BOBBY ROUSE SR. (NPI# 1144629072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144629072 |
| Entity Type | Individual |
| Full Name | BOBBY ROUSE SR. |
| Credential | PH.D. |
| Practice Address |
5152 Sequoia Rd Memphis TN 38117-2123 |
| Mailing Address |
29 N Star Dr Ste C Jackson TN 38305-6657 |
| Practice Telephone | 9013514649 |
| Mailing Telephone | 7316647949 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
335 | TN | Behavioral Health & Social Service Providers |
| Street Address |
5152 SEQUOIA RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487161691 | Jessica Houston | Psychologist | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2018-01-09 |
| 1700123239 | Khatidja S Ali | Psychologist | 1030 Jefferson Ave, Memphis, TN 38104 | 2013-01-03 |
| 1730205410 | Janet Ewing Panter | Psychologist | 5154 Stage Rd, Suite 102, Memphis, TN 38134-3118 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184193039 | Rebecca Ann Hansmann | Psychologist | 2721 Overhill Cir, Nashville, TN 37214-2819 | 2018-11-21 |
| 1386110112 | Esther Layne | Psychologist | 5466 Chesapeake Dr, Chattanooga, TN 37416-1478 | 2018-10-19 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1629570445 | De'armond Lyshawn Toney | Psychologist | 1903 Payne Rd, Chattanooga, TN 37421-2550 | 2018-03-07 |
| 1255848842 | Kristie M Anderson | Psychologist | 16 Laurel Lake Drive, Monteagle, TN 37356 | 2018-01-04 |
| 1790023505 | Karen Rutledge | Psychologist | 6310 Jan Lane Dr, Harrison, TN 37341-4961 | 2013-01-29 |
| 1538494273 | Jerome H Morton | Psychologist | 349 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 | 2009-10-14 |
| 1184859209 | Sara Jean Mccane-bowling | Psychologist | 10321 Red Water Ln, Knoxville, TN 37932-1580 | 2009-05-19 |
| 1508043084 | Shawn M Stewart | Psychologist | 1231 17th Ave S, Suite A, Nashville, TN 37212-2801 | 2008-01-27 |
| 1104959501 | Michael Thomas Myszka | Psychologist | 4211 Elkins Ave, A, Nashville, TN 37209-3641 | 2007-03-14 |
| Find all providers with the same taxonomy | ||||
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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.