DR. TIANNA KYONG BERTSCH (NPI# 1588811681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588811681 |
| Entity Type | Individual |
| Full Name | DR. TIANNA KYONG BERTSCH |
| Credential | PHD |
| Practice Address |
1330 Win Hentschel Blvd West Lafayette IN 47906-4149 |
| Practice Telephone | 7654443999 |
| Mailing Telephone | 7654443999 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2019-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
803 | NE | Behavioral Health & Social Service Providers |
| Street Address |
1330 WIN HENTSCHEL BLVD |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47906-4149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862188 | Alyssa Boer | Psychologist | 1330 Win Hentschel Blvd, West Lafayette, IN 47906-4149 | 2019-07-09 |
| 1740741750 | Modern Mental Health, Inc. | Psychologist | 1330 Win Hentschel Blvd, West Lafayette, IN 47906-4149 | 2019-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990848 | Wickshire West Lafayette Opco LLC | Assisted Living Facility | 3575 Senior Place, West Lafayette, IN 47906 | 2020-01-02 |
| 1992290530 | Cameron Eldred | Specialist/Technologist | 3367 Edison Dr, West Lafayette, IN 47906 | 2018-06-26 |
| 1720593403 | Devin Kay Hall | Specialist/Technologist | 900 John R. Wooden Drive, West Lafayette, IN 47906 | 2017-12-04 |
| 1609398270 | Christian Floirendo | Specialist/Technologist | 2225 Willowbrook Dr, #207, West Lafayette, IN 47906 | 2017-07-14 |
| 1699176800 | Leslie Michell Pell | Registered Nurse | 1873 Kingeider Drive, West Lafayette, IN 47906 | 2014-09-07 |
| 1881007581 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2636 Us52 Sagamore Pkwy, West Lafayette, IN 47906 | 2014-06-10 |
| 1588089536 | Sarah Pierce | Pharmacist | 2636 Us 52, West Lafayette, IN 47906 | 2014-02-27 |
| 1811228240 | Angelica D. Kokkalis | Acupuncturist | 124 Westwood Dr., W. Lafayette, IN 47906 | 2010-01-25 |
| 1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
| 1871784330 | Sally A Timmons LLC | Social Worker | 120 Sagamore Parkway West, West Lafayette, IN 47906 | 2007-08-08 |
| Find all providers in zip 47906 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821506163 | Christopher G Black | Psychologist | 703 3rd St Rm 1120, West Lafayette, IN 47907-2081 | 2018-01-22 |
| 1215193339 | Angela Marotta Garrison | Psychologist | 703 Third Street Rm. 1120 Psyc, Purdue University Caps, West Lafayette, IN 47907-2081 | 2008-07-29 |
| 1740741750 | Modern Mental Health, Inc. | Psychologist | 1330 Win Hentschel Blvd, West Lafayette, IN 47906-4149 | 2019-03-31 |
| 1689172702 | Zhen Li | Psychologist | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2018-01-23 |
| 1578990677 | Douglas Bennett | Psychologist | 703 3rd St, West Lafayette, IN 47907-2081 | 2013-10-03 |
| 1497182935 | Susan Lynn Prieto-welch | Psychologist | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2013-09-30 |
| 1427299171 | Charity Elizabeth Tabol | Psychologist | 148 Sagamore Pkwy W, West Lafayette, IN 47906-1569 | 2009-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125946 | Lesley Stockton | Psychologist | 3837 N Delaware St, Indianapolis, IN 46205-2647 | 2020-05-13 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1932632932 | Julie Renee Lafollette | Psychologist | 3901 E Hagan St, Suite F, Bloomington, IN 47401-8557 | 2017-04-06 |
| 1083155964 | The Highlands Psychology Group | Psychologist | 3100 John Hinkle Place Suite 104, Bloomington, IN 47408-2611 | 2017-03-13 |
| 1548705478 | Sarah Lagrange | Psychologist | 1918 S Hawksmoore Dr, Bloomington, IN 47401-7155 | 2017-01-02 |
| 1386013167 | Angela Janet Horn | Psychologist | 2627 Charlestown Road, New Albany, IN 47150 | 2015-09-22 |
| 1649648155 | Lenisha Watson | Psychologist | 3133 Merrick Ln, 1a, Indianapolis, IN 46222-1755 | 2015-09-14 |
| 1336534346 | Emily Marie Elder | Psychologist | 401 West Eads Parkway, Suite 450, Lawrenceburg, IN 47205 | 2015-04-06 |
| 1487065611 | Jesse Steinfeldt | Psychologist | 6309 Bent Pine Drive, Bloomington, IN 47408-9345 | 2014-05-09 |
| 1356776025 | Laura Michelle Oyer | Psychologist | 4150 Illinois Rd, Fort Wayne, IN 46804 | 2013-09-12 |
| Find all providers with the same taxonomy | ||||
| City | WEST LAFAYETTE |
| Zip Code | 47906 |
Please comment or provide details below to improve the information on DR. TIANNA KYONG BERTSCH.
| 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.