AMELIA JANE ANDERSON-MOONEY (NPI# 1780837104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780837104 |
| Entity Type | Individual |
| Full Name | AMELIA JANE ANDERSON-MOONEY |
| Credential | PH.D. |
| Practice Address |
165 Natchez Trace Ave Bowling Green KY 42103-7940 |
| Mailing Address |
201 Park St Bowling Green KY 42101-1759 |
| Practice Telephone | 2707827800 |
| Practice Fax Number | 2708430779 |
| Mailing Telephone | 2707827800 |
| Mailing Fax Number | 2708430779 |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2017-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 2012-50 | KY | Behavioral Health & Social Service Providers |
| Street Address |
165 NATCHEZ TRACE AVE |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-7940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738482 | Craig A Beard | Orthopaedic Surgery | 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 | 2005-05-23 |
| 1750924676 | Rachel E Perkins | Nurse Practitioner | 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 | 2019-10-23 |
| 1124591318 | Tyler D Miller | Nurse Practitioner | 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 | 2019-01-10 |
| 1518449842 | Matthew J. Miller | Physical Therapist | 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 | 2018-09-04 |
| 1205292257 | Jonathan Reed Packer | Physical Therapist | 165 Natchez Trace Ave, Suite 200, Bowling Green, KY 42103-7940 | 2016-01-06 |
| 1033595947 | Brittany Leigh Sowders | Nurse Practitioner | 165 Natchez Trace Ave, Suite 205, Bowling Green, KY 42103-7940 | 2015-08-03 |
| 1720482409 | Torie A Hatton | Nurse Practitioner | 165 Natchez Trace Ave, Suite 205, Bowling Green, KY 42103-7940 | 2014-10-09 |
| 1558764928 | Rita Wilson | Nurse Practitioner | 165 Natchez Trace Ave, Suite 205, Bowling Green, KY 42103-7940 | 2014-09-30 |
| 1669872362 | Amy L Hatcher | Nurse Practitioner | 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 | 2014-08-29 |
| 1417366402 | Rebecca Grayson | Physical Therapist | 165 Natchez Trace Ave, Ste 200, Bowling Green, KY 42103-7940 | 2014-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982126660 | Seigler Psychological Services | Clinical Neuropsychologist | 1136 S Park Dr Fl 2, Bowling Green, KY 42103-2446 | 2017-07-13 |
| 1235339151 | Melissa Mathews | Clinical Neuropsychologist | 1300 Campbell Ln, Bowling Green, KY 42104-4162 | 2007-07-19 |
| 1114948288 | Gilbert Barbee Moore & Mcilvoy Psc | Clinical Neuropsychologist | 201 Park St, Bowling Green, KY 42101-1759 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598124661 | Brainworks LLC | Clinical Neuropsychologist | 101 Wind Haven Dr Ste 202a, Nicholasville, KY 40356-8035 | 2016-02-18 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1871899062 | Brenda Carol Parker | Clinical Neuropsychologist | 815 John Harper Rd Unit 13, Pioneer Village, KY 40165-7463 | 2011-02-04 |
| 1437393170 | Bradley Scott Folley | Clinical Neuropsychologist | 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241-2847 | 2009-04-24 |
| 1265689475 | Marilyn M. Wagner Ph.d., Psc | Clinical Neuropsychologist | 105a Crescent Ave, Louisville, KY 40206-1525 | 2008-08-20 |
| 1780865907 | Renewed Hope Counseling Center, Pllc | Clinical Neuropsychologist | 212 Hanna Pl, Frankfort, KY 40601-2719 | 2007-11-15 |
| 1619186467 | James Frederick Phifer | Clinical Neuropsychologist | 440 Breckenridge Lane Ste 124, Louisville, KY 40218 | 2007-05-21 |
| 1508916958 | Michael H Cecil | Clinical Neuropsychologist | 13293 Obannon Station Way, Louisville, KY 40223-4188 | 2007-01-10 |
| 1346399318 | Peter Judson Gager | Clinical Neuropsychologist | 3175 Custer Dr Ste 302b, Lexington, KY 40517-4023 | 2007-01-09 |
| 1861565210 | Lacey K Price | Clinical Neuropsychologist | 711 Millpond Rd, Lexington, KY 40514-1561 | 2006-11-15 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
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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.