DR. JOLYN INEZ TATUM (NPI# 1265674709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265674709 |
| Entity Type | Individual |
| Full Name | DR. JOLYN INEZ TATUM |
| Credential | PHD |
| Practice Address |
4881 Sugar Maple Dr. 88th Medical Group Wright Patterson Afb OH 45433 |
| Practice Telephone | 9372576877 |
| Mailing Telephone | 9372576877 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2012-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0004X |
Psychologist Specialization: Health |
B1-0000907 | DE | Behavioral Health & Social Service Providers |
| Street Address |
4881 SUGAR MAPLE DR. 88TH MEDICAL GROUP |
| City | WRIGHT PATTERSON AFB |
| State | OH |
| Zip Code | 45433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336207786 | David Paul Supinski Jr. | Physician Assistant | 4881 Sugar Maple Dr., Er/sgoe, Wright Patterson Afb, OH 45433-0000 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289518 | Sara Lyons | Physician Assistant | 88 Mdj/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2018-06-16 |
| 1073001558 | Mega Margapuram | Student in an Organized Health Care Education/Training Program | 1 Sugar Maple Drive, Dayton, OH 45433 | 2018-04-30 |
| 1437667979 | Michael Peter Dring | Social Worker | Building 830, Credentials Office, 4881 Sugar Maple Rd, Wpafb, OH 45433 | 2018-01-18 |
| 1316486814 | Josiah Hardin | Internal Medicine | 88 Mdos/sgomi, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2017-02-16 |
| 1780137380 | Allison Osterfeld | Pharmacist | 88 Mdg 4881 Suga Maple Dr, Wright Patterson Afb, OH 45433 | 2016-07-29 |
| 1891144283 | Kyle Harris | Student in an Organized Health Care Education/Training Program | 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 | 2016-06-07 |
| 1245601756 | Nichole Griep | Audiologist | 88 Mdg/sgpq, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2015-10-09 |
| 1487021267 | Melanie Schaffer | Dietitian, Registered | 4881 Sugamaple Drive, Wpafb, OH 45433 | 2015-08-27 |
| 1831582261 | Joseph K Wray | General Practice | 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2015-03-10 |
| 1659798031 | Maninder Kaur | Nurse Practitioner | 88 Mdos/sgom, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 | 2014-03-24 |
| Find all providers in zip 45433 | ||||
| Taxonomy Code | 103TH0004X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health |
| The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care. |
| Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952843245 | Carolyn Jean Fisher | Psychologist | 4041 N High St Ste 102b, Columbus, OH 43214-3248 | 2016-11-17 |
| 1619344595 | Joseph Horner | Psychologist | 396 E Meadowlawn Blvd, Seven Hills, OH 44131-2708 | 2015-08-27 |
| 1801442124 | Alexa Kane | Psychologist | 9500 Euclid Ave # U-10, Cleveland, OH 44195-0001 | 2019-08-13 |
| 1497203897 | Jose Luis Moreno | Psychologist | 1670 Upham Dr, Columbus, OH 43210-1250 | 2016-09-14 |
| 1538543491 | Tori Moskovciak Welsh | Psychologist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2015-07-10 |
| 1912306614 | Marjorie Boudreaux | Psychologist | 1430 University Blvd, Hamilton, OH 45011-3315 | 2014-08-19 |
| 1538573738 | Michael J Neeb | Psychologist | 3404 W Sylvania Ave, Toledo, OH 43623-4467 | 2014-06-16 |
| 1932519949 | Human Rhythms Counseling LLC | Psychologist | 571 High St, Worthington, OH 43085-4132 | 2014-04-29 |
| 1073932711 | Mark Price | Psychologist | 8787 Brookpark Rd, Home Based Primary Care, Parma, OH 44129-6809 | 2014-04-09 |
| 1588957344 | Karen P White | Psychologist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2011-05-25 |
| Find all providers with the same taxonomy | ||||
| City | WRIGHT PATTERSON AFB |
| Zip Code | 45433 |
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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.