DR. DAVID LEONARD KUTZ (NPI# 1306827944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306827944 |
| Entity Type | Individual |
| Full Name | DR. DAVID LEONARD KUTZ |
| Credential | MD |
| Practice Address |
1761 Broadway St Ste 100 Vallejo CA 94589-2227 |
| Practice Telephone | 7076452700 |
| Mailing Telephone | 7076452700 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2014-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
G080373 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245397066 | David J Kutz | Psychologist | 2074 Galisteo St, A1, Santa Fe, NM 87505-2138 | 2007-01-02 |
| Street Address |
1761 BROADWAY ST STE 100 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812718 | Jamie Hansen | Psychologist | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2020-02-07 |
| 1316333602 | Claire Marie Reclosado-baclay | Counselor | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2015-04-13 |
| 1982963690 | Alexander Shen | Counselor | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2012-05-15 |
| 1174833909 | Jamie Su Baskett | Social Worker | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2010-10-14 |
| 1871804856 | Maria Ortiz-baker | Psychologist | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2010-06-24 |
| 1881923456 | Kaiser Permanente | Clinic/Center | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2009-12-10 |
| 1104050897 | Jacqueline Raines-kohler | Counselor | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2009-05-08 |
| 1275733875 | Daniella Marie Halperin | Counselor | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2007-07-20 |
| 1568663219 | Jeannie E. Celestial | Psychologist | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2007-05-30 |
| 1881726487 | Lynnell Morris Sow | Social Worker | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2007-03-09 |
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| 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 | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780763813 | Meredyth Caye Brookshire | Psychiatry & Neurology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-02 |
| 1639257454 | Michael E. Reding | Psychiatry & Neurology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
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| 1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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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.