DR. KIMBERLY A GAUNTLETT (NPI# 1154638740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154638740 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY A GAUNTLETT |
| Credential | PSY.D. |
| Practice Address |
657 Connie St Santa Rosa CA 95407-6267 |
| Practice Telephone | 4153172343 |
| Mailing Telephone | 4153172343 |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY23692 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 337 College Ave Ste F, Santa Rosa, CA 954015117 | 7073037675 |
| Street Address |
657 CONNIE ST |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-6267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922574821 | Megan Nolan | Psychologist | 4378 Bennett Valley Rd, Santa Rosa, CA 95404-6239 | 2018-10-17 |
| 1023505344 | Cross Cultural Services and Evaluations, Inc | Psychologist | 1550 Airport Blvd Ste 206, Santa Rosa, CA 95403-1095 | 2018-04-23 |
| 1053764688 | Dominic G Lucia | Psychologist | 1824 Empire Industrial Ct, Suite 'c', Santa Rosa, CA 95403-1991 | 2016-07-19 |
| 1942659024 | Anne Babin | Psychologist | 819 3rd St Ste 103, Santa Rosa, CA 95404-4546 | 2016-06-08 |
| 1649524802 | Sheila Albert | Psychologist | 4911 Perezoso Calle, Santa Rosa, CA 95409-2651 | 2012-11-08 |
| 1730443359 | Silvio Machado | Psychologist | 1626 4th St, Santa Rosa, CA 95404-4020 | 2012-06-28 |
| 1619266343 | Carla Marie Manly | Psychologist | 320 10th St Ste 303, Santa Rosa, CA 95401-5291 | 2011-04-04 |
| 1063740736 | Kathleen A Kunster | Psychologist | 320 Tenth Street, Suite 205, Santa Rosa, CA 95401-9540 | 2009-11-18 |
| 1588801054 | Lisa Rohe | Psychologist | 1008 Fifth Street, Santa Rosa, CA 95404 | 2009-01-20 |
| 1881871036 | Rodolfo Rodriguez | Psychologist | 1550 Airport Blvd, Ste 206, Santa Rosa, CA 95403-1095 | 2008-01-29 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
Please comment or provide details below to improve the information on DR. KIMBERLY A GAUNTLETT.
| 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.