KEVIN POLK (NPI# 1376184820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376184820 |
Entity Type | Individual |
Full Name | KEVIN POLK |
Practice Address |
350 Bourbon St Springfield IL 62707-2702 |
Practice Telephone | 2096277677 |
Mailing Telephone | 2096277677 |
Enumeration Date | 2019-10-07 |
Last Update Date | 2019-10-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578719969 | Kevin Lee Polk | Psychologist | 93 Second St, Hallowell, ME 04347-1450 | 2008-08-18 |
Street Address |
350 BOURBON ST |
City | SPRINGFIELD |
State | IL |
Zip Code | 62707-2702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730405051 | Bret Lee Miller | Pharmacist | 3250 Clear Lake Ave, Springfield, IL 62707 | 2010-04-12 |
1740402890 | Bennie Joe Manley | Counselor | 3200 Shaler Road, Springfield, IL 62707 | 2007-05-02 |
1568493336 | Andrea N. Johnson | Counselor | 3270 Moore Rd, Springfield, IL 62707-2515 | 2006-07-06 |
1205050192 | Amaretta Marie Gilmer | Speech-Language Pathologist | 4046 Mcconnell Ct, Springfield, IL 62707-3018 | 2007-04-12 |
1376766204 | Marcia H. Bunchman | Speech-Language Pathologist | 34 Cabin Smoke Trl, Springfield, IL 62707-4509 | 2007-04-10 |
1205027026 | Christie M Davis | Physical Therapist | 51 Frontier Lake Dr, Springfield, IL 62707-7726 | 2007-08-06 |
1912975160 | Harold Jay Bruninga | Ophthalmology | 900 Capital Airport Dr, Springfield, IL 62707-8410 | 2006-03-12 |
1982044889 | Stouffer Clinical Counseling & Consulting LLC | Community/Behavioral Health | 900 Capital Airport Dr, Springfield, IL 62707-8410 | 2013-06-25 |
1407296395 | Kevin R Stouffer | Counselor | 900 Capital Airport Dr, Springfield, IL 62707-8410 | 2013-06-25 |
1841810512 | Kathleen Dawn Nicholson-schahl | Occupational Therapist | 920 Estill Dr, Springfield, IL 62707-8561 | 2020-04-22 |
Find all providers in zip 62707 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033655535 | Jeffrey Bentley | Marriage & Family Therapist | 61 Woodlawn St, Springfield, MA 01108-3064 | 2017-01-09 |
1366815722 | Megyn Wilson | Marriage & Family Therapist | 575 Shrine Rd, Springfield, OH 45504-3927 | 2015-11-06 |
1871928119 | David Brown | Marriage & Family Therapist | 1931 E Cherry St, Springfield, MO 65802 | 2013-09-05 |
1013126986 | Kristi Palmer Kaag | Marriage & Family Therapist | 1863 Pioneer Pkwy E, #304, Springfield, OR 97477-3907 | 2007-05-21 |
1457569832 | Leslie R Lovestead | Marriage & Family Therapist | 8510 Wild Spruce Dr, Springfield, VA 22153-1800 | 2007-05-18 |
1902995467 | Kristin N Ong I | Marriage & Family Therapist | 8000 Forbes Pl, Springfield, VA 22151-2200 | 2006-10-12 |
1316048499 | Judith Ellen Ruff | Marriage & Family Therapist | 120 South 11th St, Catholic Charities, Springfield, IL 62703 | 2006-09-25 |
1467559187 | Howard Daniel Cameron | Marriage & Family Therapist | 3023 S Fort Ave, Suite B, Springfield, MO 65807-4272 | 2006-09-17 |
1457457095 | Carrin Brandt | Marriage & Family Therapist | 7314 Beechwood Dr, Springfield, VA 22153-2336 | 2006-09-14 |
1487759148 | Kay F Klinkenberg | Marriage & Family Therapist | 1124 South Fifth St, Springfield, IL 62703 | 2006-09-14 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 62707 |
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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.