KRISTIN TEASDALE PHD LLC (NPI# 1366932782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366932782 |
| Entity Type | Organization |
| Organization Name | KRISTIN TEASDALE PHD LLC |
| Practice Address |
1201 Wakarusa Dr E2, Suite 102 Lawrence KS 66049 |
| Mailing Address |
1201 Wakarusa Dr Ste E2 Lawrence KS 66049-1892 |
| Practice Telephone | 9132265278 |
| Mailing Telephone | 7854343479 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2019-01-19 |
| Authorized Official Name | KRISTIN TEASDALE (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 7854343479 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1939 | KS | Agencies |
| Street Address |
1201 WAKARUSA DR E2, SUITE 102 |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124013065 | Rhonda A Roy | Nurse Practitioner | 1201 Wakarusa Dr, Suite E2, Lawrence, KS 66049-4722 | 2005-09-16 |
| 1518400043 | Ambika Selvan | Physical Therapy Assistant | 1201 Wakarusa Dr, Suite E-1, Lawrence, KS 66049-4722 | 2016-12-01 |
| 1376910471 | Regain Professional Services | Obstetrics & Gynecology | 1201 Wakarusa Dr, Suite A3, Lawrence, KS 66049-4722 | 2015-08-25 |
| 1851722052 | Natural Hormone Clinic Kansas LLC | Obstetrics & Gynecology | 1201 Wakarusa Dr, Suite A3, Lawrence, KS 66049-4722 | 2013-12-12 |
| 1013287911 | Mikell Adams Dc, Pa | Chiropractor | 1201 Wakarusa Dr, Ste A1, Lawrence, KS 66049-4722 | 2012-01-09 |
| 1629220389 | Professional Renewal Center Pa | Psychologist | 1201 Wakarusa Dr, Suite E200, Lawrence, KS 66049-4722 | 2008-10-14 |
| 1477713832 | Mandle Ozbun Professional Development, LLC | Social Worker | 1201 Wakarusa Dr, Suite E2, Lawrence, KS 66049-4722 | 2008-06-10 |
| 1376643551 | Vickie S Hull | Marriage & Family Therapist | 1201 Wakarusa Dr, Suite E2, #103, Lawrence, KS 66049-4722 | 2006-09-25 |
| 1821194978 | Advanced Specialty Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1201 Wakarusa Dr, Bldg A Suite 3, Lawrence, KS 66049-4722 | 2006-09-16 |
| 1891715579 | Mikell Adams | Chiropractor | 1201 Wakarusa Dr, Ste A1, Lawrence, KS 66049-4722 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724481 | Mt Oread Pharmacy LLC | Pharmacy | 6265 Rock Chalk Drive, Lmh Health West, Suite 1401, Lawrence, KS 66049 | 2020-06-10 |
| 1497382204 | Limestone Eye Care LLC | Optometrist | 4320 W 6th Street, Suite 103, Lawrence, KS 66049 | 2020-03-24 |
| 1053840405 | Garrett Greaves | Physical Therapist | 100 Rock Chalk Lane, Suite 100, Lawrence, KS 66049 | 2017-06-08 |
| 1164971875 | Nicholas Salava | Dentist | 5100 Bob Billings Pkwy Ste 110, Lawrence, KS 66049 | 2016-09-23 |
| 1992163273 | Katherine Kershner | Physical Therapy Assistant | 11311 Wakarusa Dr Ste 1000, Lawrence, KS 66049 | 2016-02-02 |
| 1740670603 | Mary Cabib Tawadros | Family Medicine | 5911 Longleaf Dr., Lawrence, KS 66049 | 2015-01-30 |
| 1972872943 | Jean Alan Sanders | Pathology | 2820 Tomahawk Drive, Lawrence, KS 66049 | 2011-12-21 |
| 1881975563 | Vicki Annette Condra-williams | Counselor | 1123 Stone Meadows Drive, Lawrence, KS 66049 | 2011-09-08 |
| 1225328768 | Mark W Smith | Counselor | 2619 W. 6th St, Suite C, Lawrence, KS 66049 | 2011-04-18 |
| 1164739173 | Laura Elizabeth Reischman | Physical Therapy Assistant | 1305 Wakarusa Drive, Lawrence, KS 66049 | 2010-09-13 |
| Find all providers in zip 66049 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491586 | Lutheran Association of Missionaries and Pilots U.S., Inc. | Community/Behavioral Health | 137 Pawnee Ave, Lawrence, KS 66046-4843 | 2020-09-09 |
| 1306334933 | Jannice Mari Adorno | Community/Behavioral Health | 34 Farnham Street, Lawrence, MA 01843 | 2018-04-30 |
| 1386144285 | Nilson Mata | Community/Behavioral Health | 50 Island St, Lawrence, MA 01840-1868 | 2018-02-16 |
| 1922515899 | The Magnolia Institute, LLC | Community/Behavioral Health | 729 1/2 Massachusetts. St., Suite 215, Lawrence, KS 66044 | 2018-01-02 |
| 1124558390 | Claudia Ysabel Simo | Community/Behavioral Health | 40 Vine St Apt 2, Lawrence, MA 01841-2717 | 2017-06-19 |
| 1649716192 | Professional Treatment Services | Community/Behavioral Health | 3205 Clinton Pkwy Ct, Lawrence, KS 66047-2627 | 2017-01-09 |
| 1932505245 | Professional Comfort Care | Community/Behavioral Health | 1008 Wildwood Dr, Lawrence, KS 66049-3752 | 2014-11-13 |
| 1922305762 | Playful Awareness | Community/Behavioral Health | 1318 Regency Pl Apt 2, Lawrence, KS 66049-4657 | 2011-02-14 |
| 1699088229 | Childrens Friend and Family Services | Community/Behavioral Health | 15 S Union St Ste 557, Lawrence, MA 01843 | 2010-07-25 |
| 1518138817 | Assist LLC | Community/Behavioral Health | 4229 Briarwood Dr, Lawrence, KS 66049-1998 | 2008-03-14 |
| Find all providers in LAWRENCE | ||||
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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.