HEATH H FERVIDA PC (NPI# 1285928176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285928176 |
| Entity Type | Organization |
| Organization Name | HEATH H FERVIDA PC |
| Practice Address |
1930 W Lincoln Ave Goshen IN 46526-5907 |
| Practice Telephone | 5745342161 |
| Practice Fax Number | 5745343887 |
| Mailing Telephone | 5745342161 |
| Mailing Fax Number | 5745343887 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |
| Authorized Official Name | HEATH HERBERT FERVIDA (OWNER) |
| Authorized Official Telephone | 5745342161 |
| Authorized Official Credential | PSYD, HSPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20042483A | IN | Behavioral Health & Social Service Providers |
| Street Address |
1930 W LINCOLN AVE |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017738 | Corie Lynn Kulp | Social Worker | 1930 W Lincoln Ave, Corie Kulp Counseling PC, Goshen, IN 46526-5907 | 2005-07-15 |
| 1114558954 | Carrie Sommer Counseling LLC | Social Worker | 1930 W Lincoln Ave, Goshen, IN 46526-5907 | 2020-01-30 |
| 1558848085 | Amanda R. Einselen, LLC | Counselor | 1930 W Lincoln Ave, Goshen, IN 46526-5907 | 2018-07-26 |
| 1255836094 | Brianna Yoder Counseling PC | Social Worker | 1930 W Lincoln Ave, Goshen, IN 46526-5907 | 2018-03-26 |
| 1639681208 | Carrie Miller Counseling, P.C. | Social Worker | 1930 W Lincoln Ave, Goshen, IN 46526-5907 | 2017-11-03 |
| 1215486360 | Living Well LLC | Social Worker | 1930 W Lincoln Ave, Goshen, IN 46526-5907 | 2016-09-30 |
| 1104299783 | Shirley Claassen Dick LLC | Social Worker | 1930 W Lincoln Ave, Goshen, IN 46526-5907 | 2015-11-04 |
| 1699163972 | Karena Hochstetler | Social Worker | 1930 W Lincoln Ave, Goshen, IN 46526-5907 | 2015-01-08 |
| 1407276405 | Holly Yoder Therapy Services | Social Worker | 1930 W Lincoln Ave, Goshen, IN 46526-5907 | 2014-04-17 |
| 1972843340 | Aaron Detwiler Counseling PC | Social Worker | 1930 W Lincoln Ave, Goshen, IN 46526-5907 | 2013-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508953811 | Vega Lalire | Psychologist | 261 Greenwich Ave, Goshen, NY 10924-2028 | 2006-10-06 |
| 1659477081 | Living Well Behavioral Health, PC | Psychologist | 1908 W Lincoln Ave, Goshen, IN 46526-5907 | 2006-09-15 |
| 1033223474 | Martin Salamack | Psychologist | Valley Behavioral Medicine, 3 Hatfield Lane Suite 1, Goshen, NY 10924 | 2006-08-19 |
| 1629051859 | Sarah J Higley | Psychologist | 2014 Lincolnway E, Suite 3, Goshen, IN 46526-6818 | 2005-11-22 |
| 1356748974 | Vega A. Lalire Psychologist P.C. | Psychologist | 261 Greenwich Ave, Goshen, NY 10924-2028 | 2014-11-25 |
| 1235568825 | Goshen Psychology, Pllc. | Psychologist | 305 Main St, Goshen, NY 10924-1638 | 2013-11-05 |
| 1912282286 | Terri J Brenneman | Psychologist | 1908 W Lincoln Ave, Goshen, IN 46526-5907 | 2011-10-18 |
| 1104139682 | Wade Psychological Services Inc. | Psychologist | 1930 W Lincoln Ave, Goshen, IN 46526-5907 | 2010-07-26 |
| 1043537186 | Douglas M Sanders | Psychologist | 36 Glen Dr, Goshen, NY 10924-1020 | 2010-04-29 |
| 1770738890 | Patricia R Griffin | Psychologist | 11 Webster Ave, Goshen, NY 10924-1545 | 2008-11-18 |
| Find all providers in GOSHEN | ||||
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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.