DR. JOYCE SCULLY (NPI# 1235151333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235151333 |
| Entity Type | Individual |
| Full Name | DR. JOYCE SCULLY |
| Practice Address |
78 Ski Hill Rd Portage IN 46368-8719 |
| Mailing Address |
78 Ski Hill Road Portage IL 44636 |
| Practice Telephone | 2197817198 |
| Practice Fax Number | 2197637792 |
| Mailing Telephone | 2197817198 |
| Mailing Fax Number | 2197637792 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 20040615 | IN | Behavioral Health & Social Service Providers |
| Street Address |
78 SKI HILL RD |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-8719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593934 | Letetsia Fox | Psychologist | 1400 W Milham Ave, Portage, MI 49024-1209 | 2019-05-17 |
| 1912209156 | Shamika Hall | Psychologist | 7901 S 12th St Ste 201, Portage, MI 49024-3831 | 2010-11-19 |
| 1952597767 | Jayne Fabry, Ptc Associates | Psychologist | 1651 W Centre Ave, Portage, MI 49024-6312 | 2007-09-15 |
| 1437342565 | Emily Walker Sherwood | Psychologist | 1604 Timberlane Dr, Portage, MI 49024-5705 | 2007-08-22 |
| 1083727192 | Lee Carlin Sanders | Psychologist | 10056 Woodlawn Dr, Portage, MI 49002-7207 | 2006-08-16 |
| 1033169008 | Patricia Shull-blood | Psychologist | 5148 Lovers Ln, Suite 200, Portage, MI 49002-1572 | 2006-05-11 |
| 1649245655 | Patricia Ann Lyman | Psychologist | 5220 Lovers Ln, Suite 120, Portage, MI 49002-1599 | 2006-02-22 |
| 1477530392 | Michael V Bloom | Psychologist | 7920 Kirkland Ct, Portage, MI 49024-4974 | 2005-12-30 |
| 1598746778 | James Darrell Cowart | Psychologist | 5100 Lovers Ln, Trestlewood, Bldg. D, Portage, MI 49002-1558 | 2005-11-07 |
| 1073163580 | Michael V Bloom Phd LLC | Psychologist | 7920 Kirkland Ct, Portage, MI 49024-4974 | 2019-09-17 |
| Find all providers in PORTAGE | ||||
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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.