DR. TAMARA LYNN ELKINS (NPI# 1073671228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073671228 |
| Entity Type | Individual |
| Full Name | DR. TAMARA LYNN ELKINS |
| Credential | PH.D. |
| Practice Address |
802 14th St Ste G Modesto CA 95354-1029 |
| Mailing Address |
802 14th St Suite G Modesto CA 95354-1029 |
| Practice Telephone | 2095214334 |
| Practice Fax Number | 2095214334 |
| Mailing Telephone | 2095214334 |
| Mailing Fax Number | 2095214334 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PSY15916 | CA | Behavioral Health & Social Service Providers |
| X | 103TR0400X |
Psychologist Specialization: Rehabilitation |
PSY15916 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSY159160 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205045986 | Tamara Elkins | Technician | 6982 E Nelson Dr, Tucson, AZ 85730-1716 | 2007-05-21 |
| 1922076702 | Tamara Joy Elkins | Nurse Practitioner | 8895 Broadway, Merrillville, IN 46410 | 2006-03-09 |
| Street Address |
802 14TH ST STE G |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134699218 | Michael They | Nurse Practitioner | 802 14th St, Ste N, Modesto, CA 95354-1029 | 2018-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871129932 | Anita Louise Pedersen-pennock | Psychologist | 2716 Cherry Creek Ct, Modesto, CA 95355-9354 | 2020-03-20 |
| 1972993509 | City Psychology, Inc. | Psychologist | 909 15th St Ste 8, Modesto, CA 95354-1130 | 2015-02-03 |
| 1154443927 | Marcus C Kluender | Psychologist | 1518 Coffee Road, Ste C, Modesto, CA 95355 | 2007-04-04 |
| 1194875377 | Nicholas George Minardi | Psychologist | 3409 Whitehorse Ave, Modesto, CA 95350-1067 | 2007-01-11 |
| 1487715777 | Gary William Zimmerman | Psychologist | 1420 'f' Street, Modesto, CA 95354 | 2006-12-12 |
| 1306880448 | Anna Maria Hall | Psychologist | 1608 Sunrise Ave, Modesto, CA 95350-4678 | 2006-06-16 |
| 1831150192 | Robert Leroy Morgan | Psychologist | 2030 Coffee Rd Ste C1, Modesto, CA 95355-2413 | 2006-03-28 |
| 1821584137 | Erin Mary Gaab Arsala | Psychologist | 4125 Bangs Ave, Modesto, CA 95356-8713 | 2018-07-10 |
| 1326547266 | Felicia M Agibi | Psychologist | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2018-02-06 |
| 1407205651 | Kathy Ann Rasmussen | Psychologist | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2016-06-08 |
| Find all providers in MODESTO | ||||
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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.