ETHAN ABERCROMBIE (NPI# 1245660281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245660281 |
| Entity Type | Individual |
| Full Name | ETHAN ABERCROMBIE |
| Practice Address |
14005 Spyglass Cir Chowchilla CA 93610-7903 |
| Practice Telephone | 5592019452 |
| Mailing Telephone | 5592019452 |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
3951 | AZ | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1236 | NM | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
21994 | CA | Behavioral Health & Social Service Providers |
| Street Address |
14005 SPYGLASS CIR |
| City | CHOWCHILLA |
| State | CA |
| Zip Code | 93610-7903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598199150 | Hazel Rose Castro | Social Worker | 14285 Spyglass Circle, Chowchilla, CA 93610 | 2013-08-30 |
| 1225306293 | Melissa A Kuhno | Registered Nurse | 513 Plum Ct, Chowchilla, CA 93610 | 2011-12-06 |
| 1356592307 | Danilo D. Ching | Psychiatry & Neurology | 7335 Edgewater St, Chowchilla, CA 93610 | 2008-10-08 |
| 1407055783 | Central California Health | Assisted Living Facility | 160 South 13th Street, Chowchilla, CA 93610 | 2007-07-16 |
| 1306045059 | Shalon Denise Nash | Internal Medicine | 21633 Ave. 24, Chowchilla, CA 93610 | 2007-07-13 |
| 1235336710 | Pal Singh Virk | Internal Medicine | Valley State Prison for Women, 21633 Avenue 24, Chowchilla, CA 93610 | 2007-06-28 |
| 1003925439 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 48 Robertson Blvd, County Wood Plaza, Chowchilla, CA 93610 | 2006-08-30 |
| 1235164898 | Nicholas Eugene Nomicos | General Practice | 101 N Front St Ste B, Chowchilla, CA 93610 | 2006-07-12 |
| 1366077166 | Corrections and Rehabilitation | Pharmacy | 23370 Road 22, Chowchilla, CA 93610 | 2020-03-12 |
| 1659805455 | Laura Choi | Pharmacist | 23370 Road 22, Chowchilla, CA 93610 | 2017-04-18 |
| Find all providers in zip 93610 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770911927 | Catherine Foin | Psychologist | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2013-10-25 |
| 1093159337 | Sheri Rossi | Psychologist | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2013-04-17 |
| 1427397702 | Timothy Mark Beach | Psychologist | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2013-02-06 |
| 1336485945 | Claudia Ann Corgiat | Psychologist | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2012-12-31 |
| 1104197177 | Rachel Michelle Richardson | Psychologist | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2012-01-23 |
| 1780952689 | Sylvia Doris Souza | Psychologist | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2011-12-06 |
| 1811203417 | Matthew T. Wagner | Psychologist | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2010-08-20 |
| 1851528871 | Kieu Kamara | Psychologist | 23370 Road 22, Chowchilla, CA 93610-8504 | 2009-06-17 |
| 1891921219 | Marylenora Lewis | Psychologist | 23370 Road 22, Chowchilla, CA 93610-8504 | 2009-06-01 |
| 1083850838 | Margareta Maria Wiberg X | Psychologist | 23370 Road 22, Chowchilla, CA 93610-8504 | 2008-12-29 |
| Find all providers in CHOWCHILLA | ||||
| City | CHOWCHILLA |
| Zip Code | 93610 |
Please comment or provide details below to improve the information on ETHAN ABERCROMBIE.
| 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.