STARR KELTON-LOCKE (NPI# 1003265760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003265760 |
| Entity Type | Individual |
| Full Name | STARR KELTON-LOCKE |
| Practice Address |
1030 Sir Francis Drake Blvd Ste. 100 Kentfield CA 94904-1411 |
| Practice Telephone | 4154532782 |
| Practice Fax Number | 4154579932 |
| Mailing Telephone | 4154532782 |
| Mailing Fax Number | 4154579932 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY16108 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1030 SIR FRANCIS DRAKE BLVD STE. 100 |
| City | KENTFIELD |
| State | CA |
| Zip Code | 94904-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366409922 | Sarah Marie Centeno | Psychiatry & Neurology | 1030 Sir Francis Drake Blvd, Suite 100, Rm 1, Kentfield, CA 94904-1411 | 2006-04-27 |
| 1962944397 | Robin Glantz | Marriage & Family Therapist | 1030 Sir Francis Drake Blvd, Kentfield, CA 94904-1411 | 2016-11-16 |
| 1649722216 | Chloe A. Martin | Psychologist | 1030 Sir Francis Drake Blvd, Suite 100, Room 1, Kentfield, CA 94904-1411 | 2016-10-31 |
| 1215304753 | Parnell Medical Corporation | Clinic/Center | 1030 Sir Francis Drake Blvd, Suite 110, Kentfield, CA 94904-1411 | 2015-09-01 |
| 1629457361 | Gerry Snelling | Chiropractor | 1030 Sir Francis Drake Blvd, Suite 130, Kentfield, CA 94904-1411 | 2015-05-27 |
| 1942690599 | Christine Dalva | Registered Nurse | 1030 Sir Francis Drake Blvd, Suite 110, Kentfield, CA 94904-1411 | 2015-02-03 |
| 1386892537 | Eleanor Lusignan | Marriage & Family Therapist | 1030 Sir Francis Drake Blvd, Suite 120, Kentfield, CA 94904-1411 | 2008-08-29 |
| 1982895108 | John J Panagotacos | Psychiatry & Neurology | 1030 Sir Francis Drake Blvd, Suite 130, Kentfield, CA 94904 | 2007-08-05 |
| 1194915959 | Nikoo S Khansari | Counselor | 1030 Sir Francis Drake Blvd, Suite 120, Kentfield, CA 94904-1411 | 2007-07-27 |
| 1235267071 | Jack Warren Maslow | Counselor | 1030 Sir Francis Drake Blvd, Suite 125, Kentfield, CA 94904-1411 | 2007-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1528249836 | Stephanie Jillaine Marti | Psychologist | 1036 Sir Francis Drake Blvd Ste 203, Kentfield, CA 94904-1440 | 2007-11-15 |
| 1073714689 | Tracy Brooke Ryaru | Psychologist | 1044 Sir Francis Drake Blvd Ste 4, Kentfield, CA 94904-1454 | 2007-05-30 |
| 1104341718 | Danila Musante | Psychologist | 835 College Ave, Kentfield, CA 94904-2551 | 2017-08-04 |
| 1144469941 | William Scott Gerwin | Psychologist | 1036 Sir Francis Drake Blvd, Kentfield, CA 94904-1427 | 2009-02-18 |
| 1558545921 | John Steinhelber | Psychologist | 1036 Sir Francis Drake Blvd, Kentfield, CA 94904-1427 | 2007-12-20 |
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| 1992302814 | Sheena Gill | Psychologist | 2501 E Chapman Ave Ste 265, Fullerton, CA 92831-3108 | 2020-10-04 |
| 1255948600 | Kesha Patrice | Psychologist | 939 Ellis St, San Francisco, CA 94109-7714 | 2020-09-29 |
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
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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.