BRANNON WALSMITH HART (NPI# 1750885505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750885505 |
| Entity Type | Individual |
| Full Name | BRANNON WALSMITH HART |
| Credential | HSPP |
| Practice Address |
5317 E 16th St Indianapolis IN 46218-4897 |
| Mailing Address |
1503 N Mitthoeffer Rd Indianapolis IN 46229-2425 |
| Practice Telephone | 3173553700 |
| Practice Fax Number | 3173557793 |
| Mailing Telephone | 3179340800 |
| Mailing Fax Number | 3173556150 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
20043107A | IN | Behavioral Health & Social Service Providers |
| Street Address |
5317 E 16TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46218-4897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871574806 | Russell L Judd | Specialist | 5317 E 16th St, Ste 5, Indianapolis, IN 46218-4897 | 2005-11-08 |
| 1316580657 | Cassandra Tran | Nurse Practitioner | 5317 E 16th St, Indianapolis, IN 46218-4897 | 2019-10-18 |
| 1386102747 | Kristy Salinas | Social Worker | 5317 E 16th St, Indianapolis, IN 46218-4897 | 2019-03-05 |
| 1720454481 | Jessica Dillon | Nurse Practitioner | 5317 E 16th St, Indianapolis, IN 46218-4897 | 2015-08-18 |
| 1609264456 | Juanita Clowers | Nurse Practitioner | 5317 E 16th St, Indianapolis, IN 46218-4897 | 2015-01-02 |
| 1306254214 | Carrie Hatfield | Clinical Nurse Specialist | 5317 E 16th St, Indianapolis, IN 46218-4897 | 2014-07-24 |
| 1295022036 | Scheri-lyn Makombe | Family Medicine | 5317 E 16th St, Indianapolis, IN 46218-4897 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487208930 | Darryl K Webster | Counselor | 4901 E. 31st Street, Indianapolis, IN 46218 | 2019-08-01 |
| 1780238238 | Rhonda Y. Battles | Counselor | 1775 N Sherman Dr Suite A, Indianapolis, IN 46218 | 2019-08-01 |
| 1861918849 | Corey Simmons | Ambulance | 3659 N Temple Ave, Indianapolis, IN 46218 | 2017-08-21 |
| 1245769645 | Community Health Network, Inc | Clinic/Center | 1640 N. Ritter Avenue, Indianapolis, IN 46218 | 2017-06-08 |
| 1912221615 | Melvin Lowell Stringer Jr. | Driver | 3266 N. Arsenal Ave, Indianapolis, IN 46218 | 2010-03-24 |
| 1952523854 | Allyson Leigh Mcintire | Counselor | 5502 E 16 Th Street, Indpls, IN 46218 | 2007-05-02 |
| 1104912963 | Andrea Sue Campbell | Social Worker | 5502 E 16th Street, Indpls, IN 46218 | 2006-10-05 |
| 1720186356 | Abbie Ann Grudzien | Counselor | 4701 N Keystone, Ste 150, Indpls, IN 46218 | 2006-09-20 |
| 1508978784 | Linda A Fundenberger | Ophthalmology | 2815 E 38th Street, Indianapolis, IN 46218 | 2006-08-31 |
| 1063467850 | Aaron P Kalinowski | Emergency Medicine | 2920 N Arlington Ave Ste B, Indianapolis, IN 46218 | 2006-05-23 |
| Find all providers in zip 46218 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376600767 | Bart Ferraro | Psychologist | 2011 N Meridian St, Indianapolis, IN 46202-1305 | 2007-01-03 |
| 1235247396 | Linda Ohlsen Ferreira | Psychologist | 23 East 39th Street, Indianapolis, IN 46205-2645 | 2006-08-29 |
| 1871567602 | Patrick J Murphy | Psychologist | 7418 Glenview Dr E, Indianapolis, IN 46250-2456 | 2006-02-16 |
| 1538161351 | Mark Steven Randall | Psychologist | 8075 North Shadeland Avenue, Indianapolis, IN 46256-2693 | 2005-08-11 |
| 1780283879 | Cadence Psychology Studio | Psychologist | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2020-10-20 |
| 1619449329 | Kevin Lee Rand | Psychologist | 4401 Central Ave, Indianapolis, IN 46205-1822 | 2018-12-19 |
| 1629556535 | Jessicah Dawn Walker Herche | Psychologist | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-08-02 |
| 1609245042 | Michael Kenny | Psychologist | 737 E 86th St, Indianapolis, IN 46240-1803 | 2015-09-16 |
| 1750790440 | Stephanie Drescher | Psychologist | 4401 Central Ave, Indianapolis, IN 46205-1822 | 2014-08-06 |
| 1396154084 | Susan Lin Galford | Psychologist | 4401 Central Ave, Indianapolis, IN 46205-1822 | 2014-08-06 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46218 |
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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.