MARY BULLOCK


Address: 7437 Cobblestone East Dr, Indianapolis, IN 46236-9108
Phone: 3174187840

MARY BULLOCK (NPI# 1437553989) 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) 1437553989
Entity Type Individual
Full Name MARY BULLOCK
Practice Address 7437 Cobblestone East Dr
Indianapolis
IN 46236-9108
Practice Telephone 3174187840
Mailing Telephone 3174187840
Enumeration Date 2014-10-13
Last Update Date 2014-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 11 MENTAL HEALTH 05
IN 611-1915(I) CMHW 05

Other Providers MARY BULLOCK

NPI Name Taxonomy Address Enumeration
1902458037 Mary Alisa Bullock Counselor 806 Bell Fork Rd, Jacksonville, NC 28540-6312 2019-07-09
1831224716 Mary D. Bullock Occupational Therapist 8700 Stony Point Pkwy, Suite 100, Richmond, VA 23235-1962 2007-02-22
1205932902 Mary G Bullock Nurse Practitioner 2845 Hamline Ave North, Roseville, MN 55113 2006-09-16

Office Location

Street Address 7437 COBBLESTONE EAST DR
City INDIANAPOLIS
State IN
Zip Code 46236-9108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235494006 Indiana Fair Chance LLC Case Management 7437 Cobblestone East Dr, Indianapolis, IN 46236-9108 2012-07-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770110918 Renew Hearing, Inc Hearing Instrument Specialist 6116 Chadworth Way, Indpls, IN 46236 2020-03-26
1942771290 Dakenya Shae Mcduffy Counselor 12522 Tealwood Dr, Indianapolis, IN 46236 2018-12-16
1558864538 April Krowel Psychologist 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 2018-03-15
1114210721 Theresa Ann Kennedy Patton Counselor 11925 E 65th St Ste 3, Indianapolis, IN 46236 2011-05-16
1114249257 Kathy Burgoa Massage Therapist 7962 Oaklandon Rd Ste 106h, Indianapolis, IN 46236 2010-02-16
1831311307 Lifetime Dental Care of Indiana, PC Dentist 11683 Fox Road, Indianapolis, IN 46236 2007-05-03
1003861287 Ryan Campbell Jay Dentist 12110 Pendleton Pike, Indianapolis, IN 46236 2006-05-24
1639736028 Jashana Pearl Whiting Counselor 12522 Tealwood Dr, Indianapolis, IN 46236 2019-05-21
1285123356 Betty D'amico Social Worker 6414 Oaklandon Rd, Indianapolis, IN 46236 2018-05-04
1699162131 Sarah Mcclain Pediatrics 8150 Oaklandon Rd Ste 130, Indianapolis, IN 46236 2015-04-22
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093351884 Phx Mymed Health Access Solutions Case Manager/Care Coordinator 5777 N. Post Road, Indianapolis, IN 46216-2007 2019-11-27
1407409105 Jeramie Davis Case Manager/Care Coordinator 2829 Greenview Way, Indianapolis, IN 46229-1500 2019-07-22
1174087894 Cross Resource & Consulting LLC Case Manager/Care Coordinator 4716 Round Lake Rd Apt H, Indianapolis, IN 46205-2386 2019-01-27
1033688296 Khulekani Mangozhe Case Manager/Care Coordinator 2410 Executive Dr Ste 201, Indianapolis, IN 46241-5000 2018-11-17
1356818744 Christa R Henderson Case Manager/Care Coordinator 6301 Old Barn Ct, Indianapolis, IN 46268-4045 2018-10-24
1164999546 Dominique Stuart Case Manager/Care Coordinator 2410 Executive Dr, Indianapolis, IN 46241-5045 2018-10-24
1457826513 Christal Redd Case Manager/Care Coordinator 2819 Lambdin Ct, Indianapolis, IN 46268-5090 2018-10-04
1740765726 Kimberly Sue Davis Case Manager/Care Coordinator 3171 N Meridian St Fl 2, Indianapolis, IN 46208-4784 2018-09-26
1720567712 Monica M Lawrence Case Manager/Care Coordinator 924 Ardsley Dr, Indianapolis, IN 46234-2140 2018-08-09
1447737168 Damon Lowell Hicks Case Manager/Care Coordinator 6342 Saint Jean Dr, Indianapolis, IN 46217-3859 2018-07-25
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46236

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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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