MARY ELLEN DEGNAN (NPI# 1205989688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205989688 |
| Entity Type | Individual |
| Full Name | MARY ELLEN DEGNAN |
| Credential | PH.D. |
| Practice Address |
108 E Green Meadows Rd Ste 5 Columbia MO 65203-3633 |
| Mailing Address |
1605 W High Point Ln Columbia MO 65203-8942 |
| Practice Telephone | 5738745188 |
| Mailing Telephone | 5734452754 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY01517 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821328758 | Mary Elizabeth Degnan | Dietitian, Registered | 621 10th St, Niagara Falls, NY 14301-1813 | 2009-12-24 |
| Street Address |
108 E GREEN MEADOWS RD STE 5 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235577503 | Beth Anne Newman Feldman | Psychologist | 11912 Blue February Way, Columbia, MD 21044-4416 | 2013-06-10 |
| 1508913542 | Arnold Stanley Block | Psychologist | 5770 Sterrett Place, Suite 106, Columbia, MD 21044 | 2007-01-04 |
| 1720178239 | Charles Michael Borduin | Psychologist | 211 S. 8th Street, Psychological Services Clinic University of Missouri, Columbia, MO 65211 | 2006-10-13 |
| 1932126760 | Mpb Group, Inc. | Psychologist | 9650 Santiago Rd Ste 11, Columbia, MD 21045-3960 | 2006-07-17 |
| 1053927004 | Kathryn L Marsh | Psychologist | 1505 Blanding St, Columbia, SC 29201-2906 | 2020-09-16 |
| 1235742552 | The Bridge Therapeutic & Evaluation Services, LLC | Psychologist | 7360 Grace Dr, Columbia, MD 21044-2470 | 2020-08-26 |
| 1194213355 | Rose Maura O'donnell | Psychologist | 205 Portland St, Columbia, MO 65201-6521 | 2018-04-24 |
| 1285163378 | Komila Brennan | Psychologist | 9810 Patuxent Woods Dr, Columbia, MD 21046-1595 | 2017-06-12 |
| 1790233666 | Kenneth M. Klebanow, M.d. & Associates, P.a. | Psychologist | 8821 Columbia 100 Pkwy, Columbia, MD 21045 | 2016-09-20 |
| 1639417157 | Emily Powell Lowell | Psychologist | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2013-01-17 |
| Find all providers in COLUMBIA | ||||
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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.