MICHAEL KOLESSAR


Address: 12380 De Paul Dr, Bridgeton, MO 63044-2511
Phone: 3144479705

MICHAEL KOLESSAR (NPI# 1134458201) 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) 1134458201
Entity Type Individual
Full Name MICHAEL KOLESSAR
Credential PSY.D.
Practice Address 12380 De Paul Dr
Bridgeton
MO 63044-2511
Practice Telephone 3144479705
Mailing Telephone 3144479705
Enumeration Date 2009-12-18
Last Update Date 2013-10-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers

Office Location

Street Address 12380 DE PAUL DR
City BRIDGETON
State MO
Zip Code 63044-2511

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316979065 Carol Yvonne Crooks Physical Medicine & Rehabilitation 12380 De Paul Dr, Ssm Rehab Hospital, Bridgeton, MO 63044-2511 2006-07-06
1871107318 Richard A Smith Speech-Language Pathologist 12380 De Paul Dr, Bridgeton, MO 63044-2511 2020-09-02
1720690159 Celsey Louise Royer Occupational Therapist 12380 De Paul Dr, Bridgeton, MO 63044-2511 2020-08-18
1225647027 Jordan Elizabeth Prutzer Physical Therapist 12380 De Paul Dr, Bridgeton, MO 63044-2511 2020-07-28
1033727524 Katherine Bishop Bennington Physical Therapist 12380 De Paul Dr, Bridgeton, MO 63044-2511 2020-07-21
1598382111 Chelsea Ann Dill Speech-Language Pathologist 12380 De Paul Dr, Bridgeton, MO 63044-2511 2020-06-30
1790302289 Jadean Hoff Physical Therapist 12380 De Paul Dr, Bridgeton, MO 63044-2511 2020-06-30
1346864626 Casie Ludwig Occupational Therapist 12380 De Paul Dr, Bridgeton, MO 63044-2511 2020-06-03
1417570219 Emily Claire Leonard Occupational Therapist 12380 De Paul Dr, Bridgeton, MO 63044-2511 2020-05-27
1750900585 Rachel Elizabeth O'bannon Speech-Language Pathologist 12380 De Paul Dr, Bridgeton, MO 63044-2511 2020-04-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073150017 Zoe Marie Wadsworth Nurse Practitioner 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 2019-12-10
1609412451 Beyond Better, Best Home Health Care Services, Limited Liability Corpo In Home Supportive Care 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 2019-11-26
1275189078 Delicate Angels Home Health LLC Home Health 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 2019-08-16
1588210082 Nicholas Huber Physical Therapist 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 2019-08-12
1124688858 Michelle Bassett Registered Nurse 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 2019-06-14
1336703883 Elena A Barrow Nurse Practitioner 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 2019-04-30
1487123105 Laura N Steiner Registered Nurse Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 2018-11-26
1205310950 Danielle Mathis Nurse Practitioner 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 2018-09-19
1588163570 Thoughts Out Loud Counseling, LLC Social Worker 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 2018-02-06
1912411430 Breanna Victoria Hayes Counselor 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 2017-11-20
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043322076 Patricia V. Cooper Clinical Neuropsychologist 12380 Depaul Dr., Ssm Rehabilitation Hospital - Physician's Services, Bridgeton, MO 63044-2588 2006-08-31
1831541200 Kristin Hannah Hinrichs Clinical Neuropsychologist 12380 Depaul Drive, Bridgeton, MO 63044 2016-07-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144873159 Stephanie Ross Potts Clinical Neuropsychologist 1027 Bellevue Ave Ste 142, Saint Louis, MO 63117-1851 2019-07-18
1780127449 Gateway Neuropsychology, LLC Clinical Neuropsychologist 989 Gardenview Office Pkwy, Creve Coeur, MO 63141-5917 2016-11-29
1508259003 Maria Catherine Rothhaar Clinical Neuropsychologist 522 N New Ballas Rd Ste 121, Saint Louis, MO 63141-6820 2015-03-09
1578909925 Sharon Brooks Clinical Neuropsychologist 2209 Potomac Dr, Columbia, MO 65203-5886 2013-05-13
1306190913 Robert L Coffman Clinical Neuropsychologist 1245 N Butterfield Rd Ste C1, Bolivar, MO 65613-3017 2012-11-05
1366790941 Pediatric Neuropsychological Services, LLC Clinical Neuropsychologist 175 S. Marshall, Suite G, Rogersville, MO 65742 2012-08-29
1750612925 Stress Control Center Inc, P C Clinical Neuropsychologist 800 W 47th St Ste 514, Kansas City, MO 64112-1247 2010-01-27
1366694937 Dawn Heather Huber Clinical Neuropsychologist 175 S Marshall St, Suite G, Rogersville, MO 65742-8828 2008-10-15
1689852253 Stacey Woodrome Clinical Neuropsychologist 3800 Park Ave Fl 2, Saint Louis, MO 63110-2514 2008-02-06
1659551406 Wright & Wright, Phd, LLC Clinical Neuropsychologist 16141 Swingley Ridge Rd, Suite 106, Chesterfield, MO 63017-1774 2007-11-09
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Competitor

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City BRIDGETON
Zip Code 63044

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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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