MELISSA MATHEWS (NPI# 1235339151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NPI NUMBER | 1235339151 | 01 | |
KY | CAQH PROVIDER ID | 12405591 | 01 |
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 |
Street Address |
1300 CAMPBELL LN |
City | BOWLING GREEN |
State | KY |
Zip Code | 42104-4162 |
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 |
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 |
Find all providers in zip 42104 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
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] |
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 |
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 |
Find all providers with the same taxonomy |
City | BOWLING GREEN |
Zip Code | 42104 |
Please comment or provide details below to improve the information on MELISSA MATHEWS.
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.