DEBORAH RUDISILL ALLEN (NPI# 1588711956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588711956 |
Entity Type | Individual |
Full Name | DEBORAH RUDISILL ALLEN |
Credential | PH.D. |
Practice Address |
1701 S Prospect Ave Ste 202 Champaign IL 61820-7050 |
Practice Telephone | 2173529207 |
Mailing Telephone | 2173529207 |
Enumeration Date | 2007-01-05 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750905659 | Deborah Allen | Technician | 210 Portrush Ct, Dayton, NV 89403-8782 | 2020-06-05 |
1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
1821507286 | Deborah Allen | Nurse Practitioner | 32473 Sea Raven Dr, Rancho Palos Verdes, CA 90275-6120 | 2017-09-28 |
1396122198 | Deborah Bernetta Allen | Counselor | 1282 Smallwood Dr W # 317, Waldorf, MD 20603-4732 | 2015-04-30 |
1578982054 | Deborah Allen | Occupational Therapy Assistant | 1445 Jomar Rd, Ashland, KY 41102-8992 | 2014-04-10 |
1427386473 | Deborah Denise Allen | Pharmacist | 1210 N Business 35, New Braunfels, TX 78130-3239 | 2009-12-03 |
1194959874 | Deborah C Allen | Nurse Practitioner | 1310 Brampton Avenue, Statesboro, GA 30458-2459 | 2009-05-08 |
1932351780 | Deborah L Allen | Nurse Practitioner | 342 Patricia Ln Ste 105, Fort Mill, SC 29708-6608 | 2008-10-10 |
1629131289 | Deborah Merrick Allen | Social Worker | 1171 Drewsbury Ct Se, Smyrna, GA 30080-3953 | 2006-12-18 |
1942394333 | Deborah Z Allen | Internal Medicine | 201 Cedar Se Suite 4640, Pmg Pediatric Multispecialty, Albuquerque, NM 87106-4924 | 2006-10-03 |
Street Address |
1701 S PROSPECT AVE STE 202 |
City | CHAMPAIGN |
State | IL |
Zip Code | 61820-7050 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
Find all providers in zip 61820 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710412119 | Kevin Christopher Hiner | Psychologist | 203 Avondale Ave, Champaign, IL 61820-6505 | 2017-04-24 |
1851709026 | Hannah Clark | Psychologist | 515 N Hickory St Apt 202, Champaign, IL 61820-3889 | 2014-07-31 |
1811305527 | Theresa Benson | Psychologist | 1910 Mcdonald Dr, Champaign, IL 61821-6055 | 2014-07-25 |
1588965479 | Samira Grace Didos | Psychologist | 1503 Waterford Pl, Champaign, IL 61821-6971 | 2010-11-08 |
1952534026 | Brandi Elizabeth Burque | Psychologist | 3915 Rockdale Dr, Champaign, IL 61822-2051 | 2009-08-24 |
1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
1326244237 | Linda Miller, Lcsw | Psychologist | 3306 Lakeshore Dr, Champaign, IL 61822-5206 | 2007-06-26 |
1891905303 | Geneva Reynaga Abiko | Psychologist | Uiuc Counseling Center, 610 E. John Street, 206 Ssb, Champaign, IL 61820 | 2007-05-23 |
1518188036 | John T Jones | Psychologist | 206 N. Randolph Street, Suite 510, Champaign, IL 61820 | 2007-05-01 |
1295959740 | Gregory Allen Miller | Psychologist | 603 E Daniel St, Dept. of Psychology, U. Illinois, Champaign, IL 61820-6232 | 2007-04-13 |
Find all providers in CHAMPAIGN |
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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.