DR. NAOMI W. GRANVOLD (NPI# 1356425326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356425326 |
| Entity Type | Individual |
| Full Name | DR. NAOMI W. GRANVOLD |
| Other Name | NAOMI JOAN WAGNER |
| Credential | MD |
| Practice Address |
3322 Chanate Rd Santa Rosa CA 95404-1708 |
| Mailing Address |
1004 Woodlake Dr Santa Rosa CA 95405-9213 |
| Practice Telephone | 7079565490 |
| Mailing Telephone | 7079532187 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G37926 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G379260 | 05 |
| Street Address |
3322 CHANATE RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750890703 | Patricia Aileen Francis | Registered Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-09-21 |
| 1144748740 | Sara Sarraf | Registered Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404 | 2017-09-03 |
| 1104340074 | Wendy Rene' Turner | Counselor | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-08-01 |
| 1447774591 | Sarah Katherine Johnson | Registered Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-07-31 |
| 1023547403 | Brenda Jo Brown | Licensed Vocational Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-06-08 |
| 1891229688 | Joel Dyer | Marriage & Family Therapist | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-04-18 |
| 1811428345 | Russell Davidson | Counselor | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-03-26 |
| 1952841777 | Michael Edward Frank | Counselor | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-02-27 |
| 1982148896 | Dana Volk | Marriage & Family Therapist | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2016-12-12 |
| 1588108427 | Stephanie Constantine | Social Worker | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2016-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174069371 | Wellmind Center, A Medical Corporation | Psychiatry & Neurology | 1400 N. Dutton Avenue, Suite #6, Santa Rosa, CA 95401-4644 | 2017-01-11 |
| 1508132309 | Cuyler Burns Goodwin | Psychiatry & Neurology | 1506 4th St, Santa Rosa, CA 95404-4018 | 2012-03-26 |
| 1194987255 | North Bay Psychiatric Associates Inc | Psychiatry & Neurology | 3410 Mendocino Ave, Santa Rosa, CA 95403-2244 | 2008-06-30 |
| 1376728022 | Lorette Marie Labataille | Psychiatry & Neurology | 509 7th St Ste 100, Santa Rosa, CA 95401-5297 | 2007-12-31 |
| 1457546517 | Roswell Messing IIi | Psychiatry & Neurology | 633 Cherry Street, Santa Rosa, CA 95404 | 2007-09-12 |
| 1164615589 | Anish Sunderrajan Shah | Psychiatry & Neurology | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 | 2007-08-20 |
| 1184824625 | Robert Elias | Psychiatry & Neurology | 2329 Parkwood Ct, Santa Rosa, CA 95409-2625 | 2007-07-23 |
| 1114073129 | Aleta Drummond | Psychiatry & Neurology | 1605 4th St, Suite D, Santa Rosa, CA 95404-4036 | 2007-01-25 |
| 1174676738 | Murray L Zucker | Psychiatry & Neurology | 2455 Bennett Valley Rd Ste C210, Santa Rosa, CA 95404-5671 | 2007-01-18 |
| 1013078625 | Neil P. Ehrlich | Psychiatry & Neurology | 3322 Chanate Rd., Santa Rosa, CA 95404 | 2006-12-13 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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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.