SUSAN L. PAULY (NPI# 1851474043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851474043 |
Entity Type | Individual |
Full Name | SUSAN L. PAULY |
Credential | PH.D. HSPP |
Practice Address |
1132a S Rogers St Bloomington IN 47403-4770 |
Practice Telephone | 8123350605 |
Practice Fax Number | 8123350606 |
Mailing Telephone | 8123350605 |
Mailing Fax Number | 8123350606 |
Enumeration Date | 2006-10-23 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
20041215A | IN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | CIGNA PIN # | 2027007 | 01 |
IN | AETNA PIN# | 0007851384 | 01 |
IN | ANTHEM PIN# | NON-PAR | 01 |
IN | SIHO PIN # | 548896P | 01 |
Street Address |
1132A S ROGERS ST |
City | BLOOMINGTON |
State | IN |
Zip Code | 47403-4770 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
Find all providers in zip 47403 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
1932632932 | Julie Renee Lafollette | Psychologist | 3901 E Hagan St, Suite F, Bloomington, IN 47401-8557 | 2017-04-06 |
1083155964 | The Highlands Psychology Group | Psychologist | 3100 John Hinkle Place Suite 104, Bloomington, IN 47408-2611 | 2017-03-13 |
1548705478 | Sarah Lagrange | Psychologist | 1918 S Hawksmoore Dr, Bloomington, IN 47401-7155 | 2017-01-02 |
1487065611 | Jesse Steinfeldt | Psychologist | 6309 Bent Pine Drive, Bloomington, IN 47408-9345 | 2014-05-09 |
1114135225 | Carolyn Sue Bartley-smith | Psychologist | 4629 E Morningside Dr, Bloomington, IN 47408-3165 | 2007-05-21 |
1245352855 | Kimberly Wagner | Psychologist | 201 N Rose Ave, Room 32, Bloomington, IN 47405-1005 | 2007-04-04 |
1881722759 | Chris Ann Meno | Psychologist | 600 N Jordan Ave Fl 4, Bloomington, IN 47405-3190 | 2007-03-01 |
1710051768 | Anne Boch | Psychologist | 208 N Walnut St Ste 203, Suite 203, Bloomington, IN 47404-4926 | 2006-11-20 |
1699310763 | Kate Bodack Cullison | Psychologist | 3100 E John Hinkle Pl Ste 104, Bloomington, IN 47408-2611 | 2019-11-13 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 47403 |
Please comment or provide details below to improve the information on SUSAN L. PAULY.
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.