DR. AUSTIN ABBOTT CARPENTER JR. (NPI# 1144344136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144344136 |
| Entity Type | Individual |
| Full Name | DR. AUSTIN ABBOTT CARPENTER JR. |
| Credential | PH.D. |
| Practice Address |
645 W Harding Way Sutie 2 Stockton CA 95204-5688 |
| Mailing Address |
Po Box 249 Avenal CA 93204-0249 |
| Practice Telephone | 2094654955 |
| Practice Fax Number | 5593861085 |
| Mailing Telephone | 4435546360 |
| Mailing Fax Number | 5593861085 |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 16361 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSY 163610 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003442625 | Austin B Carpenter | Student in an Organized Health Care Education/Training Program | 3900 Reservoir Rd Nw, Washington, DC 20007-2126 | 2020-03-15 |
| Street Address |
645 W HARDING WAY SUTIE 2 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-5688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056209 | Yi-po Anthony Wu | Internal Medicine | 645 W Harding Way, Suite 15, Stockton, CA 95204-5688 | 2005-07-14 |
| 1649356163 | Doo Kwang Lee | Emergency Medicine | 645 W Harding Way, Suite 5a, Stockton, CA 95204 | 2006-10-27 |
| 1871532887 | Excell E.n.t. Medical Group, Inc. | Otolaryngology | 645 W Harding Way, Suite 6, Stockton, CA 95204-5688 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| 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 |
|---|---|---|---|---|
| 1811352628 | Stephen Gutknecht | Psychologist | 3755 W Benjamin Holt Dr Apt 163, Stockton, CA 95219-3313 | 2015-12-21 |
| 1518277433 | Maria Elisabet Revilla | Psychologist | 1350 W Robinhood Dr Ste 18, Stockton, CA 95207-5519 | 2010-10-13 |
| 1184869356 | Frederick Arthur Martin | Psychologist | 1232 Mill Way, Stockton, CA 95209-4368 | 2008-12-02 |
| 1720108335 | Crystal Rose Krull | Psychologist | 1117 S Grant St, Stockton, CA 95206-1626 | 2007-03-29 |
| 1316003759 | Cheryl Thornton | Psychologist | 808 South St, Stockton, MO 65785 | 2006-12-29 |
| 1851493639 | Victor Manuel Zapien | Psychologist | 1743 Grand Canal Blvd Suite #16, Stockton, CA 95207 | 2006-09-02 |
| 1720021975 | Floyd Joseph O'brien | Psychologist | 33 W Alder St, Stockton, CA 95204-5701 | 2006-06-14 |
| 1306336888 | Debra Ann Robertson | Psychologist | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-05-10 |
| 1992175863 | Ronnie Doss | Psychologist | 7707 Austin Rd, Stockton, CA 95215-8312 | 2015-10-04 |
| 1528450459 | Jennifer Crews Thom | Psychologist | 7373 West Ln, Stockton, CA 95210-3377 | 2015-03-02 |
| Find all providers in STOCKTON | ||||
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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.