FLETCHER FUNK (NPI# 1669996906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669996906 |
| Entity Type | Individual |
| Full Name | FLETCHER FUNK |
| Credential | PSYD |
| Practice Address |
7901 Metropolis Dr Austin TX 78744-3111 |
| Mailing Address |
762 Mendocino Ave Apt 6 Santa Rosa CA 95401-4817 |
| Practice Telephone | 3102653644 |
| Mailing Telephone | 3102653644 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
7901 METROPOLIS DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78744-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865668 | John F. Kaiser | Dermatology | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2005-07-20 |
| 1316565229 | Kyle Robert Mitchell | Psychologist | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2020-07-07 |
| 1942824396 | Christopher Smith | Physical Therapy Assistant | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2020-06-02 |
| 1902432651 | Lori Marie Turrell | Nurse Practitioner | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2020-03-13 |
| 1760016661 | Tavares Laron Harris | Nurse Practitioner | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2020-02-28 |
| 1649811068 | Aaron M Mcginniss | Social Worker | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2019-10-07 |
| 1841846151 | Bryan Gregory Messina | Psychologist | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2019-08-13 |
| 1750943510 | Leanna Garb | Social Worker | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2019-07-02 |
| 1639739899 | Chelsea Desimone | Social Worker | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2019-06-19 |
| 1669932026 | Gwendolyn Gian Malloy | Nurse Practitioner | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2019-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1285245753 | Michelle Susan Kuczkowski | Nurse Practitioner | 6230 E. Stassney Lane, Austin, TX 78744 | 2020-08-10 |
| 1497365704 | Kaushal Mansinhbhai Chaudhari | Dentist | 1612 E William Cannon Dr, Austin, TX 78744 | 2020-08-03 |
| 1124664933 | Andre Nettie Gardiner-martinez | Social Worker | 7701 Metropolis Drive, Bldg 13, Suite 100, Austin, TX 78744 | 2019-11-27 |
| 1699259192 | Kedra S Priest | Counselor | 5015 Sih 35, Austin, TX 78744 | 2018-09-20 |
| 1720568512 | Melissa Jonfe-quinto | Speech-Language Pathologist | 8300 Bluff Springs Road, Apt 616, Austin, TX 78744 | 2018-08-21 |
| 1255821195 | Samantha Padilla | Nurse Practitioner | 7701 Metropolis Dr., Austin, TN 78744 | 2018-05-16 |
| 1275050544 | Ann-marie Keller | Student in an Organized Health Care Education/Training Program | 7900 Ardmore Circle, Austin, TX 78744 | 2017-08-27 |
| 1477944171 | Lindsay Box | Counselor | 5015 S Ih-35 Frontage Rd, #200, Austin, TX 78744 | 2015-02-17 |
| 1487050308 | William Alexander Terry | Social Worker | 5015 S Ih 35 Frontage Rd #200, Austin, TX 78744 | 2014-11-05 |
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| 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 |
|---|---|---|---|---|
| 1619503497 | Kim Praderas Pllc | Psychologist | 3301 Northland Dr Ste 320, Austin, TX 78731-4952 | 2020-03-12 |
| 1427693928 | The University of Texas At Austin | Psychologist | 100 W Dean Keeton St., Austin, TX 78712 | 2019-11-08 |
| 1528618774 | Psicologia Psychology Pllc | Psychologist | 2500 W William Cannon Dr Ste 703, Austin, TX 78745-5252 | 2019-09-18 |
| 1023574761 | Con Alma Therapy, Pllc | Psychologist | 2222 Western Trails Blvd Ste 107, Austin, TX 78745-1601 | 2019-02-19 |
| 1831660364 | Neisha Hootman | Psychologist | 5555 N Lamar Blvd Ste E125, Austin, TX 78751-1052 | 2018-12-10 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1346736741 | Samuel Andrew Donaldson | Psychologist | 1308 Walnut Ave, Austin, TX 78702-1530 | 2018-07-09 |
| 1194214940 | Emily B. Kerzin | Psychologist | 3006 Bee Caves Rd, Ste. D-310, Austin, TX 78746 | 2018-05-08 |
| 1740797596 | Serena Messina | Psychologist | 1907 N Lamar Blvd Ste 230, Austin, TX 78705-4929 | 2018-01-02 |
| 1215446067 | Dr. Barbara Lee Corff Pllc | Psychologist | 12343 Hymeadow Dr Ste 3b, Austin, TX 78750-1858 | 2017-09-25 |
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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.