MR. CALVIN HALL JR.


Address: 3101 Rackley Dr, Tallahassee, FL 32305-6737
Phone: 8505241556

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 003235800 05
FL 0032358001 05

Other Providers CALVIN HALL

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

Office Location

Street Address 3101 RACKLEY DR
City TALLAHASSEE
State FL
Zip Code 32305-6737

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

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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
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Competitor

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City TALLAHASSEE
Zip Code 32305

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Dataset Information

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.

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