DR. DAVID FREDERICK DAHL (NPI# 1124141031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124141031 |
| Entity Type | Individual |
| Full Name | DR. DAVID FREDERICK DAHL |
| Credential | PH.D. |
| Practice Address |
2542 S Bascom Ave Ste 265 Campbell CA 95008-5565 |
| Practice Telephone | 4087930313 |
| Practice Fax Number | 4087967592 |
| Mailing Telephone | 4087930313 |
| Mailing Fax Number | 4083719193 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2016-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY 19014 | CA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PSY 19014 | CA | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
PSY 19014 | CA | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
PSY 19014 | CA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY 19014 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 19014 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY 19014 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
PSY 19014 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
PSY 19014 | CA | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
PSY 19014 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649622713 | David Dahl | Physical Therapist | 6618 64th St Ne Ste D, Marysville, WA 98270-4883 | 2016-07-12 |
| 1841516937 | David Ernest Dahl | Anesthesiology | 101 Medtech Pkwy Ste 200, Johnson City, TN 37604-4001 | 2010-04-14 |
| 1114183555 | David Nicholas Dahl | Family Medicine | 600 S State Road 57, Ste A, Washington, IN 47501-4371 | 2008-08-05 |
| 1407061997 | David I Dahl | Dentist | 11650 Us Highway 380 Ste 100, Crossroads, TX 76227-8329 | 2007-05-10 |
| 1275616039 | David Glenn Dahl | Chiropractor | 406 Main St, Cold Spring, MN 56320-2324 | 2006-10-23 |
| 1780777029 | David Carl Dahl | Emergency Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2006-10-01 |
| 1518074673 | David Russell Dahl | Denturist | 1055 Court St, Medford, OR 97501-5727 | 2006-08-24 |
| 1801833074 | David C Dahl | Internal Medicine | 701 Park Ave, S5, Minneapolis, MN 55415-1623 | 2006-05-31 |
| Street Address |
2542 S BASCOM AVE STE 265 |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-5565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649253204 | Philip Richard Kavanaugh | Psychiatry & Neurology | 2542 S Bascom Ave, Suite 207, Campbell, CA 95008-5526 | 2005-11-28 |
| 1740639301 | Carolain Suzuki Peregrino | Nurse Practitioner | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5526 | 2016-06-05 |
| 1588083992 | Wk Medical Group | Psychiatry & Neurology | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5526 | 2014-04-14 |
| 1659713329 | Jeweleeh Hanh Yu | Physician Assistant | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5526 | 2013-07-23 |
| 1073645701 | Archana Narayan Kulkarni | Social Worker | 2542 S Bascom Ave, Suite 255, Campbell, CA 95008-5526 | 2007-03-09 |
| 1871620542 | Sally Ann Sharrock | Marriage & Family Therapist | 2542 S Bascom Ave, 255, Campbell, CA 95008-5526 | 2007-02-28 |
| 1629104617 | Bruce Melvin Wermuth | Psychiatry & Neurology | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5526 | 2007-02-26 |
| 1194766113 | Maria Virginia Castelli | Registered Nurse | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5541 | 2006-06-09 |
| 1063478964 | Diann Garcia | Nurse Practitioner | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5526 | 2006-04-21 |
| 1902866049 | George D Guido IIi | Physician Assistant | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5541 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
| Find all providers in zip 95008 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114361995 | Margaret Ann Struchen | Clinical Neuropsychologist | 2155 S Bascom Ave Ste 103, Campbell, CA 95008-3200 | 2013-04-23 |
| 1407478738 | Megan Elizabeth Eng | Clinical Neuropsychologist | 2542 S Bascom Ave Ste 100, Campbell, CA 95008-5541 | 2020-05-08 |
| 1831591098 | Stacy Lee Weber | Clinical Neuropsychologist | 2155 S Bascom Ave Ste 103, Campbell, CA 95008-3200 | 2014-09-19 |
| 1063762656 | Jodi Pinn | Clinical Neuropsychologist | 900 E Hamilton Ave, Suite 100, Campbell, CA 95008-0664 | 2012-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
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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.