MARY JANE MULVEY GANDOUR (NPI# 1336117498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336117498 |
| Entity Type | Individual |
| Full Name | MARY JANE MULVEY GANDOUR |
| Credential | MD |
| Practice Address |
2020 Union St Suite 101 Lafayette IN 47904-2694 |
| Mailing Address |
Po Box 4699 Lafayette IN 47903-4699 |
| Practice Telephone | 7654498286 |
| Practice Fax Number | 7654490445 |
| Mailing Telephone | 7654498286 |
| Mailing Fax Number | 7654490445 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 20040331A | IN | Behavioral Health & Social Service Providers |
| Street Address |
2020 UNION ST SUITE 101 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366617896 | Unity Healthcare LLC | Psychologist | 2020 Union St, Suite 101, Lafayette, IN 47904-3432 | 2008-04-25 |
| 1578748554 | Unity Healthcare, LLC | Podiatrist | 2020 Union St, Suite 100, Lafayette, IN 47904-3432 | 2008-01-08 |
| 1518044601 | Lori Siegert Swan | Dermatology | 2020 Union St, Suite 300, Lafayette, IN 47904 | 2006-11-01 |
| 1699727073 | Unity Healthcare, LLC | Psychologist | 2020 Union St, Lafayette, IN 47904-3432 | 2006-05-16 |
| 1063481430 | Robert Norman Phillion | Psychologist | 2020 Union St, Ste 101, Lafayette, IN 47904-3432 | 2006-03-16 |
| 1275502189 | Patricia C Moisan Thomas | Psychologist | 2020 Union St, Ste 101, Lafayette, IN 47904-3432 | 2006-03-14 |
| 1437128410 | James P Hoover | Podiatrist | 2020 Union St, Suite 100, Lafayette, IN 47904-3432 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083116651 | Laura Kathleen Williams | Psychologist | 935 Moraga Rd Ste 215, Lafayette, CA 94549-4562 | 2018-02-28 |
| 1649780958 | Elizabeth Owens | Psychologist | 3468 Mt Diablo Blvd Ste B200, Lafayette, CA 94549-7102 | 2017-10-02 |
| 1598126351 | Acadiana Medical Psychological Services, LLC | Psychologist | 93 Magnate Dr, Lafayette, LA 70508-3840 | 2016-03-08 |
| 1023476892 | Mary L. Freeman, Ph.d. | Psychologist | 601 W Saint Mary Blvd Ste 406, Lafayette, LA 70506-3564 | 2016-02-08 |
| 1457729329 | Elyse Marie Manteris | Psychologist | 582 Beauprez Ave, Lafayette, CO 80026-3455 | 2015-09-09 |
| 1982015764 | Taylor Kathleen Locker | Psychologist | 678b N 36th St, Lafayette, IN 47905-4474 | 2014-05-14 |
| 1013341072 | Christopher David Keiper | Psychologist | 616 S 15th St, Lafayette, IN 47905-1232 | 2013-08-27 |
| 1730468216 | Janine Danniballe | Psychologist | 1245 Ilium Cir, Lafayette, CO 80026-1217 | 2011-08-15 |
| 1750674024 | Louisiana Geriatric Psychological Services, A Professional Corporation | Psychologist | 2851 Johnston St, Suite 313, Lafayette, LA 70503-3243 | 2011-05-19 |
| 1356555874 | Renee Babin Bonin | Psychologist | 200 Beaullieu Dr Bldg 9b-1, Lafayette, LA 70508-7230 | 2007-05-10 |
| Find all providers in LAFAYETTE | ||||
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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.