DR. KELLY VANZUTPHEN (NPI# 1235368572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235368572 |
| Entity Type | Individual |
| Full Name | DR. KELLY VANZUTPHEN |
| Other Name | KELLY HUNTER |
| Practice Address |
9940 Starr Rd. Ste 140 Windsor CA 95492 |
| Mailing Address |
Po Box 1497 Healdsburg CA 95448 |
| Practice Telephone | 7075694545 |
| Practice Fax Number | 7074312334 |
| Mailing Telephone | 7075694545 |
| Mailing Fax Number | 7074312334 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY21716 | CA | Behavioral Health & Social Service Providers |
| Street Address |
9940 STARR RD. STE 140 |
| City | WINDSOR |
| State | CA |
| Zip Code | 95492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932315934 | Charles Henry Aikawa | Dentist | 8741 Brooks Road South Ste 201, Windsor, CA 95492 | 2007-05-15 |
| 1417025701 | Barbara W Franzen | Family Medicine | 404 Gordon Ct, Windsor, CA 95492 | 2006-12-02 |
| 1780768382 | Joyce Yu Chang | Dentist | 8886 Lakewood Dr, Windsor, CA 95492 | 2006-10-24 |
| 1477564946 | Jamila M Benn | Family Medicine | 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492 | 2006-08-10 |
| 1538173141 | Elizabeth Flower | Family Medicine | 6580 Hembree Ln Ste 270, Windsor, CA 95492 | 2006-07-28 |
| 1093785826 | Windsor Primary Care Medical Group Inc | Family Medicine | 8465 Old Redwood Hwy, #320, Windsor, CA 95492 | 2006-01-24 |
| 1093288995 | Elizabeth Vasquez Quiroz | Counselor | 3555 Sonoma Hwy, Santa Rosa, CA 95492 | 2019-01-03 |
| 1336488071 | Jennifer L Price | Chiropractor | 8499 Old Redwood Hwy, Suite 204, Windsor, CA 95492 | 2013-01-31 |
| 1104163815 | Rael Bernstein Dds Apc | Dentist | 8741 Brooks Rd S, Windsor, CA 95492 | 2013-01-15 |
| 1730263716 | Stephen M. Rich | Internal Medicine | 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492 | 2006-10-25 |
| Find all providers in zip 95492 | ||||
| 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 |
|---|---|---|---|---|
| 1467820944 | Nicole M Barcelos | Clinical Neuropsychologist | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2015-09-14 |
| 1881924439 | Anabela Dasilva Smith | Clinical Neuropsychologist | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2010-01-04 |
| 1033241120 | Howard Marc Goldfischer | Clinical Neuropsychologist | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2007-03-12 |
| 1497846216 | Robert B. Mccue II | Clinical Neuropsychologist | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2006-09-27 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KELLY VANZUTPHEN.
| 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.