POLLY BLAKE DUNN (NPI# 1114068855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114068855 |
| Entity Type | Individual |
| Full Name | POLLY BLAKE DUNN |
| Credential | PH.D. |
| Practice Address |
3320 Skyway Dr Suite 801 Opelika AL 36801-7137 |
| Practice Telephone | 3347429102 |
| Practice Fax Number | 3347429103 |
| Mailing Telephone | 3347429102 |
| Mailing Fax Number | 3347429103 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2015-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1041 | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS OF ALA. PROVIDER # | 51504767 | 01 |
| Street Address |
3320 SKYWAY DR SUITE 801 |
| City | OPELIKA |
| State | AL |
| Zip Code | 36801-7137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891788758 | John Forrest Rians | Psychiatry & Neurology | 3320 Skyway Dr, Suite 801, Opelika, AL 36801-7137 | 2005-08-25 |
| 1720514862 | S&l Group Inc. | In Home Supportive Care | 3320 Skyway Dr, Suite 806, Opelika, AL 36801-7137 | 2017-05-10 |
| 1942677513 | Psychological Assessment Center, LLC | Psychologist | 3320 Skyway Dr, #801, Opelika, AL 36801-7137 | 2015-08-29 |
| 1992121297 | Erica Kierce | Clinical Nurse Specialist | 3320 Skyway Dr, Suite 8001, Opelika, AL 36801-7137 | 2014-03-11 |
| 1346576543 | Melissa Rogers Wheeles | Nurse Practitioner | 3320 Skyway Dr, Opelika, AL 36801-7137 | 2009-10-22 |
| 1063746378 | Sandy Whitaker | Nurse Practitioner | 3320 Skyway Dr, Suite 801, Opelika, AL 36801-7137 | 2009-09-21 |
| 1588803811 | East Alabama Endocrinology, P.C. | Specialist | 3320 Skyway Dr, Suite 808, Opelika, AL 36801-7137 | 2009-02-10 |
| 1225208507 | East Alabama Psychiatric | Psychiatry & Neurology | 3320 Skyway Dr, Suite 801, Opelika, AL 36801-7137 | 2008-03-03 |
| 1992847669 | Bantwal Suresh Baliga | Internal Medicine | 3320 Skyway Dr, Suite 808, Opelika, AL 36801-7137 | 2007-02-12 |
| 1356494298 | East Alabama Physicians, LLC | Psychiatry & Neurology | 3320 Skyway Dr, # 801, Opelika, AL 36801-7137 | 2007-01-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407400963 | Paul Simon | Physical Therapist | 3051 Frederick Rd Suite 4, Opelika, AL 36801 | 2019-08-01 |
| 1932662434 | East Alabama Apothecary LLC | Pharmacy | 2501 Village Professional Drive, Suite 2031, Opelika, AL 36801 | 2019-04-11 |
| 1316399108 | Jessica Audrey Haynie | Nurse Practitioner | 2609 Village Prof. Dr., Suite 3, Opelika, AL 36801 | 2016-07-06 |
| 1639574916 | Melissa Shah Kerber | Dentist | 2015 Interstate Drive, Opelika, AL 36801 | 2014-10-28 |
| 1588096200 | Carla Lynn Hudson | Nurse Practitioner | 2420 Village Professional Drive, Opelika, AL 36801 | 2013-08-05 |
| 1528404878 | Baowu Wang | Psychiatry & Neurology | 2506 Lambert Drive, Opelika, AL 36801 | 2013-05-14 |
| 1144566266 | Caremed Inc. | Durable Medical Equipment & Medical Supplies | 702 N Railroad Ave., Opelika, AL 36801 | 2012-12-18 |
| 1659635472 | Meshia Kerry-ann Wallace | Internal Medicine | 2412 Village Professional Dr S, Opelika, AL 36801 | 2012-06-26 |
| 1558651570 | Amanda Mamie Reimer | Psychiatry & Neurology | 2570 Village Professional Park, Opelika, AL 36801 | 2011-04-11 |
| 1356640569 | Mary Neal Gipson | Marriage & Family Therapist | 218 S. 8th St., Opeika, AL 36801 | 2011-03-28 |
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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 |
|---|---|---|---|---|
| 1023240637 | Tommy Palmer | Psychologist | 801 S Railroad Ave Ste 206c, Opelika, AL 36801-4996 | 2009-08-14 |
| 1083710578 | Donald Alva Preslar | Psychologist | 2813 Pepperell Pkwy, Opelika, AL 36801-6125 | 2006-09-15 |
| 1306834916 | William Lee Stutts | Psychologist | 2127 Executive Park Dr, Opelika, AL 36801-6041 | 2005-10-07 |
| 1497182232 | Charles T. Rubio Phd PC | Psychologist | 2101 Executive Park Dr, Opelika, AL 36801-6041 | 2013-10-10 |
| 1639226400 | Peggy Brown Thornton | Psychologist | 2127 Executive Park Dr, Opelika, AL 36801-6041 | 2007-01-04 |
| 1043388028 | Preslar Psychological Services, LLC | Psychologist | 2813 Pepperell Pkwy, Opelika, AL 36801-6125 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520204 | Tricia Witte | Psychologist | 4405 Woodland Hills Dr, Tuscaloosa, AL 35405-5420 | 2020-08-26 |
| 1659906212 | Keisha Wilson | Psychologist | 6573 Kings Branch Dr N, Mobile, AL 36618-4697 | 2020-03-04 |
| 1194284265 | Jeremiah Precious Barnett | Psychologist | 8449 Crossland Loop Ste 121, Montgomery, AL 36117-0919 | 2019-03-18 |
| 1568936102 | Quinton Lamar Agee | Psychologist | 4479 Flagstone Ln, Pinson, AL 35126-3700 | 2019-01-16 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1700387750 | Krista Ruth Mehari | Psychologist | 75 S University Blvd Ucom 2000, Mobile, AL 36688-0001 | 2018-02-26 |
| 1043726482 | Chenetra D Buchannon | Psychologist | 2400 Hospital Rd # 4a-209, Tuskegee, AL 36083-5001 | 2017-12-21 |
| 1265983878 | Claudia Mcdade | Psychologist | 375a Beach Club Trl, 1804, Gulf Shores, AL 36542-8314 | 2016-10-18 |
| 1700332657 | Grace Therapeutic & Counseling Services Inc | Psychologist | 7 East 13th St Suite 225, Anniston, AL 36201 | 2016-08-31 |
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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.