DIANA S POULSON (NPI# 1114241205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114241205 |
| Entity Type | Individual |
| Full Name | DIANA S POULSON |
| Practice Address |
7765 Healdsburg Ave Sebastopol CA 95472-3309 |
| Mailing Address |
708 Gravenstein Hwy N #339 Sebastopol CA 95472-2808 |
| Practice Telephone | 7078244782 |
| Mailing Telephone | 7078244782 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC34244 | CA | Behavioral Health & Social Service Providers |
| Street Address |
7765 HEALDSBURG AVE |
| City | SEBASTOPOL |
| State | CA |
| Zip Code | 95472-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497809941 | Heather R. Bone | Counselor | 7765 Healdsburg Ave, Suite 12, Sebastopol, CA 95472-3309 | 2007-01-22 |
| 1306484605 | Maggie Self, Lmft | Marriage & Family Therapist | 7765 Healdsburg Ave, Sebastopol, CA 95472-3309 | 2019-12-17 |
| 1013484773 | Shoshana Rose Davis | Marriage & Family Therapist | 7765 Healdsburg Ave, Sebastopol, CA 95472-3309 | 2018-10-30 |
| 1962988923 | Vanessa Eyen | Marriage & Family Therapist | 7765 Healdsburg Ave, Sebastopol, CA 95472-3309 | 2018-07-12 |
| 1932583614 | Theresa M Hozian | Psychologist | 7765 Healdsburg Ave, Suite 17, Sebastopol, CA 95472-3309 | 2015-07-13 |
| 1275915878 | Chase L Desso | Acupuncturist | 7765 Healdsburg Ave, Sebastopol, CA 95472-3309 | 2015-06-19 |
| 1356622351 | Claudia Haskel-seidner | Marriage & Family Therapist | 7765 Healdsburg Ave, Suite 18, Sebastopol, CA 95472-3309 | 2011-09-02 |
| 1225318017 | Elaine Sohier Gayler | Marriage & Family Therapist | 7765 Healdsburg Ave, Suite 12, Sebastopol, CA 95472-3309 | 2011-08-24 |
| 1295970812 | Angelica Roseria Jochim | Marriage & Family Therapist | 7765 Healdsburg Ave, Sebastopol, CA 95472 | 2008-12-10 |
| 1215199054 | Maggie Rose Self | Counselor | 7765 Healdsburg Ave, Sebastopol, CA 95472 | 2008-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916791 | Mellisa Nicole Elrod | Occupational Therapist | 1935 Gravenstein Hwy, Sebastopol, CA 95472 | 2019-08-05 |
| 1457820987 | Isabel Brooke Martinez | Acupuncturist | 961 Gravenstein Hwy South, # 100, Sebastopol, CA 95472 | 2018-11-14 |
| 1275025470 | Shahbano Syeda | Specialist/Technologist | 846/848 Gravenstein Hwy South, Sebastopol, CA 95472 | 2018-06-04 |
| 1467990812 | Mathew Metzgar | Marriage & Family Therapist | 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 | 2017-02-06 |
| 1760939318 | Andrea Kirk | Psychologist | 876 Gravenstein Hwy S., Suite 6, Sebastopol, CA 95472 | 2016-09-01 |
| 1548629371 | Stacy Simons | Massage Therapist | 103 Morris St Ste V, Sebastopol, CA 95472 | 2016-02-22 |
| 1619341880 | Carol Schmid | Counselor | 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 | 2015-11-25 |
| 1801273727 | Aaron Martinez | Specialist/Technologist | 7441 Witter Road, Sebastopol, CA 95472 | 2015-04-29 |
| 1699167049 | Nia Kaye | Marriage & Family Therapist | 130 Petaluma Ave Ste 2c, Sebastopol, CA 95472 | 2015-02-23 |
| 1497091383 | Caitlin Marie Kirkman | Midwife | 5611 Hessel Ave, Sebastopol, CA 95472 | 2012-12-20 |
| Find all providers in zip 95472 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452495 | Sharon Siegler | Marriage & Family Therapist | 708 Robinson Rd, Sebastopol, CA 95472-4104 | 2020-09-23 |
| 1487281564 | Dana C. Andrews | Marriage & Family Therapist | 1800 N. Grarenstein Hwy, Sebastopol, CA 95472-2079 | 2020-03-26 |
| 1871127845 | Mary Michelle Good | Marriage & Family Therapist | 313 N Main St Ste C, Sebastopol, CA 95472-3437 | 2020-02-27 |
| 1457999781 | Mary Denise Hinsdale | Marriage & Family Therapist | 120 Pleasant Hill Ave N Ste 370, Sebastopol, CA 95472-3169 | 2019-12-17 |
| 1629502638 | Chi Recovery, Inc. | Marriage & Family Therapist | 105 Morris St Ste 214, Sebastopol, CA 95472-3847 | 2017-04-17 |
| 1669910642 | Doris Mcdonnell | Marriage & Family Therapist | 7866 Bodega Ave, C#2, Sebastopol, CA 95472-3500 | 2017-02-09 |
| 1467990812 | Mathew Metzgar | Marriage & Family Therapist | 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 | 2017-02-06 |
| 1215482773 | Joaquin Lopez De San Roman | Marriage & Family Therapist | 2650 Burnside Rd, Sebastopol, CA 95472-9424 | 2016-08-24 |
| 1902260938 | Deborah Mccallum | Marriage & Family Therapist | 470 Pitt Ave, Sebastopol, CA 95472-3747 | 2016-04-06 |
| 1366810848 | Mary Jane Covell | Marriage & Family Therapist | 6914 Sebastopol Ave Ste B, Sebastopol, CA 95472-3460 | 2015-09-14 |
| Find all providers in SEBASTOPOL | ||||
| City | SEBASTOPOL |
| Zip Code | 95472 |
Please comment or provide details below to improve the information on DIANA S POULSON.
| 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.