DR. PATRICIA ANNE MAFFEO (NPI# 1548211790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548211790 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA ANNE MAFFEO |
| Credential | PH D |
| Practice Address |
111 Westfield Drive Knoxville TN 37919 |
| Mailing Address |
4160 Towanda Trail Knoxville TN 37919 |
| Practice Telephone | 8655889572 |
| Practice Fax Number | 8655846219 |
| Mailing Telephone | 8655252945 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | P0000001090 | TN | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | P0000001090 | TN | Behavioral Health & Social Service Providers |
| Street Address |
111 WESTFIELD DRIVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174738512 | Eric S. Engum | Clinical Neuropsychologist | Cross Park Plaza, Suite D266, 9111 Cross Park Drive, Knoxville, TN 37923-4506 | 2007-05-11 |
| 1326090770 | Peter Bernhart Young | Clinical Neuropsychologist | 10820 Kingston Pike, Suite 21, Knoxville, TN 37934-3066 | 2006-05-16 |
| 1194259036 | Nichole Miller | Clinical Neuropsychologist | 1932 Alcoa Hwy Ste 150, Knoxville, TN 37920-1532 | 2017-04-18 |
| 1831363126 | Micheal J Klitzke | Clinical Neuropsychologist | 6025 Brookvale Ln, Suite 205, Knoxville, TN 37919-4031 | 2008-04-17 |
| 1790997278 | Michael Lee Dimitroff | Clinical Neuropsychologist | 2620 Mineral Springs Ave, Suite A, Knoxville, TN 37917-1569 | 2007-05-04 |
| 1326184383 | Daniel Malcolm Spica | Clinical Neuropsychologist | 220 Fort Sanders West Blvd, Mob 2. Suite 300, Knoxville, TN 37922-3398 | 2007-01-29 |
| 1467532424 | Michael John Klitzke | Clinical Neuropsychologist | 6025 Brookvale Ln, Suite 205, Knoxville, TN 37919-4031 | 2006-10-16 |
| 1760430672 | David F. Dettmann | Clinical Neuropsychologist | 1515 W Pleasant St, (116b), Knoxville, IA 50138-3354 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013391960 | Victoria Villicana | Clinical Neuropsychologist | 2417 Bayview Dr, Nashville, TN 37217-3437 | 2015-07-09 |
| 1891177812 | Penny S. Tyler | Clinical Neuropsychologist | 205 N 8th St Unit 102, Nashville, TN 37206-4099 | 2015-06-25 |
| 1295120491 | Elise Baldwin Bradley | Clinical Neuropsychologist | 1161 21st Avenue S, Nashville, TN 37232 | 2015-04-03 |
| 1295160760 | Jacqueline Klaver | Clinical Neuropsychologist | 2200 21st Ave S Ste 300, Nashville, TN 37212 | 2013-09-03 |
| 1073958476 | Jessica E. Barclay | Clinical Neuropsychologist | Encompass Health Rehabilitation Hospital of Franklin, 1000 Physicians Way, Outpatient Offices, Franklin, TN 37067 | 2013-04-30 |
| 1508115668 | Michael Shapiro | Clinical Neuropsychologist | 4219 Hillsboro Pike Ste 306, Nashville, TN 37215-3332 | 2012-09-05 |
| 1922310176 | Yasmeen Iqbal Neal | Clinical Neuropsychologist | 4235 Hillsboro Pike Ste 300, Nashville, TN 37215-3344 | 2010-07-03 |
| 1306162326 | Neelam Jain | Clinical Neuropsychologist | 1661 International Place Dr Ste 400, Memphis, TN 38120-1431 | 2010-04-15 |
| 1811189095 | Sarah Kathryn Steele | Clinical Neuropsychologist | 204 Iris Dr, Hendersonville, TN 37075-2206 | 2007-08-13 |
| 1174727309 | Neurobehavioral Associates | Clinical Neuropsychologist | 2 Worth Cir Ste 2, Johnson City, TN 37601-4306 | 2007-06-12 |
| Find all providers with the same taxonomy | ||||
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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.