MINDPSI: SCHOOL PSYCHOLOGICAL SERVICES, PLLC (NPI# 1245498872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245498872 |
| Entity Type | Organization |
| Organization Name | MINDPSI: SCHOOL PSYCHOLOGICAL SERVICES, PLLC |
| Practice Address |
1421 Lexington Rd Richmond KY 40475-1059 |
| Practice Telephone | 8593586791 |
| Practice Fax Number | 8596242454 |
| Mailing Telephone | 8593586791 |
| Mailing Fax Number | 8596242454 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2012-02-13 |
| Authorized Official Name | DAN W FLORELL (CEO) |
| Authorized Official Telephone | 8593586791 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM PIN | 000000676498 | 01 |
| Street Address |
1421 LEXINGTON RD |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093920894 | Dan Florell | Psychologist | 1421 Lexington Rd, Richmond, KY 40475-1059 | 2007-05-14 |
| 1619576816 | Nicholas P Hoffmann | Behavior Technician | 1421 Lexington Rd, Richmond, KY 40475-1059 | 2020-10-20 |
| 1073150728 | Steffen Pope Wilson | Behavioral Analyst | 1421 Lexington Rd, Richmond, KY 40475-1059 | 2019-12-02 |
| 1619418092 | Kathryn Thor Boggs | Psychologist | 1421 Lexington Rd, Richmond, KY 40475-1059 | 2017-03-17 |
| 1225403793 | Ruth Kays Bewley | Psychologist | 1421 Lexington Rd, Richmond, KY 40475-1059 | 2015-12-09 |
| 1790159002 | Tracy Lee Mattingly-miller | Counselor | 1421 Lexington Rd, Richmond, KY 40475-1059 | 2015-11-24 |
| 1609269604 | Cynthia Louise Hanson | Psychologist | 1421 Lexington Rd, Richmond, KY 40475-1059 | 2015-03-15 |
| 1538557673 | Michelle Martel | Psychologist | 1421 Lexington Rd, Richmond, KY 40475-1059 | 2014-12-23 |
| 1841422805 | Andrea Hale Strait | Psychologist | 1421 Lexington Rd, Richmond, KY 40475-1059 | 2009-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144796731 | A Step Forward Wellness Services LLC | Psychologist | 2002 Bremo Rd Ste 204, Richmond, VA 23226-2441 | 2018-10-22 |
| 1417435447 | Erin D. Kurtz | Psychologist | 1201 Broad Rock Blvd # 116b, Richmond, VA 23249-0001 | 2018-08-01 |
| 1649762873 | Caitlin Paige Campbell | Psychologist | 1201 Brock Road Blvd, Richmond, VA 23249-0001 | 2018-06-04 |
| 1689195141 | Kimberly Knight Hilton | Psychologist | 2401 Hartman St, Richmond, VA 23223-2458 | 2017-07-05 |
| 1720511504 | Marshall Psychological Services, LLC | Psychologist | 2800 N. Parham Road, Suite 107, Richmond, VA 23294 | 2017-04-07 |
| 1740732981 | Howard Lloyd | Psychologist | 907 Floyd Ave, Richmond, VA 23284-9026 | 2016-11-03 |
| 1679929061 | Elizabeth Meghan Archer Wheeler | Psychologist | 7400 Beaufort Springs Drive, Suite 300, Richmond, VA 23225-3039 | 2016-05-04 |
| 1730558909 | Jodi Suzanne Couick | Psychologist | 3000 Parker Rd, Richmond, CA 94806-2742 | 2015-09-17 |
| 1386024461 | Rosalie Corona | Psychologist | 4730 East Southside Plaza, Richmond, VA 23224 | 2015-06-04 |
| 1649677337 | Yuriy Ustinov | Psychologist | 3 Baker St, Richmond, ME 04357-1387 | 2014-11-25 |
| Find all providers in RICHMOND | ||||
Please comment or provide details below to improve the information on MINDPSI: SCHOOL PSYCHOLOGICAL SERVICES, PLLC.
| 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.