MRS. ILENE FAY SCHALLER (NPI# 1568457885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568457885 |
| Entity Type | Individual |
| Full Name | MRS. ILENE FAY SCHALLER |
| Credential | MSW LCSW |
| Practice Address |
4208 Kensington Dr Saint Joseph MO 64506-4550 |
| Practice Telephone | 8162339998 |
| Practice Fax Number | 8162799666 |
| Mailing Telephone | 8162339998 |
| Mailing Fax Number | 8162799666 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 002698 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS/BLUE SHIELD | 35978015 | 01 |
| Street Address |
4208 KENSINGTON DR |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64506-4550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
| 1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
| Find all providers in zip 64506 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710519376 | Gale Sandra Hackworth | Psychologist | 811 Ship St Ste 4b, Saint Joseph, MI 49085-1171 | 2020-02-11 |
| 1063547214 | Richard Reynolds Taylor | Psychologist | 3510 Frederick Ave, Saint Joseph, MO 64506-2987 | 2007-02-21 |
| 1063448918 | Bruce Patrick Hackworth | Psychologist | 811 Ship St, Suite 4b, Saint Joseph, MI 49085-1171 | 2006-06-23 |
| 1861434979 | Shirley Eileen Taylor | Psychologist | 137 N Belt Hwy, Saint Joseph, MO 64506-3491 | 2006-06-12 |
| 1396712071 | Adam Buhman-wiggs | Psychologist | 105 Far West Dr Ste 105, Saint Joseph, MO 64506-3514 | 2006-03-02 |
| 1255331005 | Samaritan Counseling Center Inc. | Psychologist | 902 Edmond St, Ste 203, Saint Joseph, MO 64501-2702 | 2005-07-22 |
| 1699241539 | Sarah Mielens | Psychologist | 3505 Frederick Ave, Saint Joseph, MO 64506-2914 | 2018-10-18 |
| 1740776749 | Elva Whaley | Psychologist | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2018-07-03 |
| 1518454701 | Samantha Sanderson Brown | Psychologist | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2018-04-13 |
| 1184141335 | Emily White | Psychologist | 830 Pleasant St, Saint Joseph, MI 49085-1102 | 2017-08-28 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
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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.