KYLE THOMAS ANDERSON


Address: 2115 7th Ave, Santa Cruz, CA 95062-1663
Phone: 8314200120

KYLE THOMAS ANDERSON (NPI# 1366789646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366789646
Entity Type Individual
Full Name KYLE THOMAS ANDERSON
Credential L.P,T
Practice Address 2115 7th Ave
Santa Cruz
CA 95062-1663
Practice Telephone 8314200120
Mailing Telephone 8314200120
Enumeration Date 2013-01-07
Last Update Date 2013-01-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician PT 35914 CA Nursing Service Providers

Other Providers KYLE ANDERSON

NPI Name Taxonomy Address Enumeration
1932523792 Kyle Charles Anderson Physical Therapist 15 S 1000 E Ste 25, Payson, UT 84651-5595 2014-02-13
1326383100 Kyle C Anderson Nurse Anesthetist, Certified Registered 22 Bridge St Ste 9, Concord, NH 03301-4987 2012-12-04
1720221617 Kyle Anderson Dermatology 11301 Nall Ave Fl 2, Bmo Harris Bank Bldg., Leawood, KS 66211-1672 2009-04-08
1952383176 Kyle Anderson Orthopaedic Surgery 32270 Telegraph Rd Ste 220b, Bingham Farms, MI 48025-2456 2005-11-15
1770576332 Kyle R. Anderson Internal Medicine 730 Malabar Rd, Malabar, FL 32950-3140 2005-08-29
1447870571 Kyle Anderson Counselor 3430 Sw 320th St, Federal Way, WA 98023-2292 2020-04-18
1992333215 Kyle John Anderson Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2020-03-31
1417580945 Kyle Anderson Pharmacist 812 S 1st Ave, Iowa City, IA 52245-5208 2020-02-12
1912540980 Kyle Edward Anderson Nurse Practitioner 1410 Ne 106th Ave, Portland, OR 97220-3934 2019-10-23
1982170676 Kyle Christian Anderson Nurse Practitioner 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 2018-10-19

Office Location

Street Address 2115 7TH AVE
City SANTA CRUZ
State CA
Zip Code 95062-1663

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760500037 Cybele Lolley Marriage & Family Therapist 2115 7th Ave, Santa Cruz, CA 95062-1663 2007-03-26
1518579184 Jonathan P Butler Counselor 2115 7th Ave, Santa Cruz, CA 95062-1663 2020-08-17
1144863556 Sadie Elizabeth Smith Counselor 2115 7th Ave, Santa Cruz, CA 95062-1663 2019-10-18
1679135040 Emily Armstrong Counselor 2115 7th Ave, Santa Cruz, CA 95062-1663 2019-07-05
1073070454 Andrew Williamson Counselor 2115 7th Ave, Santa Cruz, CA 95062-1663 2019-02-21
1760978878 Shikira Marie Tierra Stiles Occupational Therapist 2115 7th Ave, Santa Cruz, CA 95062-1663 2018-07-02
1881101012 Loraine Palmer Registered Nurse 2115 7th Ave, Santa Cruz, CA 95062-1663 2018-01-09
1689180101 Barbara Nell Smith Licensed Vocational Nurse 2115 7th Ave, Santa Cruz, CA 95062-1663 2017-12-19
1871008144 Jayme Ann Tauzer Counselor 2115 7th Ave, Santa Cruz, CA 95062-1663 2017-12-08
1962916403 Randi Marie Pfaff Counselor 2115 7th Ave, Santa Cruz, CA 95062-1663 2017-11-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730706698 Laura Lynn Rabb-jancola Home Health 275 Lake Ave #8, Santa Cruz, CA 95062 2020-06-26
1043792740 New Life Community Services, Inc Substance Abuse Rehabilitation Facility 521 Capitola Rd Ext, Santa Cruz, CA 95062 2018-08-30
1780180380 Philips Patton Acupuncturist 129 Dake Ave, Santa Cruz, CA 95062 2018-04-03
1477069896 Wei Jiang Acupuncturist 1099 38th Ave #46, Santa Cruz, CA 95062 2017-12-21
1336679885 Camm Nelsen Counselor 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 2017-06-18
1639601784 Catharine Lee Sheets Registered Nurse 21507 East Cliff Drive, Santa Cruz, CA 95062 2017-03-29
1972968857 Brenda M. Williams Counselor 941 Eldorado Ave, Santa Cruz, CA 95062 2015-12-21
1124490347 Emily Fittante Social Worker 343 Soquel Ave #195, Santa Cruz, CA 95062 2015-10-27
1578935839 Jennifer Langon, Lmft Community/Behavioral Health 5905 Soquel Ave Suite 400, Aptos, CA 95062 2015-10-27
1255718581 Joanne Gramo Acupuncturist 316a Oceanview Ave., Santa Cruz, CA 95062 2015-05-06
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Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730318114 Cevin Jordan White O'hagan Licensed Psychiatric Technician 303 Potrero St Ste 304, Santa Cruz, CA 95060-2741 2009-07-07
1265096333 Brenda Patricia Gonzales Licensed Psychiatric Technician 2250 Soquel Ave, Santa Cruz, CA 95062-1402 2019-04-24
1952854937 Elvie Goddard Licensed Psychiatric Technician 2250 Soquel Ave, Suite 100, Santa Cruz, CA 95062-1402 2016-07-26
1134581978 Matt Craven Licensed Psychiatric Technician 2250 Soquel Ave, Ste 100, Santa Cruz, CA 95062-1402 2016-03-22
1528499704 Laura Milosevich Licensed Psychiatric Technician 2250 Soquel Ave Ste 150, Santa Cruz, CA 95062-1402 2013-12-12
1740487990 William Tamoshaitis Licensed Psychiatric Technician 1400 Emeline Ave, Santa Cruz, CA 95060-1976 2007-06-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982203592 Leahann Vedella Licensed Psychiatric Technician 2398 Flatley Cir, Fairfield, CA 94533-8921 2020-10-23
1225635865 Thalia I. Rochel Licensed Psychiatric Technician 450 E Temple St, Los Angeles, CA 90012-4022 2020-10-06
1427665090 Egbert Tantiongco Licensed Psychiatric Technician 1460 E Willow St, Signal Hill, CA 90755-3549 2020-09-28
1114530250 Heather Elizabeth Phillips Licensed Psychiatric Technician 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 2020-08-28
1841801479 Mercedes Samantha Hamilton Licensed Psychiatric Technician 18465 Grand Ave, Lake Elsinore, CA 92530 2020-08-17
1609491935 Elisa Becerra Licensed Psychiatric Technician 745 Park St, Paso Robles, CA 93446-2834 2020-06-12
1518581099 Theresa Lynn Stewart Licensed Psychiatric Technician 1110 Newport Way, Roseville, CA 95661-5315 2020-06-01
1093337511 Christine Ann Scheuermann Licensed Psychiatric Technician 1447 Report Ave, Stockton, CA 95205-3030 2020-05-07
1477189512 Sandra J Foshee Licensed Psychiatric Technician 48918 Mojave Dr, Morongo Valley, CA 92256-9243 2020-03-20
1376177725 Chanel Christine Turpin Licensed Psychiatric Technician 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 2020-02-25
Find all providers with the same taxonomy

Competitor

Search similar providers

City SANTA CRUZ
Zip Code 95062

Improve Information

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Dataset Information

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.

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