DR. KATHLEEN BAYNES (NPI# 1245204825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245204825 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN BAYNES |
| Credential | PH.D. |
| Practice Address |
10633 Grissom Ave Sacramento Va Mental Health Clinic Mather CA 95655-4123 |
| Mailing Address |
1544 Newton Ct Center for Neuroscience Davis CA 95616-4859 |
| Practice Telephone | 9163665420 |
| Practice Fax Number | 9163665325 |
| Mailing Telephone | 5307578850 |
| Mailing Fax Number | 5307578827 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 15157 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922323427 | Kathleen Tappen Baynes | Psychiatry & Neurology | 300 Crittenden Blvd, Box Psych, Rochester, NY 14642-8409 | 2010-03-29 |
| Street Address |
10633 GRISSOM AVE SACRAMENTO VA MENTAL HEALTH CLINIC |
| City | MATHER |
| State | CA |
| Zip Code | 95655-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881677706 | David Mark Gellerman | Psychiatry & Neurology | 10633 Grissom Ave, Vanchcs Mental Health Clinic, Mather, CA 95655-4123 | 2005-11-23 |
| 1245351881 | Ronald Edwin Allen | Psychologist | 10633 Grissom Ave, Mather, CA 95655-4123 | 2007-04-02 |
| 1174685051 | Steven Jeffrey Shotz | Psychologist | 10633 Grissom Ave, Mather, CA 95655-4123 | 2006-12-15 |
| 1306949425 | William James Beverly | Counselor | 10633 Grissom Ave, Mather, CA 95655-4123 | 2006-09-06 |
| 1366411886 | Margaret Denise Tahan | Social Worker | 10633 Grissom Ave, Mather, CA 95655-4123 | 2006-03-16 |
| 1215906060 | Susan Marie Sanfilippo | Psychologist | 10633 Grissom Ave, 116 Mat, Mather, CA 95655-4123 | 2006-03-15 |
| 1619946449 | Melinda Jane Keenan | Psychologist | 10633 Grissom Ave, Mather, CA 95655 | 2006-03-15 |
| 1154397081 | Robert Black Schneider | Psychologist | 10633 Grissom Ave, Mather, CA 95655-4123 | 2006-02-28 |
| 1619943628 | Leroy J Carey II | Counselor | 10633 Grissom Ave, Mather, CA 95655-4123 | 2006-02-28 |
| 1063487817 | Roberta Hopkins | Registered Nurse | 10633 Grissom Ave, Mather, CA 95655-4123 | 2006-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624489 | Sacramento County Office of Education | Clinic/Center | Sacramento County Office of Education/david P. Meaney, 10474 Mather Boulevard, Conference Room A, Mather, CA 95655 | 2019-11-18 |
| 1528539194 | Diana Florina Mccarthy | Pharmacist | 11009 Brattleboro Cir, Mather, CA 95655 | 2018-12-07 |
| 1336235811 | Ian Chan | Internal Medicine | 10565 Hospital Way, Bldg 647, Cardiology Department, Mather, CA 95655 | 2006-10-04 |
| 1790759066 | Tin Zar Shain | Psychiatry & Neurology | 10633 Grissom Avenue, Mather, CA 95655 | 2006-02-14 |
| 1174594659 | Leslie K Eaton | Psychiatry & Neurology | 16033 Grissom Ave, Mather, CA 95655 | 2006-01-31 |
| 1447251681 | Harold A Burger | Internal Medicine | 10535 Hospital Way, Mather Va Hospital, Mather, CA 95655 | 2005-08-10 |
| 1306496799 | Connie Q Sou | Pharmacist | 10535 Hospital Way # 119, Mather, CA 95655 | 2019-09-17 |
| 1356901490 | Sacramento County Office of Education | Local Education Agency (LEA) | 10474 Mather Blvd, Mather, CA 95655 | 2019-06-20 |
| 1255998399 | Wendy Anne Hermes | Dietitian, Registered | 10535 Hospital Way, Bldg 727, Rm 215, Sacramento, CA 95655 | 2019-05-23 |
| 1528595048 | Alissa Goldstein | Psychologist | 10535 Hospital Way, Mather, CA 95655 | 2017-05-15 |
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| 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 |
|---|---|---|---|---|
| 1962921619 | Tory Kimpton | Clinical Neuropsychologist | 10535 Hospital Way, Mather, CA 95655-4200 | 2017-09-13 |
| 1619203734 | Dani Binegar | Clinical Neuropsychologist | 10535 Hospital Way, Mather, CA 95655-4200 | 2009-10-23 |
| 1235388646 | Traci Sitzer | Clinical Neuropsychologist | 10535 Hospital Way, Mental Health 116, Mather, CA 95655-4200 | 2008-09-10 |
| 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.