MS. GINA DEROSA WARREN


Address: 11 Westwood Ln, Murphysboro, IL 62966-3004
Phone: 6186845953

MS. GINA DEROSA WARREN (NPI# 1871783191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871783191
Entity Type Individual
Full Name MS. GINA DEROSA WARREN
Credential M.S., BCBA
Practice Address 11 Westwood Ln
Murphysboro
IL 62966-3004
Practice Telephone 6186845953
Mailing Telephone 6186845953
Enumeration Date 2007-08-01
Last Update Date 2007-08-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers

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Office Location

Street Address 11 WESTWOOD LN
City MURPHYSBORO
State IL
Zip Code 62966-3004

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093272999 Lifenet, Inc. Ambulance 430 N Airport Rd, Murphysboro, IL 62966 2019-02-27
1538678354 Anita Tallegien Daneshdoost Physical Therapist 1725 Shomaker Drive, Murphysboro, IL 62966 2017-09-25
1295281558 Alternatives Counseling Inc. Community/Behavioral Health 1400 N Wood Road, Murphysboro, IL 62966 2016-08-28
1962855833 Andrea Maren Whipple Counselor 617 Walnut St, Murphysboro, IL 62966 2016-07-15
1730544180 Lasharon Smith Non-emergency Medical Transport (VAN) 37 Nins Lane, Murphysboro, WI 62966 2015-12-29
1710241328 Kati K Rush Podiatrist 19 E Shawnee Dr Ste 3, Murphysboro, IL 62966 2012-06-28
1386709418 Hoai P Nguyen Dentist 1116 Locust Street, Murphysboro, IL 62966 2006-12-27
1154416576 Hayley Autumn Hood Occupational Therapist 6 East Shawnee, Murphysboro, IL 62966 2006-10-03
1356435135 Southern Illinois Hospital Services General Acute Care Hospital 2 South Hospital Drive, Murphysboro, IL 62966 2006-10-03
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629058904 Gail Peterson Psychologist 1400 N Wood Rd, Milwood Executive Suites, Murphysboro, IL 62966-6290 2006-01-20

Providers in the same taxonomy and state

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1427661685 Peace of Mind Psychological Services Inc Psychologist 738 E Dundee Rd # 267, Palatine, IL 60074-2858 2020-08-27
1558974873 Kelly Hamoudah Psychologist 945 W George St Ste 210, Chicago, IL 60657-5876 2020-08-26
1407479447 Richard J Landau Psychologist 913 W Van Buren St Apt 5c, Chicago, IL 60607-3528 2020-05-26
1699394890 Peter Platten Psychologist 4444 N Campbell Ave Apt 1s, Chicago, IL 60625-3076 2020-04-09
1750917571 Anxiety Clinic of Evanston, LLC Psychologist 4604 W Patterson Ave, Chicago, IL 60641-3609 2020-03-13
1851923759 Professional Family Solutions Psychologist 501 N Riverside Dr Ste 207, Gurnee, IL 60031-5918 2020-02-07
1841830338 Modern Me Psychology, Inc. Psychologist 390 E Devon Ave Ste 201, Roselle, IL 60172-1763 2020-01-13
1326682501 June Care LLC Psychologist 185 S Pleasant Rd, Lake Zurich, IL 60047-2240 2019-10-31
1063067866 Shore Therapy Center for Wellness, LLC Psychologist 3330 Old Glenview Rd Ste 16, Wilmette, IL 60091-2963 2019-08-08
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Competitor

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City MURPHYSBORO
Zip Code 62966

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Dataset Information

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.

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