DR. MARILYN ARLENE NATHAN


Address: 3030 Lake Ave, Fort Wayne, IN 46805-5428
Phone: 2604222838

DR. MARILYN ARLENE NATHAN (NPI# 1225204613) 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) 1225204613
Entity Type Individual
Full Name DR. MARILYN ARLENE NATHAN
Credential PH.D.
Practice Address 3030 Lake Ave
Fort Wayne
IN 46805-5428
Mailing Address 2305 N Kensington Way
Muncie
IN 47304-2484
Practice Telephone 2604222838
Practice Fax Number 2604222840
Mailing Telephone 7652849573
Mailing Fax Number 7657474193
Enumeration Date 2008-05-05
Last Update Date 2008-05-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 20040059A IN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200019410 05

Office Location

Street Address 3030 LAKE AVE
City FORT WAYNE
State IN
Zip Code 46805-5428

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073507745 Thomas P Van Den Driessche Family Medicine 3030 Lake Ave, Suite32, Fort Wayne, IN 46805-5428 2005-09-08
1417494170 Linzie Tuck Behavioral Analyst 3030 Lake Ave, Suite 20, Fort Wayne, IN 46805-5428 2017-01-19
1447587696 Indiana Endocrine Specialist, LLC Clinic/Center 3030 Lake Ave, Suite 17, Fort Wayne, IN 46805-5428 2009-11-09
1538349956 Thomas P Van Den Driessche Family Medicine 3030 Lake Ave, Suite 32, Fort Wayne, IN 46805-5428 2007-11-14
1417156456 Nora Marie Stewart Audiologist-Hearing Aid Fitter 3030 Lake Ave, Suite 23, Fort Wayne, IN 46805-5428 2007-07-11
1093916959 Little Turtle Pediatrics, P.C. Pediatrics 3030 Lake Ave, Suite 10, Fort Wayne, IN 46805-5428 2007-05-29
1780899096 Michael Joseph Luarde Dentist 3030 Lake Ave, Suite 19, Fort Wayne, IN 46805-5428 2007-05-11
1093938102 Interdisciplinary Diagnostic and Evaluation Center, Inc. Clinic/Center 3030 Lake Ave, Suite 7, Fort Wayne, IN 46805-5428 2007-04-10
1790801512 Pediatric & Adult Allergy Asthma & Immunology Specialists, LLC Allergy & Immunology 3030 Lake Ave, Suite 27, Fort Wayne, IN 46805-5428 2007-03-22
1568595999 Pediatrics Center of Fort Wayne, P.C. Pediatrics 3030 Lake Ave, #25a, Fort Wayne, IN 46805-5428 2007-03-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589546 Connor Gemlick Student in an Organized Health Care Education/Training Program 1918 Carew St., Fort Wayne, IN 46805 2020-08-21
1710464086 S.t.a.r. Care Services Clinic/Center 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 2018-07-19
1083122865 Noel Shafi Counselor 3010 East State Boulevard, Fort Wayne, IN 46805 2018-01-16
1063963627 Toni L Irby Specialist 3219 E State Blvd, Fort Wayne, IN 46805 2016-10-19
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1063817104 Michale Diane Rothgeb Physical Therapy Assistant 2200 Randollia Dr, Fort Wayne, IN 46805 2014-10-31
1124435789 Julia I. Mcfann Physical Therapist 2200 Randalia Dr, Fort Wayne, IN 46805 2014-07-16
1083036974 Capital Senior Living Properties 4, Inc. Assisted Living Facility 3320 East State Boulevard, Fort Wayne, IN 46805 2014-01-10
1356772396 Alexander James Medical Supply Durable Medical Equipment & Medical Supplies 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 2013-12-02
1043595689 Randy James Jennings Pharmacist 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 2011-10-14
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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
1134344823 Mary E Locke Phd Hspp LLC Psychologist 7337 W Jefferson Blvd Ste 175, Fort Wayne, IN 46804-6286 2007-04-16
1891818126 John F Newbauer Psychologist 10008 Saint Clairs Retreat, Fort Wayne, IN 46825-2025 2007-04-10
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Competitor

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City FORT WAYNE
Zip Code 46805

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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