DR. MICHAEL DAVID HORNER (NPI# 1275630600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275630600 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DAVID HORNER |
| Credential | PH.D. |
| Practice Address |
109 Bee St. Mental Health (116), Vamc Charleston SC 29401-5799 |
| Practice Telephone | 8435775011 |
| Mailing Telephone | 8435775011 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 614 | SC | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
614 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017749 | Michael Horner | Physician Assistant | 1 University Pkwy # 70, High Point, NC 27268-0002 | 2020-09-09 |
| 1043208556 | Michael Joseph Horner | Pharmacist | 132 W Mahoning St, Punxsutawney, PA 15767-2017 | 2005-10-10 |
| 1104283209 | Michael Brian Horner | Pharmacist | 920 Church St N, Inpatient Pharmacy, Concord, NC 28025-2927 | 2016-01-20 |
| 1821483256 | Michael Horner Jr. | Emergency Medicine | 1 Medical Center Drive, Morgantown, WV 26506 | 2015-04-02 |
| 1225239148 | Michael Neil Horner | Physical Medicine & Rehabilitation | 660 Golden Ridge Rd, Ste. 250, Golden, CO 80401-9541 | 2007-05-29 |
| 1396726279 | Michael R Horner | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-11-08 |
| Street Address |
109 BEE ST. MENTAL HEALTH (116), VAMC |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29401-5799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730116021 | Gearin Elizabeth Broderick | Specialist | 109 Bee St., Charleston, SC 29401 | 2006-06-26 |
| 1528517711 | Ralph H. Johnson Va Medical Center | Military Hospital | 109 Bee St., Charleston, SC 29401 | 2016-09-28 |
| 1982819538 | Peter Tuerk | Psychologist | 109 Bee St., Charleston, SC 29401-5799 | 2007-05-14 |
| 1770516163 | David Mark Countryman | Surgery | 109 Bee St., Dept of Surgery (112) Charleston Va Medical Center, Charleston, SC 29401 | 2006-07-08 |
| 1619909785 | Zhewu J Wang | Psychiatry & Neurology | 109 Bee St., Charleston, SC 29401 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162873 | Jonathan Hayes | Registered Nurse | 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 | 2017-09-05 |
| 1659724904 | M & M Lineberger Dds Ms Pa | Dentist | 347 N. Caswell, Charlotte, NC 29401 | 2016-07-21 |
| 1619375185 | Zach Adams | Specialist/Technologist | 301 Meeting Street, Charleston, SC 29401 | 2014-12-15 |
| 1528469723 | Linda Graber | Occupational Therapist | 75 Calhoun Street, Charleston County Schools, Charleston, SC 29401 | 2014-09-08 |
| 1427497858 | Erika Lynn Wilson | Mechanotherapist | 310 King Street, Charleston, SC 29401 | 2013-06-19 |
| 1730525460 | Mary Beth Hill | Psychologist | 75 Cahoun Street, Charleston, SC 29401 | 2013-05-21 |
| 1699019810 | Chs Psychiatric Associates LLC | Psychiatric Hospital | 255 King Street #8, Charleston, SC 29401 | 2012-11-15 |
| 1255681581 | Parul Olivia Earley | Pharmacist | 59 George St., Charleston, SC 29401 | 2012-09-13 |
| 1669760815 | Dana Leigh Chiulli | Pharmacist | 109 Bee Street (119), Charleston, SC 29401 | 2011-07-20 |
| 1295028959 | Kathleen Anne Waters | Nurse Practitioner | Charleston Center, 5 Charleston Center Drive, Charleston, SC 29401 | 2011-05-26 |
| Find all providers in zip 29401 | ||||
| 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 |
|---|---|---|---|---|
| 1184132193 | South Carolina Neuro, LLC | Clinical Neuropsychologist | 29 Leinbach Drive, D4, Charleston, SC 29407-7086 | 2018-01-12 |
| 1427261783 | Charleston Psychiatry | Clinical Neuropsychologist | 9929 F University Blvd, 2 B, Charleston, SC 29406 | 2007-05-07 |
| 1447206941 | C. David Blair | Clinical Neuropsychologist | 179 Summers St, Suite 706, Charleston, WV 25301-2163 | 2006-05-26 |
| 1528670304 | Heather Holden | Clinical Neuropsychologist | 109 Bee St, Charleston, SC 29401-5703 | 2020-08-21 |
| 1902428725 | Emmi Scott | Clinical Neuropsychologist | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-05-14 |
| 1649769431 | Danielle L. Cool | Clinical Neuropsychologist | 109 Bee St, Charleston, SC 29401-5703 | 2018-05-07 |
| 1922536598 | Dana M Szeles | Clinical Neuropsychologist | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2017-05-26 |
| 1831575083 | Margaret B Hudepohl | Clinical Neuropsychologist | 171 Ashley Ave, Charleston, SC 29425-1873 | 2015-08-10 |
| 1487088894 | Andreana Benitez | Clinical Neuropsychologist | 171 Ashley Ave, Charleston, SC 29425-8908 | 2013-08-22 |
| 1548599160 | Jeffrey James Schneider | Clinical Neuropsychologist | 109 Bee St, Compensation and Pension, Charleston, SC 29401-5703 | 2009-12-10 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29401 |
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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.