DANIEL HARVEY MAZALIC (NPI# 1710549134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710549134 |
| Entity Type | Individual |
| Full Name | DANIEL HARVEY MAZALIC |
| Practice Address |
8599 Knox School Rd Minerva OH 44657-9437 |
| Practice Telephone | 3303239649 |
| Mailing Telephone | 3303239649 |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
8599 KNOX SCHOOL RD |
| City | MINERVA |
| State | OH |
| Zip Code | 44657-9437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235670563 | Melody Lynn Katich | Home Health Aide | 16600 Georgetown Street, Minerva, OH 44657 | 2017-03-20 |
| 1275926743 | Ellen Doney | Technician | 1200 Valley St., Apt B84, Minerva, OH 44657 | 2015-03-09 |
| 1720312119 | Lolly Ann Brown | Licensed Practical Nurse | 305 High St, Minerva, OH 44657 | 2009-10-01 |
| 1922332394 | Bobbi Jo Lovejoy | Registered Nurse | 22847 Ellsworth Ave., Minerva, OH 44657 | 2009-10-01 |
| 1962624130 | Robert Kenneth Nichols | Chiropractor | 15245 Lincolnway Se, Minerva, OH 44657 | 2007-05-03 |
| 1871647230 | Ted A Rath | Optometrist | 1174 Alliance Road, Minerva, OH 44657 | 2007-01-23 |
| 1801901681 | Marjorie Ann Versiackas | Licensed Practical Nurse | 3695 Fox Ave Ne, Minerva, OH 44657 | 2006-08-20 |
| 1578511077 | Minerva Convalescent Center LLC | Skilled Nursing Facility | 1035 East Lincolnway, Minerva, OH 44657 | 2006-05-05 |
| 1629399639 | Cheryl A. Gilson | Licensed Practical Nurse | 16464 Delmar Dr Se, Minerva, OH 44657-1006 | 2010-06-14 |
| 1932120979 | Premier Health Associates Inc | Internal Medicine | 625 N Market St, Minerva, OH 44657-1027 | 2006-07-23 |
| Find all providers in zip 44657 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043631724 | Amy Ricciardi | Psychologist | 38820 Hidden Canyon Dr, Grafton, OH 44044-9222 | 2013-12-23 |
| 1750554473 | Bruce Steven Growick | Psychologist | 934 Middlebury Dr., Columbus, OH 43085-3466 | 2008-04-03 |
| 1679502553 | Rehabilitation Psychology, Inc. | Psychologist | 200 Bradenton Ave, Dublin, OH 43017-7515 | 2006-07-02 |
| 1952826943 | Eric Dean Anderson | Psychologist | 20 S 3rd St Ste 210, Columbus, OH 43215-4206 | 2017-08-10 |
| 1003213844 | Frank Kenner | Psychologist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2014-11-21 |
| 1164760500 | Kristen B Jackson | Psychologist | 480 Medical Center Dr, Dodd Hall 2145, Columbus, OH 43210-1229 | 2013-01-18 |
| 1467721605 | Lynne Gauthier | Psychologist | 480 Medical Center Dr, 2145 Dodd Hall, Columbus, OH 43210-1229 | 2011-12-16 |
| 1558646406 | Sara Elizabeth Walters-bugbee | Psychologist | 10701 East Blvd, Psychology Service 116b, Cleveland, OH 44106-1702 | 2011-10-11 |
| 1104133289 | Janice Wunderle Bosley Phd LLC | Psychologist | 4775 Knightsbridge Blvd, Suite 203, Columbus, OH 43214-4313 | 2010-09-09 |
| 1245550250 | Behavioral Consultants LLC | Psychologist | 11206 Woodtown Rd, Galena, OH 43021-9638 | 2010-06-02 |
| Find all providers with the same taxonomy | ||||
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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.