ANDREW MARK KISELICA (NPI# 1104434190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104434190 |
| Entity Type | Individual |
| Full Name | ANDREW MARK KISELICA |
| Practice Address |
115 W Business Loop 70 Columbia MO 65203-3244 |
| Practice Telephone | 5738821561 |
| Practice Fax Number | 5738841889 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
115 W BUSINESS LOOP 70 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-3244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588602239 | Laura Herbig Schopp | Psychologist | 115 W Business Loop 70, Columbia, MO 65203-3244 | 2006-06-03 |
| 1669511564 | Eric Scott Hart | Psychologist | 115 W Business Loop 70, Columbia, MO 65203-3244 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004832 | Kehinde Bolajoko Abioye | Clinical Neuropsychologist | 10420 Little Patuxent Pkwy Ste 250, Columbia, MD 21044-3638 | 2020-05-12 |
| 1801352695 | Capital City Neuropsychology, LLC | Clinical Neuropsychologist | 6000 Garners Ferry Rd Ste 12, Columbia, SC 29209-1303 | 2019-02-16 |
| 1578909925 | Sharon Brooks | Clinical Neuropsychologist | 2209 Potomac Dr, Columbia, MO 65203-5886 | 2013-05-13 |
| 1144411513 | Maureen O'kane Grissom | Clinical Neuropsychologist | Thompson Center, 300 Portland St., Suite, 110, Columbia, MO 65211-0001 | 2007-08-09 |
| 1174686356 | Shawna Blake Kirby | Clinical Neuropsychologist | 1705 Richland St, Columbia, SC 29201-2635 | 2006-12-18 |
| 1750902581 | Yesenia Serrano | Clinical Neuropsychologist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-05-04 |
| 1598137127 | Melissa Blackwell | Clinical Neuropsychologist | 5565 Sterrett Pl, Ste 320, Columbia, MD 21044-2665 | 2015-10-22 |
| 1255762399 | American Psychiatric Group Pa | Clinical Neuropsychologist | 8640 Guilford Rd, Suite 251, Columbia, MD 21046-2655 | 2013-11-27 |
| 1497035612 | Myriam J Sollman | Clinical Neuropsychologist | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2011-08-18 |
| 1538490834 | Elena Theressa Harlan Drewel | Clinical Neuropsychologist | 300 Portland St, Suite 110, Columbia, MO 65201-6569 | 2010-01-26 |
| Find all providers in COLUMBIA | ||||
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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.