DR. DANNELL SPEIGHTS ROBERTS (NPI# 1518127711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518127711 |
Entity Type | Individual |
Full Name | DR. DANNELL SPEIGHTS ROBERTS |
Credential | PH.D. |
Practice Address |
20 Parkway Blvd Hattiesburg MS 39401-8879 |
Practice Telephone | 6012555264 |
Mailing Telephone | 6012555264 |
Enumeration Date | 2008-06-11 |
Last Update Date | 2013-06-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | 47 821 | MS | Behavioral Health & Social Service Providers |
N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
47 821 | MS | Behavioral Health & Social Service Providers |
Y | 103TS0200X |
Psychologist Specialization: School |
47 821 | MS | Behavioral Health & Social Service Providers |
Street Address |
20 PARKWAY BLVD |
City | HATTIESBURG |
State | MS |
Zip Code | 39401-8879 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407200207 | Singleton and Myrick Incorporated | Prosthetic/Orthotic Supplier | 20 Parkway Blvd, Hattiesburg, MS 39401-8879 | 2016-04-18 |
1487023719 | Marie Bryan Hill | Behavioral Analyst | 20 Parkway Blvd, Hattiesburg, MS 39401-8879 | 2015-09-16 |
1720464571 | Ashley Amanda Smith | Behavioral Analyst | 20 Parkway Blvd, Hattiesburg, MS 39401-8879 | 2015-08-04 |
1639555477 | Miranda Brister | Behavioral Analyst | 20 Parkway Blvd, Hattiesburg, MS 39401-8879 | 2015-08-04 |
1427431105 | Whitney Sephton | Behavioral Analyst | 20 Parkway Blvd, Hattiesburg, MS 39401-8879 | 2015-06-30 |
1144600396 | Chasity Lynne Newman | Behavioral Analyst | 20 Parkway Blvd, Hattiesburg, MS 39401-8879 | 2015-06-03 |
1780064949 | Breanna Newborne | Behavioral Analyst | 20 Parkway Blvd, Hattiesburg, MS 39401-8879 | 2015-06-03 |
1841670098 | Sara Feldman | Behavioral Analyst | 20 Parkway Blvd, Hattiesburg, Hattiesburg, MS 39401-8879 | 2015-06-03 |
1306226584 | Amber Bourgeois | Behavioral Analyst | 20 Parkway Blvd, Hattiesburg, MS 39401-8879 | 2015-06-03 |
1275923419 | Janelle Marie Upthegrove | Behavioral Analyst | 20 Parkway Blvd, Hattiesburg, MS 39401-8879 | 2015-01-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
Find all providers in zip 39401 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063795870 | Will's Way, LLC | Psychologist | 604 Adeline St, Suite B, Hattiesburg, MS 39401-3842 | 2011-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053921098 | Betty Swain Weiss | Psychologist | 1220 Speaks Rd, Terry, MS 39170-7116 | 2020-08-04 |
1467948091 | L & A Services | Psychologist | 1300 S Davis Ave, Cleveland, MS 38732-4312 | 2018-07-06 |
1669655163 | Aimee M Wilson | Psychologist | 4061 Suzanne Dr, Suite C & C, Diberville, MS 39540-3735 | 2007-12-07 |
1932470515 | Heidi L Vine | Psychologist | 1701 White St, Mccomb, MS 39648-2711 | 2012-01-13 |
1730478306 | Deborah Fetter Nastasi | Psychologist | 4061 Suzanne Dr, Diberville, MS 39540-3735 | 2011-04-04 |
1518297191 | Jan Ganann | Psychologist | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2010-01-05 |
City | HATTIESBURG |
Zip Code | 39401 |
Please comment or provide details below to improve the information on DR. DANNELL SPEIGHTS ROBERTS.
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.