MICHELLE L MANNIA (NPI# 1750625372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750625372 |
| Entity Type | Individual |
| Full Name | MICHELLE L MANNIA |
| Other Name | MICHELLE L LESLIE |
| Credential | PSYD |
| Practice Address |
6640 Intech Blvd Ste 195 Indianapolis IN 46278-2011 |
| Mailing Address |
4507 Eagle Creek Pkwy Unit 310 Indianapolis IN 46254-4374 |
| Practice Telephone | 3172950608 |
| Practice Fax Number | 3172950622 |
| Mailing Telephone | 5742769556 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2014-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
39002420A | IN | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20042755A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201228760 | 05 |
| Street Address |
6640 INTECH BLVD STE 195 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46278-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467410118 | Natalie Denise Cumberlander Zolicoffer | Psychologist | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2006-05-03 |
| 1184015141 | Amanda E Garant | Dietitian, Registered | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2015-02-12 |
| 1285025163 | Heather A Hammons | Dietitian, Registered | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2015-02-12 |
| 1912286014 | Janice H Wahman | Counselor | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2011-08-08 |
| 1821395088 | Kate Elizabeth Fisch | Social Worker | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2011-02-23 |
| 1851696652 | Danielle A Patterson | Counselor | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2011-01-26 |
| 1962703603 | Janelle L Floyd | Social Worker | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2010-11-11 |
| 1790097467 | Elizabeth J Hyatt | Counselor | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2010-07-09 |
| 1891006326 | Valerie A Voland | Social Worker | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2010-06-30 |
| 1407173156 | Laura E Boggs | Counselor | 6640 Intech Blvd, Ste 195, Indianapolis, IN 46278-2011 | 2010-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982156196 | Ayushi Sharma | Physical Therapy Assistant | 7345 Woodland Drive, Suite B, Indianapolis, IN 46278 | 2016-11-04 |
| 1518411123 | Maricar Maria Veluz | Physical Therapist | 5980 West 71st Street, Suite 102, Indianapolis, IN 46278 | 2016-08-11 |
| 1447514682 | Sean Russell Dillon | Family Medicine | 7439 Woodland Dr Ste 105, Indianapolis, IN 46278 | 2012-07-03 |
| 1154605137 | Lisa Marie Louks | Pharmacist | 6820 Shanghai Circle, Indianapolis, IN 46278 | 2011-10-07 |
| 1750689402 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 5807 W 73rd St, Indianapolis, IN 46278 | 2011-03-04 |
| 1083863013 | Concentra Health Services, Inc. | Clinic/Center | 5604 W. 74th Street, Indianapolis, IN 46278 | 2008-09-15 |
| 1770779001 | Elite Chiropractic & Wellness, Inc | Chiropractor | 5650 West 86th Street, Suite 128, Indianapolis, IN 46278 | 2007-09-20 |
| 1073734737 | Sochiele Atienza | Contractor | 5980 W. 71st Street, Suite 201, Indianapolis, IN 46278 | 2007-05-01 |
| 1417034422 | Julie Daftari | Family Medicine | 7440 Woodland Drive, Indianapolis, IN 46278 | 2006-11-01 |
| 1437146594 | Kci Usa Inc. | Durable Medical Equipment & Medical Supplies | 7015 Corporate Cir, Suite 7015, Indianapolis, IN 46278 | 2005-10-04 |
| Find all providers in zip 46278 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816048 | Christina E Maxwell Phd | Psychologist | 6337 Hollister Driive, Suite 101, Indianapolis, IN 46224-2996 | 2020-06-23 |
| 1902362619 | Geoffrey Edwards Buck | Psychologist | 9245 N Meridian St # 111, Indianapolis, IN 46260-1836 | 2019-02-18 |
| 1285128850 | Abigail Cole | Psychologist | 6314 Rucker Rd Ste A, Indianapolis, IN 46220-4800 | 2018-06-18 |
| 1558864538 | April Krowel | Psychologist | 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 | 2018-03-15 |
| 1720515893 | Josie Gronbach | Psychologist | 50 E 91st St Ste 316, Indianapolis, IN 46240-1556 | 2017-05-18 |
| 1821469891 | Emma Carter | Psychologist | 603 E Washington St Fl 9, Indianapolis, IN 46204 | 2015-10-15 |
| 1316385081 | Megan A Orr | Psychologist | 2001 W 86th St Fl 7, Indianapolis, IN 46260-1902 | 2013-06-04 |
| 1255775490 | Psychservices Indiana LLC | Psychologist | 5924 1/2 Hillside Avenue East Dr, Indianapolis, IN 46220-2414 | 2013-04-18 |
| 1740557206 | Michael Eric O'brien | Psychologist | 5336 Elmwood Ave, Indianapolis, IN 46203-6023 | 2011-11-28 |
| 1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46278 |
Please comment or provide details below to improve the information on MICHELLE L MANNIA.
| 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.