DR. JONELLE SULLIVAN TIMLIN (NPI# 1598813636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598813636 |
| Entity Type | Individual |
| Full Name | DR. JONELLE SULLIVAN TIMLIN |
| Credential | PH.D |
| Practice Address |
302 N 5th St Coeur D Alene ID 83814-2814 |
| Mailing Address |
5682 N Stafford Rd Coeur D Alene ID 83815-0409 |
| Practice Telephone | 2086643020 |
| Practice Fax Number | 2086643639 |
| Mailing Telephone | 2086643020 |
| Mailing Fax Number | 2086643639 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY-261 | ID | Behavioral Health & Social Service Providers |
| Street Address |
302 N 5TH ST |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114449741 | Lise Takashina | Acupuncturist | 302 N 5th St, Coeur D Alene, ID 83814-2814 | 2017-07-14 |
| 1831436260 | Lindsey Elizabeth Sichelstiel | Acupuncturist | 302 N 5th St, Coeur D Alene, ID 83814-2814 | 2013-01-04 |
| 1144396649 | North Idaho Treatment Associates | Social Worker | 302 N 5th St, Coeur D Alene, ID 83814-2814 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| 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 |
|---|---|---|---|---|
| 1477927846 | Grey Psychology Associates, Pllc | Psychologist | 1821 E Sherman Ave, Coeur D Alene, ID 83814-5352 | 2015-11-21 |
| 1033276431 | William M Green | Psychologist | 401 1 2 Sherman, Suite 206, Coeur D Alene, ID 83814-2777 | 2007-01-03 |
| 1932295383 | Roger Claus Ehlert | Psychologist | 424 E Sherman Ave, Suite 107, Coeur D Alene, ID 83814-1701 | 2006-10-05 |
| 1912003666 | Karolyne Smith Rogers | Psychologist | 1802 N 15th St, Coeur D Alene, ID 83814 | 2006-09-16 |
| 1952642696 | Hannah Marie Nixon | Psychologist | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2013-03-05 |
| 1053582783 | H. L Wilhelm | Psychologist | 2180 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2008-03-20 |
| 1609086792 | Pamela Olsen | Psychologist | 2180 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2007-05-23 |
| 1982829271 | Nancy A. Powers | Psychologist | 1423 N Government Way, Coeur D Alene, ID 83814-3335 | 2007-04-13 |
| 1326162835 | Roger C Ehlert, Phd Pa | Psychologist | 424 E Sherman Ave, Suite 107, Coeur D Alene, ID 83814-1701 | 2007-03-19 |
| 1952495228 | Gary Louis Stanton | Psychologist | 1115 Ironwood Drive, Coeur D Alene, ID 83814-4936 | 2006-10-03 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.