DR. WANMDIWI JESSI ROSE (NPI# 1730687518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730687518 |
| Entity Type | Individual |
| Full Name | DR. WANMDIWI JESSI ROSE |
| Other Name | WANMDIWI JESSI FULGHAM |
| Credential | PH.D. |
| Practice Address |
300 Poplar Ln Florence MT 59833-6834 |
| Practice Telephone | 7134943341 |
| Mailing Telephone | 7134943341 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY60720535 | WA | Behavioral Health & Social Service Providers |
| Street Address |
300 POPLAR LN |
| City | FLORENCE |
| State | MT |
| Zip Code | 59833-6834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336169150 | Daniel V Foster | Psychologist | 300 Poplar Ln, Florence, MT 59833-6834 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245604057 | Frederick Carl Guenzler | Massage Therapist | 201 Luby Lane, Florence, MT 59833 | 2015-11-17 |
| 1669894119 | Rachel J Evens | Nurse Practitioner | 1803 Eastside Hwy, Stevensville, MT 59833 | 2014-01-16 |
| 1851739551 | Lee Richard Hayne | Specialist | 660 Sweeney Cr. Lp., Florence, MT 59833 | 2013-06-05 |
| 1811221179 | Simone Alicia Larson | Massage Therapist | 5537 Old Us 93, Suite A, Florence, MT 59833 | 2009-09-18 |
| 1114062809 | Robert S Hart | Family Medicine | 5549 Old Highway 93, Florence, MT 59833 | 2007-02-20 |
| 1639221559 | Edward Andrew Boniecki | Occupational Therapist | 5633 Highway 93, Florence, MT 59833 | 2007-01-18 |
| 1891807046 | Carl Richard Shepp | Dentist | 5460 Hwy 93, Florence, MT 59833 | 2006-08-31 |
| 1265825434 | Terrence Austin | Physician Assistant | 5549 Us Highway 93 N, Florence, MT 59833 | 2015-03-12 |
| 1811141914 | Functional Performance Therapy, Inc. | Home Health | 5563 Old Hiway 93, Florence, MT 59833-0171 | 2008-11-17 |
| 1679087357 | Heather Marie Lodwig | Counselor | 20075 Old Us Highway 93, Florence, MT 59833-6000 | 2017-11-17 |
| Find all providers in zip 59833 | ||||
| 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 |
|---|---|---|---|---|
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| 1063777092 | Bonnie L. Atkinson LLC | Psychologist | 444 N Cedar St, Florence, AL 35630-5406 | 2012-07-05 |
| 1487820171 | Camille Ann Hernandez | Psychologist | 65 East Ruggles Rd, Florence, AZ 85232-2951 | 2008-05-02 |
| 1780808600 | Eleanor Ashton | Psychologist | 28 Gregory Lane, Florence, MA 01062 | 2007-04-12 |
| 1609908433 | Bonnie Lynn Atkinson | Psychologist | 444 N Cedar Street, Florence, AL 35630 | 2007-03-09 |
| 1942346002 | Tammy D Hatfield | Psychologist | 410 Meijer Dr, Florence, KY 41042-5128 | 2007-01-29 |
| 1861552580 | Bonnie Gruszecki | Psychologist | 138 Overlook Dr, Florence, MA 01062-3529 | 2006-12-11 |
| 1548330145 | Teresa Faillace | Psychologist | 1495 W 8th Street, Florence, OR 97439-0007 | 2006-11-09 |
| 1700896453 | Alexandr Michal Federer | Psychologist | 323 S. Mcqueen St, Florence, SC 29501 | 2006-08-08 |
| 1932143617 | Roy Grando | Psychologist | 3250 N Pinal Pkwy, Medical Unit, Florence, AZ 85132-9459 | 2006-06-15 |
| Find all providers in FLORENCE | ||||
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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.