DR. BRAD MOSSBARGER (NPI# 1265602361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265602361 |
| Entity Type | Individual |
| Full Name | DR. BRAD MOSSBARGER |
| Credential | PH.D. |
| Practice Address |
202 Myers Rd Danville IN 46122-9702 |
| Practice Telephone | 3176280277 |
| Mailing Telephone | 3176280277 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2017-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 20042702A | IN | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20042702A | IN | Behavioral Health & Social Service Providers |
| Street Address |
202 MYERS RD |
| City | DANVILLE |
| State | IN |
| Zip Code | 46122-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801861349 | Patricia R Poindexter | Nurse Practitioner | 202 Myers Rd, Ste 500, Danville, IN 46122-9702 | 2006-02-20 |
| 1194028696 | Pamela Joyce Stachler | Clinical Nurse Specialist | 202 Myers Rd, Danville, IN 46122-9702 | 2010-12-06 |
| 1558674366 | David Polizzi | Counselor | 202 Myers Rd, Danville, IN 46122-9702 | 2010-07-21 |
| 1427225531 | Michelle Christine Lamb | Psychologist | 202 Myers Rd, Danville, IN 46122-9702 | 2008-05-08 |
| 1124299565 | Elizabeth A Polizzi | Psychologist | 202 Myers Rd, Danville, IN 46122-9702 | 2008-03-13 |
| 1184819542 | Tamara M Munoz | Social Worker | 202 Myers Rd, Danville, IN 46122-9702 | 2007-09-10 |
| 1295877900 | Hendricks County Psychotherapy Psc | Registered Nurse | 202 Myers Rd, Danville, IN 46122-9702 | 2007-02-12 |
| 1265537815 | Deborah Maxwell | Social Worker | 202 Myers Rd, Danville, IN 46122-9702 | 2006-09-14 |
| 1881608933 | Philip J Borders | Psychiatry & Neurology | 202 Myers Rd, Danville, IN 46122-9702 | 2006-07-27 |
| 1346284973 | Douglas Mark Mulinix | Psychiatry & Neurology | 202 Myers Rd, Danville, IN 46122-9702 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225520745 | Lilly Finley | Specialist/Technologist | 3571 N County Road 500 E, Danville, IN 46122 | 2018-05-31 |
| 1780180406 | Megan Marie Allison | Physician Assistant | 100 Hospital Ln Ste 105, Danville, IN 46122 | 2018-04-02 |
| 1255745709 | Nichole Louise Drilling | Physician Assistant | 1000 E. Main St., Danville, IN 46122 | 2014-06-12 |
| 1972827335 | Edwin J Jackson Jr. | Internal Medicine | 112 Hospital Ln Ste 303, Danville, IN 46122 | 2010-03-15 |
| 1144424458 | Monet Williams Bowling | Surgery | 112 Hospital Ln Ste 100, Danville, IN 46122 | 2007-06-12 |
| 1205957685 | Tricia L Veach | Day Training/Habilitation Specialist | 1600 E Main St, Box 369 (po), Danville, IN 46122 | 2007-04-03 |
| 1699897645 | Jon Erickson | Dentist | 23 S County Road 200 East, Ste B, Danville, IN 46122 | 2007-04-03 |
| 1982721429 | Shiela M Balensiefer | Specialist | 1600 E Main Street, Danville, IN 46122 | 2007-03-22 |
| 1265514277 | Roberta Marie Gray | Registered Nurse | Hendricks Regional Health Partners In Care, 1000 E Main St, Danville, IN 46122 | 2006-10-19 |
| 1255427886 | John Kingsley Sparzo | Internal Medicine | 1000 E. Main St, Danville, IN 46122 | 2006-10-04 |
| Find all providers in zip 46122 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398220 | Niki Terranova | Psychologist | 1900 E Main St # 11f, Danville, IL 61832-5100 | 2020-08-25 |
| 1184961096 | Kristin D. Fitch | Psychologist | 675 Hartz Ave, Danville, CA 94526-3838 | 2013-01-11 |
| 1679843783 | John W. Raniseski | Psychologist | 204 Stetson Drive, Danville, CA 94506 | 2012-01-05 |
| 1649470279 | Linda Foy Williams | Psychologist | 116 N Walnut St, Danville, IL 61832-4713 | 2007-07-22 |
| 1265648166 | Virginia Irene Luchetti | Psychologist | 1739 Green Valley Rd, Danville, CA 94526-1533 | 2007-05-15 |
| 1649396003 | Richard W Elghammer | Psychologist | 723 N Logan Ave, Danville, IL 61832-4384 | 2007-03-21 |
| 1275681769 | Michiyo Ambrosius | Psychologist | 2491 Tassajara Ln, Danville, CA 94526-4411 | 2007-01-08 |
| 1508923566 | Dwight Rives Murray | Psychologist | 802 Camino Ramon, Apt 102, Danville, CA 94526-4264 | 2007-01-02 |
| 1811051477 | Janice Lynn Alley | Psychologist | 169 Front St, Suite #202, Danville, CA 94526-3321 | 2006-12-20 |
| 1235292178 | Discovery Counseling Center of The San Ramon Valley | Psychologist | 115 Town and Country Dr Ste A, Danville, CA 94526-3960 | 2006-12-19 |
| Find all providers in DANVILLE | ||||
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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.