MR. TRISTAN HARTER (NPI# 1588181408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588181408 |
| Entity Type | Individual |
| Full Name | MR. TRISTAN HARTER |
| Credential | NCSP |
| Practice Address |
197 Winston Dr Bolingbrook IL 60440-1300 |
| Mailing Address |
Wood View Elementary School 197 Winston Dr. Bolingbrook IL 60440 |
| Practice Telephone | 6307390185 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
197 WINSTON DR |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861919532 | Marla Kay Bartman | Speech-Language Pathologist | 197 Winston Dr, Bolingbrook, IL 60440-1300 | 2017-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013423847 | Vincent Miller | Psychologist | 200 Recreation Dr, Bolingbrook, IL 60440-3071 | 2017-12-15 |
| 1063921054 | Maria Teresa Ramos | Psychologist | 350 Blair Ln, Bolingbrook, IL 60440-1801 | 2017-09-22 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1396262986 | Dena R Hasselberg | Psychologist | 905 Lily Cache Ln, Bolingbrook, IL 60440-3100 | 2017-08-24 |
| 1679099709 | Wendy Fullmer | Psychologist | 179 Commonwealth Dr, Bolingbrook, IL 60440-1600 | 2017-08-21 |
| 1770009805 | Nancy Blume | Psychologist | 777 Falcon Ridge Way, Bolingbrook, IL 60440-2200 | 2017-08-21 |
| 1073039350 | Jennifer Ann Mamak | Psychologist | 1470 Raven Dr, Bolingbrook, IL 60490-4510 | 2017-08-17 |
| 1972110559 | Lindsey Renfro | Psychologist | 150 N Schmidt Rd, Bolingbrook, IL 60440-2689 | 2020-09-28 |
| 1982241212 | Jessica Dawn Wainer | Psychologist | 150 N Schmidt Rd, Bolingbrook, IL 60440-2689 | 2019-12-05 |
| 1861042947 | Jennifer Rose Frankowicz | Psychologist | 777 Falcon Ridge Way, Bolingbrook, IL 60440-2200 | 2019-09-19 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
Please comment or provide details below to improve the information on MR. TRISTAN HARTER.
| 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.