SANDRA MEDLEY (NPI# 1114322120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114322120 |
| Entity Type | Individual |
| Full Name | SANDRA MEDLEY |
| Credential | PH.D. |
| Practice Address |
2441 S Highway 27 Somerset KY 42501-2935 |
| Practice Telephone | 6062192755 |
| Mailing Telephone | 6062192755 |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | KY-1246 | KY | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
KY-1246 | KY | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
KY-1246 | KY | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
KY-1246 | KY | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
KY-1246 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558829549 | Sandra Maria Medley | Registered Nurse | 44695 Forest Trail Dr, Canton, MI 48187-1704 | 2019-03-08 |
| Street Address |
2441 S HIGHWAY 27 |
| City | SOMERSET |
| State | KY |
| Zip Code | 42501-2935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235283987 | Alberto M. Jayme | General Practice | 2441 S Highway 27, Somerset, KY 42501-2935 | 2007-01-22 |
| 1235738642 | Jessica Michelle Lane | Physical Therapy Assistant | 2441 S Highway 27, Somerset, KY 42501-2935 | 2020-10-19 |
| 1730749789 | Kimberley Kavanaugh Goodloe | Psychologist | 2441 S Highway 27, Somerset, KY 42501-2935 | 2019-06-20 |
| 1205307675 | Alternative Health Solutions LLC | Nurse Practitioner | 2441 S Highway 27, Somerset, KY 42501-2935 | 2018-12-11 |
| 1558848291 | Karen Lynn Freund | Nurse Practitioner | 2441 S Highway 27, Somerset, KY 42501 | 2018-07-25 |
| 1841726817 | Bluegrass Oakwood | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2441 S Highway 27, Somerset, KY 42501-2935 | 2017-05-11 |
| 1396298113 | Jacob Powell | Behavioral Analyst | 2441 S Highway 27, Somerset, KY 42501-2935 | 2016-07-28 |
| 1740685759 | Lisa Stringer | Psychologist | 2441 S Highway 27, Somerset, KY 42501-2935 | 2014-11-03 |
| 1750786893 | Cindy Barker | Psychologist | 2441 S Highway 27, Somerset, KY 42501-2935 | 2014-10-31 |
| 1457768699 | Stacy Back | Dietitian, Registered | 2441 S Highway 27, Somerset, KY 42501-2935 | 2014-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
| 1043790983 | Lakeside Primary Care, Psc | Nurse Practitioner | 6470 S Hwy 27, Somerset, KY 42501 | 2018-08-20 |
| 1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
| 1174052534 | Gina Marie West | Case Manager/Care Coordinator | 100 Hardin Lane Suite 3, Somerset, KY 42501 | 2017-06-08 |
| 1790216935 | Jackie Bruecken | Hearing Instrument Specialist | 3311 S. Highway 27, Somerset, KY 42501 | 2017-03-21 |
| 1609326404 | Adam Michael Prather | Physical Therapist | 2835 South Highway Us 27, Suite 286b, Somerset, KY 42501 | 2016-10-05 |
| 1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
| 1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
| 1508214677 | Aaron Atwood | Counselor | 3810 S Highway 27 Ste 4, Somerset, KY 42501 | 2016-05-31 |
| 1598136897 | Elizabeth Miller | Occupational Therapist | 303 Second Street, Somerset, KY 42501 | 2015-10-13 |
| Find all providers in zip 42501 | ||||
| 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 |
|---|---|---|---|---|
| 1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
| 1194101113 | The Tranquil Mind Institute | Psychologist | 30 Chestnut Circle, Somerset, NJ 08873 | 2015-07-31 |
| 1194149120 | Peter Donnelly | Psychologist | 159 Oakland Ave, Somerset, NJ 08873-1949 | 2014-02-11 |
| 1447690342 | Joseph J Ferrito | Psychologist | 35 Clyde Rd Ste 101, Somerset, NJ 08873-5033 | 2013-06-25 |
| 1265782312 | Dennis Michael Scholl | Psychologist | 8036 W Dixon Rd, Somerset, TX 78069-3503 | 2012-09-17 |
| 1629194659 | Lauren Picciano | Psychologist | 31 Clyde Rd, Suite 201, Somerset, NJ 08873-5047 | 2007-03-21 |
| 1689712234 | Martin Tashman | Psychologist | 25 Oakbrook Pl, Somerset, NJ 08873-2015 | 2007-02-02 |
| 1386712511 | Dennis Michael Kashurba | Psychologist | 113 S Center Ave, Somerset, PA 15501-2057 | 2006-12-04 |
| 1619045259 | Sybil G Reid | Psychologist | 107 104 Cedar Grove Dr, Somerset, NJ 08873 | 2006-12-01 |
| 1962583070 | Paula Selkow | Psychologist | 1824 Amwell Rd, Somerset, NJ 08873-2790 | 2006-10-17 |
| Find all providers in SOMERSET | ||||
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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.