MARY E LOCKE PHD HSPP LLC


Address: 7337 W Jefferson Blvd Ste 175, Fort Wayne, IN 46804-6286
Phone: 3172721838

MARY E LOCKE PHD HSPP LLC (NPI# 1134344823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134344823
Entity Type Organization
Organization Name MARY E LOCKE PHD HSPP LLC
Practice Address 7337 W Jefferson Blvd Ste 175
Fort Wayne
IN 46804-6286
Practice Telephone 3172721838
Practice Fax Number 3172720072
Mailing Telephone 3172721838
Mailing Fax Number 3172720072
Enumeration Date 2007-04-16
Last Update Date 2020-08-22
Authorized Official Name MARY E LOCKE (PRES)
Authorized Official Telephone 3172721838
Authorized Official Credential PHD HSPP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 20040180 IN Behavioral Health & Social Service Providers

Office Location

Street Address 7337 W JEFFERSON BLVD STE 175
City FORT WAYNE
State IN
Zip Code 46804-6286

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659859619 Tamara N Lombard, Phd, LLC Clinic/Center 7337 W Jefferson Blvd Ste 175, Fort Wayne, IN 46804-6286 2018-08-01
1083952451 Tamara Neubauer Lombard Psychologist 7337 W Jefferson Blvd Ste 175, Fort Wayne, IN 46804 2013-01-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396350344 Derek Mumaw Physical Therapist 8420 Illinois Rd, Fort Wayne, IN 46804 2020-09-15
1942840228 Erin M Mason Behavior Technician 5601 Coventry Ln, Fort Wayne, IN 46804 2020-01-14
1346880879 Emily A Abdalla Behavior Technician 5601 Coventry Ln., Fort Wayne, IN 46804 2020-01-13
1083265433 Fort Wayne Endodontics Dentist 9407 Illinois Rd, Fort Wayne, IN 46804 2019-09-26
1689140949 Harrison Dental Group II, LLC Dentist 1333 Getz Rd, Fort Wayne, IN 46804 2018-10-15
1346731908 Erin Nicole Zimmerman Nurse Practitioner 10170 Illinois Rd # 14, Fort Wayne, IN 46804 2018-05-19
1417446022 Mary Harrington Physical Therapist 3320 Copper Hill Run, Fort Wayne, IN 46804 2018-05-09
1942701214 Joshawa Todd Torres Marriage & Family Therapist 5651 Coventry Ln # 116, Fort Wayne, IN 46804 2018-02-22
1194235408 Mitchell Kory Meyer Specialist/Technologist 9125 Yellow Tree Ct, Fort Wayne, IN 46804 2017-10-02
1902324916 Emily Rene Sagstetter Specialist/Technologist 6034 Liberty Glade Ct, Fort Wayne, IN 46804 2017-08-30
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457998007 Ne Psychological LLC Psychologist 6343 Constitution Dr, Fort Wayne, IN 46804-1547 2019-12-03
1871032862 Fort Wayne Neuropsychology LLC Psychologist 4306 E State Blvd, Fort Wayne, IN 46815-6915 2017-02-23
1003276643 Seiss, LLC Psychologist 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 2016-02-24
1942555628 Erin R. Bowman Psychologist 9910 Dupont Circle Dr E Ste 140, Fort Wayne, IN 46825-1618 2012-07-18
1548420474 Marla J Souder Psychologist 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845-1714 2008-06-13
1891954665 Rachel Mae Miller Psychologist 1300 Airport North Office Park, Fort Wayne, IN 46825-6716 2008-06-05
1265691257 Cook Behavioral Health Clinic, PC Psychologist 7230 Engle Rd Ste 304, Fort Wayne, IN 46804-2209 2008-06-04
1114137080 Candace Louise Martin Psychologist 6319 Constitution Dr, Fort Wayne, IN 46804-1547 2007-05-22
1891818126 John F Newbauer Psychologist 10008 Saint Clairs Retreat, Fort Wayne, IN 46825-2025 2007-04-10
1720145774 Hutner, Inc. Psychologist 3240 Mallard Cove Ln, Fort Wayne, IN 46804-2883 2007-01-02
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Competitor

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City FORT WAYNE
Zip Code 46804

Improve Information

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Dataset Information

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.

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