BRENNA MICHELLE PARDIECK (NPI# 1518485838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518485838 |
| Entity Type | Individual |
| Full Name | BRENNA MICHELLE PARDIECK |
| Practice Address |
3700 W Chartwell Rd Peoria IL 61614-8151 |
| Practice Telephone | 3092249297 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
1893747 | IL | Behavioral Health & Social Service Providers |
| Street Address |
3700 W CHARTWELL RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-8151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299133 | Chloe Arns | Psychologist | 16484 N 68th Ave, Peoria, AZ 85382-3981 | 2020-06-10 |
| 1437677754 | Karen Rose Conlon | Psychologist | 3617 W Tedford Dr, Peoria, IL 61614-8145 | 2017-09-07 |
| 1285913434 | Kahlil Amber Day | Psychologist | 11501 N 79th Ave, Peoria, AZ 85345-1358 | 2011-08-05 |
| 1396024543 | Damon Lorenz | Psychologist | 21180 N 87th Ave, Peoria, AZ 85382-6497 | 2011-08-05 |
| 1760646087 | Holly J Curran | Psychologist | 6726 W Bloomfield Rd, Peoria, AZ 85381-9590 | 2008-07-16 |
| 1083811020 | June H Mcculley | Psychologist | 19900 N 94th Ave, Peoria, AZ 85382-2214 | 2007-07-02 |
| 1093920365 | Lauren B Coe | Psychologist | 14300 N 83rd Ave, Apt 2021, Peoria, AZ 85381-4624 | 2007-05-11 |
| 1386768620 | Mark A Bean | Psychologist | 26751 N 97th Ln, Peoria, AZ 85383-2929 | 2007-03-19 |
| 1518098813 | Felicia Anne Humenik | Psychologist | 8633 W John Cabot Rd, Peoria, AZ 85382-0879 | 2007-03-08 |
| 1962672824 | Colleen Renee Larson | Psychologist | 11806 N 87th Ave, Peoria, AZ 85345-8125 | 2008-03-06 |
| Find all providers in PEORIA | ||||
Please comment or provide details below to improve the information on BRENNA MICHELLE PARDIECK.
| 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.