MR. STEVEN DOUGLAS MCCORMICK (NPI# 1356473623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356473623 |
| Entity Type | Individual |
| Full Name | MR. STEVEN DOUGLAS MCCORMICK |
| Other Name | MR. STEVEN DOUGLAS MCCORMICK |
| Credential | PHD |
| Practice Address |
2288 Auburn Blvd. Suite #101 Sacramento CA 95821 |
| Mailing Address |
P.o. Box #2306 Carmichael CA 95609 |
| Practice Telephone | 9166408161 |
| Practice Fax Number | 9166408151 |
| Mailing Telephone | 9166408161 |
| Mailing Fax Number | 9166408151 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2014-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY12990 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ACS | 171397200 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508993221 | Steven A Mccormick | Pathology | 310 E 14th St, 3rd Fl, New York, NY 10003-4201 | 2007-02-28 |
| 1932162948 | Steven L Mccormick | Internal Medicine | 2930 Chesterfield Ave, Charleston, WV 25304-1125 | 2006-04-10 |
| Street Address |
2288 AUBURN BLVD. SUITE #101 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891762373 | Tapati Ray | Anesthesiology | 2288 Auburn Blvd., Sacramento, CA 95821-1618 | 2006-03-03 |
| 1528018116 | Colin Tredrea | Anesthesiology | 2288 Auburn Blvd., Sacramento, CA 95821-1618 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| Find all providers in zip 95821 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1396058780 | Lenore A Tate | Clinical Neuropsychologist | 2030 W El Camino Ave Ste 200, Sacramento, CA 95833-1867 | 2010-07-14 |
| 1588816391 | Maria Moleski | Clinical Neuropsychologist | 2631 Phyllis Ave, Sacramento, CA 95820-4642 | 2008-10-13 |
| 1659530129 | Glenn Alan Hammel | Clinical Neuropsychologist | 1061 Sagamore Way, Sacramento, CA 95822-1714 | 2008-06-09 |
| 1710150685 | John J. Wicks | Clinical Neuropsychologist | 2128 V St, Sacramento, CA 95818-1732 | 2008-04-10 |
| 1003029471 | Lawrence Manley Wilcox | Clinical Neuropsychologist | 1421 P St., #16, Sacramento, CA 95814-5921 | 2007-05-08 |
| 1649326810 | Grant L. Hutchinson | Clinical Neuropsychologist | 730 Alhambra Blvd, Suite 205, Sacramento, CA 95816-3847 | 2007-01-28 |
| 1700934247 | Nancy Bell Mahaney | Clinical Neuropsychologist | 1555 River Park Dr, Suite 205, Sacramento, CA 95815-4612 | 2007-01-08 |
| 1093874133 | Catherine Elise Broomand | Clinical Neuropsychologist | 2345 Fair Oaks Blvd # 14, Sacramento, CA 95825-4708 | 2006-12-06 |
| 1962598284 | June Paltzer | Clinical Neuropsychologist | 1329 Howe Avenue, Suite 201, Sacramento, CA 95825-3363 | 2006-10-05 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
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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.