KATHRYN F FAIR (NPI# 1679675490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679675490 |
| Entity Type | Individual |
| Full Name | KATHRYN F FAIR |
| Credential | PHD |
| Practice Address |
3035 E Mound Rd Decatur IL 62526-9650 |
| Practice Telephone | 2175543000 |
| Mailing Telephone | 2175543000 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2013-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 071006363 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972169993 | Kathryn Elizabeth Fair | Behavioral Analyst | 25 E Park Ave Ste 8, Du Bois, PA 15801-2271 | 2019-05-15 |
| 1952301772 | Kathryn Fair | Occupational Therapist | 6858 Old Dominion Dr, Suite 200, Mc Lean, VA 22101-3899 | 2005-07-22 |
| 1154558807 | Kathryn Sloane Fair | Physical Therapist | 702 Highway 82 W Ste B, Greenwood, MS 38930-5069 | 2009-06-19 |
| Street Address |
3035 E MOUND RD |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-9650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518978972 | Kerri Ann Dixon | Registered Nurse | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2006-08-11 |
| 1578941589 | Anina Blankenship | Social Worker | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2015-05-11 |
| 1902101017 | Ashley Thais | Pharmacist | 3035 E Mound Rd, Decatur Cboc, Decatur, IL 62526-9650 | 2011-01-20 |
| 1366771339 | Amber Teresa Clark | Social Worker | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2009-12-21 |
| 1457582389 | Jessica Marie Johnson | Optometrist | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2009-07-27 |
| 1538398656 | Department of Veterans Affairs | Clinic/Center | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2009-07-10 |
| 1518065119 | Janet L. Whitehead | Social Worker | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2006-09-20 |
| 1043323793 | Veteran's Administration | Clinic/Center | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| 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 |
|---|---|---|---|---|
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1841736535 | Anna Trad and Associates | Psychologist | 1244 Clairmont Rd Ste 204, Decatur, GA 30030-1263 | 2017-01-18 |
| 1871980383 | Tomina Jean Schwenke | Psychologist | 748 Livingston Pl, Decatur, GA 30030-3947 | 2015-04-22 |
| 1215365697 | Geraldine Oxhandler | Psychologist | 16465 Parker St, Decatur, MI 49045-9467 | 2013-10-23 |
| 1063715290 | Douglas E Webb | Psychologist | 685 Densley Dr, Decatur, GA 30033-5445 | 2010-12-09 |
| 1811227127 | Angela R Bethea | Psychologist | 315 West Ponce De Leon Avenue, Suite 350, Decatur, GA 30030-2490 | 2010-01-08 |
| 1215158993 | Carmen Lita Vargo-moncier | Psychologist | North Alabama Regional Hospital, 4218 Us Highway 31 South, Decatur, AL 35603-5039 | 2007-05-01 |
| 1881741353 | Carl Telles Clarke | Psychologist | 1834 Clairmont Rd, Decatur, GA 30033-3405 | 2007-01-05 |
| 1861554776 | Regina Delicia Ward | Psychologist | 3553b Memorial Dr, Decatur, GA 30032-2711 | 2006-12-15 |
| 1891867313 | Visionary Minds Inc. | Psychologist | 315 W Ponce De Leon Ave., Ste 525, Decatur, GA 30030-2486 | 2006-11-14 |
| Find all providers in DECATUR | ||||
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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.