DR. AMY NICOLE HEBB (NPI# 1366729295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366729295 |
Entity Type | Individual |
Full Name | DR. AMY NICOLE HEBB |
Credential | PSY.D. |
Practice Address |
65 Professional Place Suite 101 Bridgeport WV 26330 |
Practice Telephone | 3048426463 |
Practice Fax Number | 3048428180 |
Mailing Telephone | 3048426463 |
Enumeration Date | 2011-11-06 |
Last Update Date | 2014-04-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
1038 | WV | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 3810022680 | 05 |
Street Address |
65 PROFESSIONAL PLACE SUITE 101 |
City | BRIDGEPORT |
State | WV |
Zip Code | 26330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023370434 | Healing Minds Clinic, Pllc | Psychologist | 65 Professional Place, Suite 101, Bridgeport, WV 26330 | 2012-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
Find all providers in zip 26330 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598209322 | Scott Somerville | Psychologist | 1635 Central Avenue, Bridgeport, CT 06610-2717 | 2016-12-13 |
1164809638 | Robert Victor Leydon | Psychologist | 141 State St, Bridgeport, WV 26330-1375 | 2015-05-04 |
1275945537 | Hinkle Counseling & Psychological Center, Pllc | Psychologist | 147 E Main St, Bridgeport, WV 26330-1755 | 2014-05-21 |
1023370434 | Healing Minds Clinic, Pllc | Psychologist | 65 Professional Place, Suite 101, Bridgeport, WV 26330 | 2012-06-12 |
1770802886 | Psychological Associates LLC | Psychologist | 2157 North Ave, Bridgeport, CT 06604-2438 | 2010-05-28 |
1295912467 | Laura Matefy | Psychologist | 2157 North Ave, Bridgeport, CT 06604-2438 | 2008-01-29 |
1639387111 | William Joseph Hass | Psychologist | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2007-05-18 |
1194855858 | Daniel Wartenberg | Psychologist | 1635 Central Avenue, Southwest Connecticut Mental Health System, Bridgeport, CT 06610 | 2007-03-06 |
1225173131 | Robert Emil Matefy | Psychologist | 2157 North Ave, Bridgeport, CT 06604 | 2007-02-20 |
1154469666 | Sundar Ramaswami | Psychologist | 1635 Central Avenue, Southwest Connecticut Mental Health System, Bridgeport, CT 06610 | 2007-02-05 |
Find all providers in BRIDGEPORT |
City | BRIDGEPORT |
Zip Code | 26330 |
Please comment or provide details below to improve the information on DR. AMY NICOLE HEBB.
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.