SVETLANA MEDVEDEVA (NPI# 1639542368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639542368 |
Entity Type | Individual |
Full Name | SVETLANA MEDVEDEVA |
Credential | PSYD/HSPP |
Practice Address |
5900 Hohman Ave Hammond IN 46320-2423 |
Mailing Address |
8400 Louisiana St Merrillville IN 46410-6385 |
Practice Telephone | 2199310427 |
Practice Fax Number | 2199375808 |
Mailing Telephone | 2197571928 |
Mailing Fax Number | 2197571950 |
Enumeration Date | 2015-11-03 |
Last Update Date | 2016-01-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YP2500X |
Counselor Specialization: Professional |
178007918 | IL | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
20042903A | IN | Behavioral Health & Social Service Providers |
Street Address |
5900 HOHMAN AVE |
City | HAMMOND |
State | IN |
Zip Code | 46320-2423 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902947377 | Steven Adam Myles | Counselor | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2007-02-09 |
1912522368 | Ng Medical Center LLC | Radiology | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2020-06-11 |
1649643719 | Karen Zukrow | Social Worker | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2015-11-11 |
1750782678 | Erin Findley-sykes | Counselor | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2014-09-10 |
1902167372 | Karen Lee Sheets | Case Manager/Care Coordinator | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2012-06-01 |
1629357009 | Suzanne Marie Barnes | Counselor | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2011-08-16 |
1548581713 | Jennifer Gescheidler | Counselor | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2010-06-22 |
1568792026 | Anthony Avery | Counselor | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2010-01-06 |
1073841607 | Demetris Bass | Counselor | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2009-11-19 |
1477889657 | Rose Davis | Counselor | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2009-10-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
1700397478 | Prairie Healthcare Services LLC | Home Health | 5920 Hohman Av, Hammond, IN 46320 | 2017-10-20 |
1881143469 | Taryn Petty | Nurse Practitioner | 31 Sibley St, Hammond, IN 46320 | 2016-09-23 |
1407108079 | Lakeside Behavioral Solutions | Community/Behavioral Health | 5944 1/2 Hohman Ave., Hammond, IN 46320 | 2012-10-08 |
1609098607 | Martha Socorro Kozub | Nurse Practitioner | 5514 Hohman Ave., Hammond, IN 46320 | 2007-05-02 |
1851414379 | A&k Kouklakis Od. P.C. | Eyewear Supplier (Equipment, not the service) | 1303 165th Street, Hammond, IN 46320 | 2007-04-09 |
1639278138 | Syed Sohail Ahmed | Psychiatry & Neurology | 5500 Hohman Avenue, Suite 1e, Hammond, IN 46320 | 2006-09-21 |
1215990965 | Trc - Indiana LLC | Clinic/Center | 222 Douglas St, Hammond, IN 46320 | 2006-04-11 |
1700845260 | Deepak Ariga | Internal Medicine | 5529 Hohman Avenue, Hammond, IN 46320 | 2006-03-22 |
1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
Find all providers in zip 46320 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699218347 | Grace A Bickham | Psychologist | 1318 W Thomas St, Hammond, LA 70401-3046 | 2016-11-29 |
1982063897 | Cdl Psychological Services, Inc. | Psychologist | 410 Johnson Pkwy, Hammond, WI 54015-9678 | 2016-02-19 |
1326245077 | Pamela B Deters | Psychologist | 42334 Deluxe Plz, Suite 2, Hammond, LA 70403-1237 | 2007-06-27 |
1366599284 | Terry Steven Trepper | Psychologist | 7137 Knickerbocker Pkwy, Hammond, IN 46323-2030 | 2007-01-04 |
1326142951 | James Thaddeus Russell | Psychologist | 1131 S Morrison Blvd, Va Outpatient Clinic, Hammond, LA 70403 | 2006-09-12 |
1932475266 | Crossroads Behavioral Health LLC | Psychologist | 42334 Deluxe Plz, Suite 2, Hammond, LA 70403-1237 | 2012-03-30 |
1437439312 | James Charles Smith | Psychologist | 906 C M Fagan Dr, Suite 5b, Hammond, LA 70403-6056 | 2011-08-23 |
1568642239 | Andrea Lynn Boyd | Psychologist | 534 Conkey St Ste 2, Hammond, IN 46324-1146 | 2007-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
1841816048 | Christina E Maxwell Phd | Psychologist | 6337 Hollister Driive, Suite 101, Indianapolis, IN 46224-2996 | 2020-06-23 |
1154942340 | Craig Allan Nordstrom | Psychologist | 111 E Clearwater Ave, Beverly Shores, IN 46301-0056 | 2020-04-29 |
1164052791 | Kadlec Consulting Services, LLC | Psychologist | 5525 Oak Valley Pl, Fort Wayne, IN 46845-1836 | 2020-01-23 |
1568001469 | Monica Anne Cotter | Psychologist | Adam Benjamin Jr. Va Outpatient Clinic, 9301 Madison, Crown Point, IN 46307-4630 | 2019-12-26 |
1417505538 | John Pierre Rudy | Psychologist | 3464 Cinnamon Trce, Kokomo, IN 46901-3981 | 2019-09-02 |
1265995500 | Jamie Garvey | Psychologist | Saint Liam Hall, 220 Main Buildig, Notre Dame, IN 46556 | 2019-04-12 |
1902362619 | Geoffrey Edwards Buck | Psychologist | 9245 N Meridian St # 111, Indianapolis, IN 46260-1836 | 2019-02-18 |
1447722483 | Steven James Eckert | Psychologist | 4700 Bureau Rd N, Terre Haute, IN 47802-8246 | 2018-12-31 |
1215403167 | Sean Kristen Jones | Psychologist | 11725 N Illinois St Ste 355, Carmel, IN 46032-3009 | 2018-10-18 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SVETLANA MEDVEDEVA.
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.