DR. MARK LYNN ELLIOTT (NPI# 1609902154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609902154 |
Entity Type | Individual |
Full Name | DR. MARK LYNN ELLIOTT |
Credential | PH.D. |
Practice Address |
4775 Knightsbridge Blvd Suite 203 Columbus OH 43214-4313 |
Practice Telephone | 6144423347 |
Practice Fax Number | 6144516734 |
Mailing Telephone | 6144423347 |
Mailing Fax Number | 6144516734 |
Enumeration Date | 2007-02-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
4210 | OH | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134634884 | Mark David Elliott | Counselor | 1711 3rd St, Eureka, CA 95501-0714 | 2017-12-04 |
1386182624 | Mark Elliott | Behavior Technician | 410 Jones St Ste C1, Ukiah, CA 95482-5491 | 2017-02-07 |
1750766671 | Mark Elliott | Social Worker | 1006 E 39th St, Austin, TX 78751-5207 | 2015-07-21 |
1760815302 | Mark Stephen Elliott | Dentist | 4205 E Highway 66, Dental Clinic, El Reno, OK 73036-9701 | 2013-08-19 |
1043655442 | Mark A Elliott | Case Manager/Care Coordinator | 10770 N 46th St, Suite A - 400, Tampa, FL 33617-3442 | 2013-04-30 |
1922441997 | Mark David Elliott | Psychiatry & Neurology | 13001 E 17th Pl Ste F546, Aurora, CO 80045 | 2013-04-09 |
1245593573 | Mark Elliott | Emergency Medicine | 7600 Beechnut St, Houston, TX 77074 | 2012-06-21 |
1780965558 | Mark O Elliott | Chiropractor | 1532 Oakfield Dr, Ste A, Brandon, FL 33511-0829 | 2011-09-07 |
1396034559 | Mark Randall Elliott | Orthopaedic Surgery | 4521 N Davis Hwy, Pensacola, FL 32503-2770 | 2011-03-28 |
1174609424 | Mark Ryan Elliott | Specialist | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2006-10-30 |
Street Address |
4775 KNIGHTSBRIDGE BLVD SUITE 203 |
City | COLUMBUS |
State | OH |
Zip Code | 43214-4313 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487634200 | Autumn M O'brien | Internal Medicine | 4775 Knightsbridge Blvd, Suite 207, Columbus, OH 43214-4313 | 2006-01-18 |
1104133289 | Janice Wunderle Bosley Phd LLC | Psychologist | 4775 Knightsbridge Blvd, Suite 203, Columbus, OH 43214-4313 | 2010-09-09 |
1427219492 | Emily Tancous Ferguson | Pediatrics | 4775 Knightsbridge Blvd, Suite 207, Columbus, OH 43214-4313 | 2008-06-22 |
1003080961 | Columbus Eyecare Associates, Inc. | Optometrist | 4775 Knightsbridge Blvd, Columbus, OH 43214-4313 | 2008-04-22 |
1780875450 | Lisa Marie Wong | Specialist/Technologist | 4775 Knightsbridge Blvd, Suite 207, Columbus, OH 43214-4313 | 2007-08-07 |
1326247073 | Tiamarie Nicole Moran | Dentist | 4775 Knightsbridge Blvd, Columbus, OH 43214-4313 | 2007-07-13 |
1467666727 | Deanna Maria Golden-kreutz | Psychologist | 4775 Knightsbridge Blvd, Suite 203, Columbus, OH 43214-4313 | 2007-05-09 |
1972623239 | Gene Paul King | Dentist | 4775 Knightsbridge Blvd, Suite 101, Columbus, OH 43214 | 2007-03-30 |
1568503837 | Theodore Smiley | Optometrist | 4775 Knightsbridge Blvd, Columbus, OH 43214-4313 | 2007-02-09 |
1659411932 | Patrick Dollenmayer | Optometrist | 4775 Knightsbridge Blvd, Suite 102, Columbus, OH 43214-4313 | 2007-02-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
Find all providers in zip 43214 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285245522 | Epiphany Psychotherapy & Consultation, LLC | Psychologist | 341 S 3rd St Ste 100-344, Columbus, OH 43215-5463 | 2020-08-11 |
1275184723 | Reset Button Counseling LLC | Psychologist | 4041 N High St Ste 300l, Columbus, OH 43214-3200 | 2019-09-26 |
1376021022 | Deloveh Psychological Services, LLC | Psychologist | 4041 N High St Ste 300f, Columbus, OH 43214-3200 | 2018-08-04 |
1235636697 | Lisa Christian | Psychologist | 460 Medical Center Dr Rm 112, Columbus, OH 43210-1229 | 2018-04-11 |
1093226581 | Amanda Conn | Psychologist | 454 E Main St Ste 240, Columbus, OH 43215-5380 | 2017-10-24 |
1144749441 | Chelsea Kane | Psychologist | 480 Medical Center Dr Rm 2145, Columbus, OH 43210-1229 | 2017-09-18 |
1346769445 | Karla L Delcour | Psychologist | 2200 W. Broad Street, Columbus, OH 43223 | 2017-09-11 |
1477003143 | Bethel Olentangy Psychological Services | Psychologist | 4949 Olentangy River Road, Columbus, OH 43214 | 2016-10-06 |
1417302209 | Kristen Hurley | Psychologist | 2675 Fox Pointe Dr Ste A, Columbus, IN 47203-3391 | 2016-04-28 |
1699135392 | Krystal Marie Hernandez-kane | Psychologist | 620 E Broad St, Columbus, OH 43215-4037 | 2016-02-24 |
Find all providers in COLUMBUS |
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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.