MITCHELL R DAVIS (NPI# 1356639421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356639421 |
| Entity Type | Individual |
| Full Name | MITCHELL R DAVIS |
| Practice Address |
3333 Chanate Rd Santa Rosa CA 95404-1707 |
| Practice Telephone | 7075657881 |
| Mailing Telephone | 7075657881 |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2014-06-30 |
| Gender Code | M |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295110849 | Mitchell N Davis | Physical Therapy Assistant | 5305 Old Oak Tree Dr., Orlando, FL 32808 | 2015-07-24 |
| 1386054039 | Mitchell Davis | Perfusionist | 111312 Village Rd, Chaska, MN 55318-1385 | 2014-05-04 |
| 1215364617 | Mitchell Given Davis | Pharmacist | 2002 Klee Pl, Davis, CA 95618-7617 | 2013-09-30 |
| 1740576149 | Mitchell Elliott Davis | Ophthalmology | 1601 North Portal Drive Nw, Washington, DC 20012-1012 | 2011-06-23 |
| 1396911350 | Mitchell Eli Davis | Chiropractor | 4144 Lindell Blvd Ste 319, St. Louis, MO 63108-2953 | 2008-04-30 |
| 1558713396 | Mitchell Davis | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2016-07-05 |
| 1770502601 | Mitchell N. Davis | Internal Medicine | 1447 Medical Park Blvd, Suite 205, Wellington, FL 33414-3164 | 2006-07-19 |
| 1497716088 | Mitchell Robert Davis | Optometrist | 376 E Penn Dr, Enola, PA 17025-2158 | 2006-03-31 |
| 1528047149 | Mitchell Gordon Davis | Internal Medicine | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2006-01-12 |
| 1346227113 | Mitchell Ryan Davis | Family Medicine | 1921 Stonecipher Boulevard, Ada, OK 74820-3439 | 2005-12-22 |
| Street Address |
3333 CHANATE RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982678280 | Susan Milam Miller | Psychiatry & Neurology | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2006-02-14 |
| 1891207650 | Antonina Elizabeth Cutrufelli Selfridge | Counselor | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2017-11-01 |
| 1861942484 | Paul Tepper | Registered Nurse | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2016-10-06 |
| 1073061990 | Rachel Nicole Tretiakow | Licensed Vocational Nurse | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2016-09-20 |
| 1700237260 | Aysha Bhumbla | Counselor | 3333 Chanate Rd, Santa Rosa, CA 95404 | 2016-06-27 |
| 1750745808 | Linda Kaye Matteson | Counselor | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2016-04-05 |
| 1134587769 | Katrin Kelly | Counselor | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2016-02-10 |
| 1518345511 | Santa Rosa Community Health Centers | Clinic/Center | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2015-05-11 |
| 1497145882 | Rishi Chopra Nijhon | Marriage & Family Therapist | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2015-01-23 |
| 1841610086 | Michael Edward Taylor | Counselor | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2014-04-25 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1730710260 | Harold Joseph Bahr | Counselor | 1550 N Dutton Ave, Santa Rosa, CA 95401-4601 | 2020-02-03 |
| 1801432398 | William Carroll | Counselor | 1260 N Dutton Ave Ste 185, Santa Rosa, CA 95401-7146 | 2019-11-20 |
| 1497390462 | Emily Sue Hamp | Counselor | 1202 Woodlake Dr, Santa Rosa, CA 95405-9217 | 2019-11-13 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1174005540 | Amal Saeed Ahmed | Counselor | 2908 Bay Village Cir Apt 2108, Santa Rosa, CA 95403-3611 | 2018-09-03 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1992223192 | Jill Mcculloch | Counselor | 300 Stony Point Rd Apt 190, Santa Rosa, CA 95401-5960 | 2017-09-07 |
| 1497299325 | Janice Anne Myers | Counselor | 3746 Oregon Dr, Santa Rosa, CA 95405-7136 | 2016-12-12 |
| 1689128001 | Wakanda Rose | Counselor | 254 Brey Rd, Santa Rosa, CA 95409-5556 | 2016-08-15 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on MITCHELL R DAVIS.
| 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.