KELLY PIRRUCCELLO (NPI# 1295017580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295017580 |
| Entity Type | Individual |
| Full Name | KELLY PIRRUCCELLO |
| Credential | PSY.D. |
| Practice Address |
800 Sereno Dr Vallejo CA 94589-2411 |
| Practice Telephone | 7076512644 |
| Mailing Telephone | 7076512644 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2015-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
27248 | CA | Behavioral Health & Social Service Providers |
| Street Address |
800 SERENO DR |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518029032 | Marla Charbonneau | Marriage & Family Therapist | 800 Sereno Dr, Vallejo, CA 94589-2411 | 2006-12-14 |
| 1649888504 | Marla Lynn Mini | Respiratory Therapist, Registered | 800 Sereno Dr, Vallejo, CA 94589-2411 | 2020-07-16 |
| 1316555287 | Robert Lo | Respiratory Therapist, Registered | 800 Sereno Dr, Vallejo, CA 94589-2411 | 2020-07-16 |
| 1306454251 | Christian Jon Woodward | Respiratory Therapist, Registered | 800 Sereno Dr, Vallejo, CA 94589-2411 | 2020-07-16 |
| 1770919219 | Suzanne N Howard | Psychologist | 800 Sereno Dr, Vallejo, CA 94589-2411 | 2013-09-16 |
| 1013250323 | Richard Henry Von Feldt | Psychologist | 800 Sereno Dr, Vallejo, CA 94589-2411 | 2013-04-04 |
| 1417296211 | Andrinee Wilson | Psychologist | 800 Sereno Dr, Vallejo, CA 94589-2411 | 2013-02-14 |
| 1851695175 | Jeremy Taubman | Social Worker | 800 Sereno Dr, Vallejo, CA 94589-2411 | 2010-12-29 |
| 1992964092 | Deborah Louise Gloria | Counselor | 800 Sereno Dr, Vallejo, CA 94589-2411 | 2008-06-03 |
| 1760651004 | David John Curtiss | Social Worker | 800 Sereno Dr, Vallejo, CA 94589-2411 | 2008-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076347 | Allen Rosenthal | Psychologist | 6678 Chalk Hill Ln, Vallejo, CA 94591-3866 | 2020-08-31 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| 1265668305 | Ariel Krakower | Psychologist | 113 Humphrey Ln, Vallejo, CA 94591-7234 | 2009-06-03 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1609044031 | Sharon Darlene Mccarver | Psychologist | 181 Copper Way, Vallejo, CA 94589-3811 | 2008-02-19 |
| 1659449577 | Beatrice Ann Grant | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589-2485 | 2006-11-30 |
| 1457434110 | Leslie H Lessenger | Psychologist | 301 Georgia St, Suite 306, Vallejo, CA 94590-5946 | 2006-10-23 |
| 1740812718 | Jamie Hansen | Psychologist | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2020-02-07 |
| 1235534934 | Area Agency On Aging Serving Napa and Solano | Psychologist | 400 Contra Costa St, Vallejo, CA 94590-6352 | 2014-10-24 |
| 1851734495 | Jonah Raphael Paquette | Psychologist | 1761 Broadway St, Suite 100, Vallejo, CA 94589-2226 | 2013-04-13 |
| Find all providers in VALLEJO | ||||
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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.