MS. NANCY UNDERWOOD (NPI# 1376759274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376759274 |
| Entity Type | Individual |
| Full Name | MS. NANCY UNDERWOOD |
| Credential | PSYD |
| Practice Address |
151 W Dana St Ste 204 Nipomo CA 93444-9131 |
| Mailing Address |
Po Box 2172 Nipomo CA 93444-2172 |
| Practice Telephone | 6504501326 |
| Practice Fax Number | 6504334401 |
| Mailing Telephone | 6504501326 |
| Mailing Fax Number | 6504334401 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY24588 | CA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY24588 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY24588 | CA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
PSY24588 | CA | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
PSY24588 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 Welch Rd, Suite 203, Palo Alto, CA 943041805 | 6504501326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073980975 | Nancy Underwood | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2015-08-26 |
| 1801153515 | Nancy Underwood | Counselor | 1221 W Lakeview Ave, Pensacola, FL 32501-1857 | 2012-04-19 |
| Street Address |
151 W DANA ST STE 204 |
| City | NIPOMO |
| State | CA |
| Zip Code | 93444-9131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555061 | Pacific Central Coast Health Centers | Clinic/Center | 1560 Mesa Rd, Ste 101, Nipomo, CA 93444 | 2020-10-15 |
| 1679109995 | Community Health Clinical Laboratory LLC | Clinical Medical Laboratory | 150 Tejas Place, Bldg. B Suite A, Nipomo, CA 93444 | 2020-03-18 |
| 1134500770 | Dena Lou Smith | Surgery | 615 Black Ridge Lane, Nipomo, CA 93444 | 2015-06-09 |
| 1487070637 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1151 La Loma Drive, Nipomo, CA 93444 | 2014-03-12 |
| 1619393220 | Anka Behavioral Health Inc. | Community/Behavioral Health | 340 Pablo Ln, Nipomo, CA 93444 | 2014-03-07 |
| 1417382052 | Hannah Song Evans | Counselor | 117 E. Knotts St., Nipomo, CA 93444 | 2013-09-12 |
| 1457615817 | Haylie Jenna Pennachio | Counselor | 508 Angelina Court, Nipomo, CA 93444 | 2012-06-30 |
| 1144513557 | Owen Charles Martin | Counselor | 860 Camino Caballo, Nipomo, CA 93444 | 2011-05-18 |
| 1124273701 | Tanya Susan Mccaffrey | Specialist | 255 North Willson, Suite C, Nipomo, CA 93444 | 2008-11-24 |
| 1548431117 | Andrew J Young | Dentist | 255 North Wilson St, Suite D, Nipomo, CA 93444 | 2008-03-21 |
| Find all providers in zip 93444 | ||||
| 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 |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
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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.