JEFF EAGLE (NPI# 1114391745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114391745 |
Entity Type | Individual |
Full Name | JEFF EAGLE |
Credential | PH.D. |
Practice Address |
42 Natka Dr Centerville MA 02632-2710 |
Mailing Address |
Po Box 539 Centerville MA 02632-0539 |
Practice Telephone | 5084201291 |
Mailing Telephone | 5084201291 |
Enumeration Date | 2015-11-19 |
Last Update Date | 2015-11-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
1831 | MA | Behavioral Health & Social Service Providers |
Street Address |
42 NATKA DR |
City | CENTERVILLE |
State | MA |
Zip Code | 02632-2710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144702937 | Samuel Rosier | Physical Therapist | 1600 Falmouth Rd Ste 34, Centerville, MA 02632 | 2018-08-29 |
1326547217 | Stephanie Dufresne | Counselor | 759 Old Strawberry Hill Rd., Centerville, MA 02632 | 2018-02-06 |
1790220838 | Jessie Lacasse | Social Worker | 88 West Main Street, Centerville, MA 02632 | 2016-12-28 |
1235524323 | Allison M. Friberg | Physician Assistant | 1185b Falmouth Road, Centerville, MA 02632 | 2015-04-06 |
1124136361 | Dr. Auger D.d.s. | Dentist | 1480 Falmouth Road, Centetrville, MA 02632 | 2006-08-28 |
1457467888 | Arthur Logan Bence | Social Worker | 161 Harbor Hills Road, Centerville, MA 02632 | 2006-08-21 |
1700999257 | Judith Begelfer Sonner | Social Worker | 1550 Falmouth Rd, Centerville, MA 02632 | 2006-08-17 |
1942299185 | Cape Regency Ma Snf LLC | Skilled Nursing Facility | 120 South Main Street, Centerville, MA 02632 | 2005-10-20 |
1831514405 | Thomas Jared Butler | Counselor | 1185 Falmouth Rd, Centerville, MA 02632 | 2014-02-19 |
1609212620 | James Millard Girard | Counselor | 183 Shootflying Hill Rd, Centeviller, Centerville, MA 02632-1439 | 2013-05-16 |
Find all providers in zip 02632 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568971455 | Kirsten Harrell | Psychologist | 6966 Wembley Cir, Centerville, OH 45459-6209 | 2017-09-24 |
1033428859 | Jeffrey P Lowery Psychologist PC | Psychologist | 1645 Falmouth Rd Ste 10f, Centerville, MA 02632-2936 | 2010-09-28 |
1154466654 | Dene S Berman | Psychologist | 7061 Corporate Way Ste 106, Centerville, OH 45459 | 2007-02-21 |
1376631713 | Southwestern Ohio Behavioral Health,llc | Psychologist | 35 Irongate Park Dr, Centerville, OH 45459-4616 | 2006-10-11 |
1154418903 | Kimberly Shaffer Tate | Psychologist | 35 Iron Gate Park Dr., Centerville, OH 45459-0000 | 2006-10-05 |
1649386301 | David Anthony Lombard | Psychologist | 2717 Miamisburg-centerville Rd., Suite 218, Centerville, OH 45459 | 2006-08-22 |
1447264833 | Ruth E Kauffold | Psychologist | 175 South Main St, Agape Counseling Center, Centerville, OH 45458 | 2006-07-28 |
1093756215 | Ronald H Nelson | Psychologist | 1284 Forest Walk Dr, Centerville, OH 45459-4904 | 2006-06-09 |
1689626327 | Michael Walker Shields | Psychologist | 1645 Falmouth Rd, Bayberry Square Unit E-3, Centerville, MA 02632-2932 | 2006-05-17 |
1003879396 | Success Psych Services, Inc. | Psychologist | 10560 Success Ln, Suite B, Centerville, OH 45458-3697 | 2006-04-08 |
Find all providers in CENTERVILLE |
City | CENTERVILLE |
Zip Code | 02632 |
Please comment or provide details below to improve the information on JEFF EAGLE.
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.