DR. JOANNE KING (NPI# 1114977543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114977543 |
Entity Type | Individual |
Full Name | DR. JOANNE KING |
Credential | PH.D. |
Practice Address |
1900 East Main Street Ptsd Clinic (116a) Danville IL 61822 |
Mailing Address |
1900 East Main Street Ptsd Clinic (116a) Danville IL 61832 |
Practice Telephone | 2175544257 |
Practice Fax Number | 2175544822 |
Mailing Telephone | 2175544257 |
Mailing Fax Number | 2175544822 |
Enumeration Date | 2006-05-10 |
Last Update Date | 2016-05-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
20040950 | IN | Behavioral Health & Social Service Providers |
Y | 103TC1900X |
Psychologist Specialization: Counseling |
20040950A | IN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200177930 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619467438 | Joanne King | Counselor | 1300 N Holopono St Ste 108, Kihei, HI 96753-6946 | 2018-05-16 |
1861909970 | Joanne Marie King | Adult Companion | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2018-01-10 |
1982874418 | Joanne Belle King | Registered Nurse | 401 South Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2008-03-12 |
1215918016 | Joanne Elizabeth King | Nurse Practitioner | 8700 Georgia Ave, Suite 400, Silver Spring, MD 20910-3618 | 2005-11-08 |
Street Address |
1900 EAST MAIN STREET PTSD CLINIC (116A) |
City | DANVILLE |
State | IL |
Zip Code | 61822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235224643 | Tarunkumar Sharadchandra Patel | Internal Medicine | 1900 East Main Street, Danville, IL 61832 | 2006-10-03 |
1881708758 | Jacquelyn Renee Worthington | Dietitian, Registered | 1900 East Main Street, Nutrition and Food Service (120), Danville, IL 61832-5198 | 2006-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
Find all providers in zip 61822 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134437502 | Tammy Ann Fronzaglia | Psychologist | 50 Kirkbride Drive, Danville State Hospital, Danville, PA 17821-9195 | 2010-09-20 |
1891194155 | Allison Leigh Allmon Dixson | Psychologist | 100 N Academy Ave, Danville, PA 17822-9800 | 2014-08-22 |
1528284924 | Thomas A Martin | Psychologist | 307 Mill St, Danville, PA 17821-1966 | 2007-04-17 |
1518024082 | Michael John Otterstedt | Psychologist | 115 Town and Country Dr Ste A, Danville, CA 94526-3960 | 2007-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346849791 | Matthew King | Psychologist | 2500 Galen Dr Ste 4, Champaign, IL 61821-7050 | 2020-10-17 |
1790392439 | Julie Kopf | Psychologist | 1301 S Prospect Ave, Park Ridge, IL 60068-5344 | 2020-09-27 |
1568088771 | Psychological Services Center Inc. | Psychologist | 3110 N Sheffield Ave, Chicago, IL 60657-6700 | 2020-06-23 |
1124652185 | Soffiya A Siddiqui | Psychologist | 3124 Treesdale Ct, Naperville, IL 60564-4609 | 2020-02-28 |
1902437510 | Philip James Cooke | Psychologist | 25 E Washington St Ste 1506, Chicago, IL 60602-1849 | 2020-02-01 |
1356971170 | Greenpath Clinic | Psychologist | 2132 Deep Water Ln Ste 240, Naperville, IL 60564-8565 | 2020-01-21 |
1356971527 | Nubia Janette Guzman | Psychologist | 137 N Oak Park Ave Ste 403, Oak Park, IL 60301-1344 | 2020-01-16 |
1750921078 | Insights Therapeutic Services, LLC | Psychologist | 1820 Ridge Rd Ste 303r, Homewood, IL 60430-1759 | 2020-01-15 |
1316589542 | Katherine Melissa Helm-lewis | Psychologist | Fox Valley Institute, 640 North River Road, Suite 108, Naperville, IL 60423 | 2019-10-09 |
1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
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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.