MELISSA MATHEWS


Address: 1300 Campbell Ln, Bowling Green, KY 42104-4162
Phone: 2702878134

MELISSA MATHEWS (NPI# 1235339151) 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) 1235339151
Entity Type Individual
Full Name MELISSA MATHEWS
Credential PH.D
Practice Address 1300 Campbell Ln
Bowling Green
KY 42104-4162
Mailing Address 224 Mark Trl
Bowling Green
KY 42101-9257
Practice Telephone 2702878134
Enumeration Date 2007-07-19
Last Update Date 2018-04-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 129920 KY Behavioral Health & Social Service Providers
N 103G00000X Clinical Neuropsychologist 3366 TN Behavioral Health & Social Service Providers
N 103G00000X Clinical Neuropsychologist 2012-52 KY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NPI NUMBER 1235339151 01
KY CAQH PROVIDER ID 12405591 01

Other Providers MELISSA MATHEWS

NPI Name Taxonomy Address Enumeration
1851805931 Melissa Marie Mathews Case Manager/Care Coordinator 1115 Harber Rd, Grove, OK 74344 2017-11-27
1205371150 Melissa Rae Mathews Nurse Practitioner 810 W Columbia St, Oberlin, KS 67749-2450 2017-01-02

Office Location

Street Address 1300 CAMPBELL LN
City BOWLING GREEN
State KY
Zip Code 42104-4162

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295789295 1300 Campbell Lane Operating Company LLC Rehabilitation Hospital 1300 Campbell Ln, Bowling Green, KY 42104-4162 2006-05-22
1932721354 Brittany Michelle Camp Occupational Therapy Assistant 1300 Campbell Ln, Bowling Green, KY 42104-4162 2020-05-07
1083153241 Andrea Jones Physical Therapist 1300 Campbell Ln, Bowling Green, KY 42104-4162 2017-02-20
1083969083 William David Gill Pharmacist 1300 Campbell Ln, Bowling Green, KY 42104-4162 2012-07-17
1568697811 Susan Bandy Physical Therapy Assistant 1300 Campbell Ln, Bowling Green, KY 42104-4162 2009-05-15
1356509905 Lydia Pauline Cummins Occupational Therapy Assistant 1300 Campbell Ln, Bowling Green, KY 42104-4162 2008-05-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043822042 Ashley Marie Sterchi Speech-Language Pathologist The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 2020-08-20
1093339111 Rachel Marie Held Specialist/Technologist 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 2020-06-04
1043846769 C D S 10 Pharmacy LLC Pharmacy 1308 Ashley Circle, Bowling Green, KY 42104 2020-03-13
1073075792 Applegate Health Services, Inc Clinic/Center 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 2019-04-02
1487122099 Candice Spencer Specialist/Technologist, Other 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 2018-11-13
1053819904 Cumberland Foot and Ankle Centers Orthopaedic Surgery 1850 Westen Street, Bowling Green, KY 42104 2018-01-25
1841731494 Olivia Catherine Sanders Speech-Language Pathologist 954 Aristides Dr, Bowling Green, KY 42104 2017-03-15
1376901488 Trung Trinh Pharmacist 1530 Campbell Lane, Bowling Green, KY 42104 2016-02-03
1225409121 Adam Wesley Baird Optometrist 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 2015-10-18
1851797898 Michelle Leigh King Speech-Language Pathologist 829 Mandarin Ave., Bowling Green, KY 42104 2014-11-18
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982126660 Seigler Psychological Services Clinical Neuropsychologist 1136 S Park Dr Fl 2, Bowling Green, KY 42103-2446 2017-07-13
1780837104 Amelia Jane Anderson-mooney Clinical Neuropsychologist 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 2008-10-29
1114948288 Gilbert Barbee Moore & Mcilvoy Psc Clinical Neuropsychologist 201 Park St, Bowling Green, KY 42101-1759 2006-07-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598124661 Brainworks LLC Clinical Neuropsychologist 101 Wind Haven Dr Ste 202a, Nicholasville, KY 40356-8035 2016-02-18
1235574831 Rachael Maia Yates Clinical Neuropsychologist 50 Gene Cash Road, Campbellsville, KY 42718 2013-05-08
1871899062 Brenda Carol Parker Clinical Neuropsychologist 815 John Harper Rd Unit 13, Pioneer Village, KY 40165-7463 2011-02-04
1437393170 Bradley Scott Folley Clinical Neuropsychologist 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241-2847 2009-04-24
1265689475 Marilyn M. Wagner Ph.d., Psc Clinical Neuropsychologist 105a Crescent Ave, Louisville, KY 40206-1525 2008-08-20
1780865907 Renewed Hope Counseling Center, Pllc Clinical Neuropsychologist 212 Hanna Pl, Frankfort, KY 40601-2719 2007-11-15
1619186467 James Frederick Phifer Clinical Neuropsychologist 440 Breckenridge Lane Ste 124, Louisville, KY 40218 2007-05-21
1508916958 Michael H Cecil Clinical Neuropsychologist 13293 Obannon Station Way, Louisville, KY 40223-4188 2007-01-10
1346399318 Peter Judson Gager Clinical Neuropsychologist 3175 Custer Dr Ste 302b, Lexington, KY 40517-4023 2007-01-09
1861565210 Lacey K Price Clinical Neuropsychologist 711 Millpond Rd, Lexington, KY 40514-1561 2006-11-15
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Competitor

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City BOWLING GREEN
Zip Code 42104

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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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