MAX O. STURDIVANT JR. (NPI# 1194228841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194228841 |
| Entity Type | Individual |
| Full Name | MAX O. STURDIVANT JR. |
| Practice Address |
735 North Dr Hopkinsville KY 42240-2620 |
| Mailing Address |
Po Box 614 Hopkinsville KY 42241-0614 |
| Practice Telephone | 2708865163 |
| Practice Fax Number | 2708860392 |
| Mailing Telephone | 2708862205 |
| Mailing Fax Number | 2708860392 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
171233 | KY | Behavioral Health & Social Service Providers |
| Street Address |
735 NORTH DR |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457335903 | Susan Renee Vaught | Clinical Neuropsychologist | 735 North Dr, Hopkinsville, KY 42240-2620 | 2005-11-29 |
| 1801493143 | Ashley Mesha Mckee | Case Manager/Care Coordinator | 735 North Dr, Hopkinsville, KY 42240-2620 | 2020-10-08 |
| 1427663095 | Travis Wade Flener | Case Manager/Care Coordinator | 735 North Dr, Hopkinsville, KY 42240-2620 | 2020-09-10 |
| 1457986093 | Brenden Murphy | Social Worker | 735 North Dr, Hopkinsville, KY 42240-2620 | 2020-03-04 |
| 1710519590 | Jenae Bailey | Case Manager/Care Coordinator | 735 North Dr, Hopkinsville, KY 42240-2620 | 2020-02-10 |
| 1700421328 | Dustin Ryan Clark | Case Manager/Care Coordinator | 735 North Dr, Hopkinsville, KY 42240-2620 | 2019-11-07 |
| 1508415324 | Ashlie Deserai Staples | Counselor | 735 North Dr, Hopkinsville, KY 42240-2620 | 2019-09-04 |
| 1528616927 | Sarah Elaine Watts | Counselor | 735 North Dr, Hopkinsville, KY 42240 | 2019-08-28 |
| 1003461013 | Rebecca Girlinghouse | Student in an Organized Health Care Education/Training Program | 735 North Dr, Hopkinsville, KY 42240-2620 | 2019-08-06 |
| 1356995781 | Pennyroyal Regional Mental Health-mental Retardation Board Inc | Community/Behavioral Health | 735 North Dr, Hopkinsville, KY 42240-2620 | 2019-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219014 | Wonderland Express LLC | Counselor | 1009 E 9th St, Hopkinsville, KY 42240-4201 | 2020-03-06 |
| 1457897233 | Yvette Smith | Counselor | 290 Burley Ave, Hopkinsville, KY 42240-8725 | 2017-01-17 |
| 1568886976 | Anthony Todd Radford | Counselor | 319 Linda Dr, Hopkinsville, KY 42240-3980 | 2014-02-06 |
| 1205445947 | Austin Derden | Counselor | 216 W 7th St, Hopkinsville, KY 42240-2104 | 2020-07-29 |
| 1508415324 | Ashlie Deserai Staples | Counselor | 735 North Dr, Hopkinsville, KY 42240-2620 | 2019-09-04 |
| 1699269563 | Ashley Charice Mcgowan | Counselor | 607 Hammond Plz, Hopkinsville, KY 42240-4971 | 2018-06-14 |
| 1437641859 | Carolyn D. Carter | Counselor | 737b North Drive, Hopkinsville, KY 42240 | 2018-06-01 |
| 1689187973 | Ronetra Monay Ratcliff | Counselor | 735 North Dr, Hopkinsville, KY 42240-2620 | 2017-11-09 |
| 1467982660 | Sherry Kaye Newton | Counselor | 290 Burley Ave, Hopkinsville, KY 42240 | 2017-06-20 |
| 1225574460 | Amber R Galland | Counselor | 607 Hammond Plz, Hopkinsville, KY 42240 | 2017-01-11 |
| Find all providers in HOPKINSVILLE | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
Please comment or provide details below to improve the information on MAX O. STURDIVANT JR..
| 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.