL 32305-6737 |
Practice Telephone | 8505241556 |
Mailing Telephone | 8505241556 |
Enumeration Date | 2013-07-22 |
Last Update Date | 2013-07-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
FL | Behavioral Health & Social Service Providers | |
Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
N | 172V00000X | Community Health Worker | FL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 003235800 | 05 | |
FL | 0032358001 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164752309 | Calvin L Hall | Counselor | 10908 Grandview Ave, Cleveland, OH 44104-3529 | 2010-01-11 |
1992781702 | Calvin Hall Jr. | Internal Medicine | 2600 S Michigan Ave, Suite 403, Chicago, IL 60616-2857 | 2005-12-22 |
Street Address |
3101 RACKLEY DR |
City | TALLAHASSEE |
State | FL |
Zip Code | 32305-6737 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275096166 | Disc Village, Inc. | Community/Behavioral Health | 2814 Twelve Step Way, Tallahassee, FL 32305 | 2019-04-09 |
1104393610 | Talina N White Williams | Nurse Practitioner | 1334 Tuscaloosa Trace, Tallahassee, FL 32305 | 2018-11-01 |
1679054134 | Adriane Mcford Green | Custodial Care Facility | 218 Daffodil Circle, Tallahassee, FL 32305 | 2018-08-23 |
1497285209 | Anita Johnson Jackson | Case Manager/Care Coordinator | 3204 N Ridge Rd, Tallahassee, FL 32305 | 2017-06-14 |
1972840593 | Thomas Anderson Bevis | Pharmacist | 5032 Cap Cir Sw, Tallahassee, FL 32305 | 2013-01-16 |
1487884755 | Aracely Garcia | Dentist | Ejercito Nacinal 6325, Cd. Juarez, CHIHUAHUA 32305 | 2009-07-21 |
1851854954 | Disc Village, Inc. | Community/Behavioral Health | 10942 Recovery Way, Tallahassee, FL 32305 | 2019-04-08 |
1386703676 | The Devereux Foundation | Clinic/Center | 2967 Natural Bridge Rd, Tallahassee, FL 32305 | 2006-12-06 |
1558890251 | Peronica Rena Lindsey | Clinic/Center | 3983 Wilford Rd, Tallahassee, FL 32305-0500 | 2017-06-06 |
1699976092 | Latunya Hollis Howard | Nurse's Aide | 4768 Woodville Hwy, Apt 1733, Tallahassee, FL 32305-0908 | 2007-05-31 |
Find all providers in zip 32305 |
Taxonomy Code | 103TM1800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Mental Retardation & Developmental Disabilities |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316557630 | Nicole Felicia Felton | Psychologist | 9267 Canary Ivy Ln, Jacksonville, FL 32219-6001 | 2020-08-01 |
1962012310 | Wesley Green | Psychologist | 3340 Lake Center Dr Apt 12107, Mount Dora, FL 32757-2378 | 2020-07-31 |
1235748500 | Ruth J Keili | Psychologist | 3562 Old Village Dr, Orange Park, FL 32065-5521 | 2020-07-23 |
1609410059 | Barbara Ann Davis | Psychologist | 1324 Fairway Village Dr, Fleming Island, FL 32003-8398 | 2019-10-29 |
1417599531 | Bernice L Walker | Psychologist | 2449 Bracknell Forest Trl, Tavares, FL 32778-5706 | 2019-10-09 |
1013572304 | Alf 8860 Adrd Training Provider LLC. | Psychologist | 7990 Baymeadows Rd E Unit 1001, Jacksonville, FL 32256-2977 | 2019-05-02 |
1114497278 | Tayana Washington | Psychologist | 2008 Se 45th Terr, Gainesville, FL 32641-3264 | 2018-12-03 |
1598251795 | Tez-mia Kimberly Gray | Psychologist | 1100 Lime St Apt 28, Fernandina Beach, FL 32034-4417 | 2018-07-11 |
1205331881 | Tyric Lamont Drummond | Psychologist | 990 62nd Ter S, Saint Petersburg, FL 33705-5819 | 2018-03-27 |
1669973640 | Tanya Delanie Samuels | Psychologist | 502 Camino Real Ct Apt A, Brandon, FL 33510-3704 | 2018-02-23 |
Find all providers with the same taxonomy |
City | TALLAHASSEE |
Zip Code | 32305 |
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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.