MS. DEBORAH KAY CLARDY (NPI# 1255472643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255472643 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH KAY CLARDY |
| Other Name | MS. DEBORAH KAY COOK-CLARDY |
| Credential | L.M.H.C. |
| Practice Address |
53846 Generations Dr South Bend IN 46635-1543 |
| Mailing Address |
4308 Hickory Rd Apt. 1-d Mishawaka IN 46545-8529 |
| Practice Telephone | 5742439370 |
| Practice Fax Number | 5742439375 |
| Mailing Telephone | 5743094295 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2015-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39001868A | IN | Behavioral Health & Social Service Providers |
| Street Address |
53846 GENERATIONS DR |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46635-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053735191 | Stephanie Mcpherrin | Counselor | 53846 Generations Dr, South Bend, IN 46635-1543 | 2014-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295078228 | Michael Pfeiffer | Otolaryngology | 6301 University Commons Ste 360, South Bend, IN 46635 | 2013-03-27 |
| 1679833438 | Whitney Moore | Physical Therapy Assistant | 2012 Ironwood Circle, Suite 230, Circle Centre Building, South Bend, IN 46635 | 2012-05-25 |
| 1992917637 | Elly May Wynia | Social Worker | 53700 Generations Drive, Suite 200, South Bend, IN 46635 | 2007-05-04 |
| 1891917282 | Lifetime Dental Careof Indiana, PC | Dentist | 1605 North Ironwood, South Bend, IN 46635 | 2007-05-03 |
| 1750502878 | Tyrone Arteese Armstead | Pharmacist | 3355 Douglas Rd, South Bend, IN 46635 | 2007-05-02 |
| 1013033794 | Bradley Richard Swanson | Dentist | 54505 26th Street, Unit E, South Bend, IN 46635 | 2007-03-22 |
| 1225185739 | Michael J. O'connell D.o. Inc | Family Medicine | 17960 Cleveland Road, South Bend, IN 46635 | 2007-01-05 |
| 1346300365 | Chad Fulton Harrington | Dentist | 3340 Douglas Rd., South Bend, IN 46635 | 2006-12-11 |
| 1346313236 | Dr Shawn R Long Dds PC | Dentist | 16329 State Rd 23, South Bend, IN 46635 | 2006-11-16 |
| 1134206576 | Kearn David Hinchman | Psychiatry & Neurology | 53779 Generations Drive, Suite 1, South Bend, IN 46635 | 2006-11-01 |
| Find all providers in zip 46635 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962917385 | Andrea Eriks | Counselor | 51728 Indiana 933, South Bend, IN 46637-4663 | 2017-12-07 |
| 1497272975 | Audrey Renee Miller | Counselor | 912 E Lasalle Ave, South Bend, IN 46617-2817 | 2017-08-25 |
| 1912429127 | Valerie Galbraith | Counselor | 51728 State Road 933, South Bend, IN 46637-1706 | 2017-07-10 |
| 1851781777 | Beth Madigan | Counselor | 2955 Mckinley Ave Ste C, South Bend, IN 46615-2733 | 2015-01-30 |
| 1982901450 | Jocelyn Margaret Bailey | Counselor | 616 E. Colfax Ave., South Bend, IN 46617-2827 | 2011-02-18 |
| 1629378658 | Lindsay London | Counselor | 3516 E Jefferson Blvd, South Bend, IN 46615-3034 | 2010-10-25 |
| 1902133648 | Martha Denise May | Counselor | 1006 West Robert Bush Drive, South Bend, WA 98586 | 2009-11-16 |
| 1205086246 | Goode Counseling Services | Counselor | 4560 S Ironwood Dr, South Bend, IN 46614-9595 | 2008-09-26 |
| 1326207820 | Geraldne F Bryan | Counselor | 1443 Hampshire Dr, South Bend, IN 46614-6005 | 2008-06-09 |
| 1225223100 | Lisa K. Sexton | Counselor | 205 W Jefferson Blvd, Suite 504, South Bend, IN 46601-1828 | 2007-09-13 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46635 |
Please comment or provide details below to improve the information on MS. DEBORAH KAY CLARDY.
| 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.