DR. CYNTHIA LYNN WEISSBEIN MACKEN


Address: 1821 4th St, Santa Rosa, CA 95404-3202
Phone: 7074847979

DR. CYNTHIA LYNN WEISSBEIN MACKEN (NPI# 1194840660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194840660
Entity Type Individual
Full Name DR. CYNTHIA LYNN WEISSBEIN MACKEN
Credential PSYD
Practice Address 1821 4th St
Santa Rosa
CA 95404-3202
Mailing Address 2133 Calistoga Rd
Santa Rosa
CA 95404-8417
Practice Telephone 7074847979
Practice Fax Number 7075662115
Mailing Telephone 7074847979
Mailing Fax Number 7075662115
Enumeration Date 2007-03-20
Last Update Date 2013-04-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist PSY14465 CA Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
PSY14465 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1821 4TH ST
City SANTA ROSA
State CA
Zip Code 95404-3202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255448882 Rhonda Shea Marriage & Family Therapist 1821 4th St, Santa Rosa, CA 95404-3202 2006-08-23
1215593447 Nancy Herrera-cheng Counselor 1821 4th St, Santa Rosa, CA 95404-3202 2019-05-13
1396190468 Carmen Carnes Community Health Worker 1821 4th St, Santa Rosa, CA 95404-3202 2016-04-26
1821452434 Diane Camurat Marriage & Family Therapist 1821 4th St, Santa Rosa, CA 95404-3202 2016-04-09
1538523378 Rex Burington Marriage & Family Therapist 1821 4th St, Santa Rosa, CA 95404-3202 2016-04-07
1396110961 Joseph Harry Wheeler Marriage & Family Therapist 1821 4th St, Santa Rosa, CA 95404-3202 2015-12-08
1174997951 Sivi Ruder Counselor 1821 4th St, Santa Rosa, CA 95404-3202 2015-11-17
1780055897 Chrysalis Community Counseling Services Clinic/Center 1821 4th St, Santa Rosa, CA 95404-3202 2015-10-14
1831326180 Heather Ann Harshbarger Marriage & Family Therapist 1821 4th St, Santa Rosa, CA 95404-3202 2009-06-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205442217 David Lee Dutton Counselor 201 S. E Street, Santa Rosa, CA 95404 2020-09-16
1114492162 Jesse Earl Rathbun Jr. Ophthalmology 1920 Grace Dr., Santa Rosa, CA 95404 2018-10-05
1568958437 Bianca Avina Marriage & Family Therapist 95 Montgomery Dr. #112, Santa Rosa, CA 95404 2018-07-03
1366940504 New Leaf Counseling and Psychotherapy Marriage & Family Therapist 1030 2n Street, Suite B, Santa Rosa, CA 95404 2018-01-23
1659884864 Jessica Vargas Lopez Counselor 3333 Chanate Road, Santa Rosa, CA 95404 2017-11-09
1982135992 Gaea Keridwyn Coon Marriage & Family Therapist 884 Third Street, Suite D, Santa Rosa, CA 95404 2017-03-22
1376084699 Empire Traditional Chinese Medicine Acupuncturist 1030 Second St, Santa Rosa, CA 95404 2017-03-20
1356888705 Webster Surgery Center, Lp Clinic/Center 730 Bennett Valley Road, Santa Rosa, CA 95404 2017-01-24
1205295979 Sandra Lee Krikorian Social Worker 101 E Street, Suite 312, Santa Rosa, CA 95404 2016-02-23
1396134615 The Center for Body Oriented Psychotherapy & Wellness Psychologist 1626 Fourth Street, Santa Rosa, CA 95404 2015-01-12
Find all providers in zip 95404

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1154638740 Kimberly A Gauntlett Psychologist 657 Connie St, Santa Rosa, CA 95407-6267 2010-09-03
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
Find all providers in SANTA ROSA

Competitor

Search similar providers

City SANTA ROSA
Zip Code 95404

Improve Information

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Dataset Information

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.

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