KENDRA MATOTT (NPI# 1275173874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275173874 |
Entity Type | Individual |
Full Name | KENDRA MATOTT |
Credential | ED.D. |
Practice Address |
1001 Needham St Modesto CA 95354-0730 |
Practice Telephone | 2092599420 |
Mailing Telephone | 2092599420 |
Enumeration Date | 2020-01-10 |
Last Update Date | 2020-01-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | PSB94024818 | CA | Behavioral Health & Social Service Providers |
Street Address |
1001 NEEDHAM ST |
City | MODESTO |
State | CA |
Zip Code | 95354-0730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245381318 | Ashley Jackson | Marriage & Family Therapist | 1001 Needham St, Modesto, CA 95354-0730 | 2007-01-16 |
1649879958 | James Michael Edmondson | Case Manager/Care Coordinator | 1001 Needham St, Modesto, CA 95354-0730 | 2020-10-19 |
1750923462 | Aj Land IIi | Counselor | 1001 Needham St, Modesto, CA 95354-0730 | 2019-10-14 |
1588206445 | Sara Nicole Cline | Counselor | 1001 Needham St, Modesto, CA 95354-0730 | 2019-10-11 |
1336798644 | Jose Betancourt | Marriage & Family Therapist | 1001 Needham St, Modesto, CA 95354-0730 | 2019-09-09 |
1396305009 | Ronald Joseph Roy | Peer Specialist | 1001 Needham St, Modesto, CA 95354-0730 | 2019-06-14 |
1881252021 | Brenda Melissa Estrada Ramirez | Case Manager/Care Coordinator | 1001 Needham St, Modesto, CA 95354-0730 | 2019-06-03 |
1235795022 | Carla Taunes Gorman | Technician | 1001 Needham St, Modesto, CA 95354-0730 | 2019-05-16 |
1073177887 | Virginia Betty Linker | Peer Specialist | 1001 Needham St, Modesto, CA 95354-0730 | 2019-04-26 |
1831655257 | Angela Amaral | Case Manager/Care Coordinator | 1001 Needham St, Modesto, CA 95354-0730 | 2019-02-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
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Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
Notes: Source: American Psychological Association [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164060281 | Maria Nenova | Psychologist | 4601 Dale Rd Ste 2a2, Modesto, CA 95356-9718 | 2019-12-19 |
1780015990 | Irene Arande Guya-allen | Psychologist | 2812 Habsburg Cir, Modesto, CA 95356-0389 | 2013-12-13 |
1689909582 | Genesis Behavior Center, Inc | Psychologist | 528 14th Genesis Behavior Center, Inc., Modesto, CA 95354 | 2009-10-09 |
1811190507 | Robert E Schneider | Psychologist | 1601 I Street, Suite 440, Modesto, CA 95354 | 2007-06-08 |
1932225323 | Derek Elser Pehle | Psychologist | 1024 J St Ste 411, Modesto, CA 95354-0844 | 2007-03-21 |
1447383492 | Attila Kemeny | Psychologist | 1229 Brighton Ave, Apt 159, Modesto, CA 95355-6103 | 2007-03-13 |
1619062957 | Cheryl Kajander Carmichael | Psychologist | 706 13th St, Modesto, CA 95354-2414 | 2006-10-03 |
1013014711 | Elizabeth Marshall Swearingen | Psychologist | 1518 Coffee Rd, Ste. C, Modesto, CA 95355-3164 | 2006-09-17 |
1770696478 | Cynthia Lin Vincent | Psychologist | 909 15th St, Modesto, CA 95354-1130 | 2006-08-16 |
1609892504 | Robin Schaeffer | Psychologist | 225 W Granger Ave, Modesto, CA 95350-4425 | 2006-07-14 |
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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.