DR. TINA MARCELLE FOUNTAIN


Address: 1131 Airport Rd, Milford, DE 19963-6418
Phone: 4434772156

DR. TINA MARCELLE FOUNTAIN (NPI# 1427300466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427300466
Entity Type Individual
Full Name DR. TINA MARCELLE FOUNTAIN
Practice Address 1131 Airport Rd
Milford
DE 19963-6418
Mailing Address 85 Abigail Ln
Magnolia
DE 19962-3251
Practice Telephone 4434772156
Mailing Telephone 4434772156
Enumeration Date 2012-10-15
Last Update Date 2013-04-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist 018018-1 NY Behavioral Health & Social Service Providers
Y 103T00000X Psychologist B1-0000807 DE Behavioral Health & Social Service Providers

Other Providers TINA FOUNTAIN

NPI Name Taxonomy Address Enumeration
1417944992 Tina M. Fountain Social Worker 2006 Bremo Rd, Suite 101, Richmond, VA 23226-2438 2005-09-30

Office Location

Street Address 1131 AIRPORT RD
City MILFORD
State DE
Zip Code 19963-6418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336140722 Kathryn Nichols Social Worker 1131 Airport Rd, Milford, DE 19963-6418 2005-08-09
1316571763 Karen Susan Judd Social Worker 1131 Airport Rd, Milford, DE 19963-6418 2020-02-25
1063954808 Andrea Mancini-smith Counselor 1131 Airport Rd, Milford, DE 19963-6418 2016-11-10
1538547930 Elizabeth Suarez Kuneman Psychologist 1131 Airport Rd, Milford, DE 19963-6418 2015-05-18
1851783328 Rebecca Joy Brandt Social Worker 1131 Airport Rd, Milford, DE 19963-6418 2015-02-20
1972932127 Amanda Webb Social Worker 1131 Airport Rd, Milford, DE 19963-6418 2013-11-08
1003174335 Teri F Isabella Counselor 1131 Airport Rd, Milford, DE 19963-6418 2012-04-24
1093032088 Amanda Claire Osgood Counselor 1131 Airport Rd, Milford, DE 19963-6418 2010-04-29
1750541413 Beverly Dawn Lawson Counselor 1131 Airport Rd, Milford, DE 19963-6418 2008-06-16
1265691265 Barbara Jeanne Stanley Nurse Practitioner 1131 Airport Rd, Milford, DE 19963-6418 2008-06-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306302336 Auto Accident Pain & Rehab, LLC Chiropractor 907 N. Dupent Hwy, Suite 103, Milford, DE 19963 2019-02-14
1316402530 Kelsey Ann Queen Behavioral Analyst 1010-1012 Mattlind Way, Milford, DE 19963 2019-02-01
1184136350 Paul Inge Nurse Practitioner 301 Jefferson Avenue, Mail Code 3119, Milford, DE 19963 2017-10-27
1346779774 Leo Fernandez Physical Therapist 300 Hall Place, Milford, DE 19963 2017-06-08
1932642824 Taryn Guyer Occupational Therapy Assistant 17123 Brittany Place, Milford, DE 19963 2016-11-23
1073985602 Darren Wayne Camper Physical Therapy Assistant 800 Airport Road Suite 102, Milford, DE 19963 2015-10-22
1316327091 Chayil Healthcare LLC Home Health 686 Norht Dupont Hwy, Pmb#155, Milford, DE 19963 2015-06-08
1750717773 Katie Roney Behavioral Analyst 1010 Mattlind Way, Milford, DE 19963 2013-09-23
1083961460 Halleh Asadpour Dentist 215 W Liberty Way, Milford, DE 19963 2012-08-06
1225318033 Betsy Campana Pharmacist 21 S. Clarke Ave, Milford, DE 19963 2011-08-24
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770048183 Natasha Medeiros Conley, Psy.d., LLC Psychologist 288 West St Ste 3b, Milford, MA 01757-1234 2019-02-11
1871079459 Barbara H. Corn, Ph.d., LLC Psychologist 849 Boston Post Rd Ste 203, Milford, CT 06460-3537 2018-07-17
1669842365 Karen Snyder Badau Psychologist 40 Crosby Sreet, Crestwood Center, Milford, NH 03055 2015-10-07
1326428343 Joanne Plescia Psychologist 545 Bay Ave, Milford, DE 19963-4915 2015-06-04
1730572645 Ashley Marie Pierson Psychologist 8 Parkland Pl, Milford, CT 06460-7722 2015-03-17
1831431782 Melissa Knapp Psychologist 1100 Corporate Office Dr Ste 100, Milford, MI 48381-5011 2013-03-19
1366638959 Penelope Butler Psychologist 218 Union St, Milford, MI 48381-1998 2007-09-18
1457554644 Institute for Educational Planning Psychologist 243 Broad Street, Suite 7a, Milford, CT 06460 2007-06-06
1659596377 Mark Imbrie Psychologist 204 E Harford Street, Milford, PA 18337 2007-04-16
1821139312 Sheryl Jane Winsby Psychologist 200 Foster Street, Milford, DE 19963 2007-02-09
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Competitor

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City MILFORD
Zip Code 19963

Improve Information

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Dataset Information

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.

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