KELLY MICHELLE WHITEFORD (NPI# 1295229318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295229318 |
| Entity Type | Individual |
| Full Name | KELLY MICHELLE WHITEFORD |
| Practice Address |
3001 Telegraph Ave Apt 403 Berkeley CA 94705-2164 |
| Practice Telephone | 5309082939 |
| Mailing Telephone | 5309082939 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2325 Clement Ave, Alameda, CA 945017063 | 5106296300 |
| Street Address |
3001 TELEGRAPH AVE APT 403 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760942148 | Sharon Joy Avesar | Counselor | 2218 Prince St Unit A, Berkeley, CA 94705-1819 | 2019-03-22 |
| 1083108575 | Romy-michelle Alexandra Unger | Counselor | 2838 Mcgee Ave Apt A, Berkeley, CA 94703-2066 | 2018-06-18 |
| 1154824126 | Stephanie Lemus | Counselor | 2484 Shattuck Ave Ste 201, Berkeley, CA 94704-2076 | 2018-03-15 |
| 1215455761 | Christine Libbey | Counselor | 1980 Hopkins St, Berkeley, CA 94707-2634 | 2017-09-05 |
| 1205371994 | Hayley Elizabeth Liddle | Counselor | 1533b Prince St, Berkeley, CA 94703-2309 | 2017-01-04 |
| 1790158038 | Utah Powell | Counselor | 1422 Fairview St, Berkeley, CA 94702-2716 | 2015-11-09 |
| 1437550720 | Paulina Montes | Counselor | 2540 Grant St, Berkeley, CA 94703-1948 | 2014-09-05 |
| 1013318344 | Lyudmila Kuznetsova | Counselor | 1922 Stuart St, Berkeley, CA 94703-2215 | 2014-09-05 |
| 1972856839 | Kathleen Anne Ruffulo | Counselor | 1212 N Ashbel Ave, Berkeley, IL 60163-1118 | 2012-10-16 |
| 1801144068 | Lee B. Townsend | Counselor | 1649 Hopkins St, Berkeley, CA 94707-2712 | 2012-08-20 |
| Find all providers in BERKELEY | ||||
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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.