STEPHANIE K KONG (NPI# 1386728574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386728574 |
| Entity Type | Individual |
| Full Name | STEPHANIE K KONG |
| Credential | PSYD |
| Practice Address |
6600 Bruceville Rd Sacramento CA 95823-4671 |
| Mailing Address |
1600 Kapiolani Blvd Suite 1306 Honolulu HI 96814-3801 |
| Practice Telephone | 9166882000 |
| Mailing Telephone | 8089497444 |
| Mailing Fax Number | 8089496262 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 25125 | CA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PSY761 | HI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Kapiolani Blvd, Suite 1306, Honolulu, HI 968143801 | 8089497444 | 8089496262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508851908 | Stephanie H Kong | Pediatrics | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2005-09-13 |
| 1659993434 | Stephanie Kong | Student in an Organized Health Care Education/Training Program | 651 N State St Ste 5, San Jacinto, CA 92583-6574 | 2020-05-14 |
| 1235691353 | Stephanie Kong | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 509, Mineola, NY 11501 | 2019-04-05 |
| 1083091748 | Stephanie Kong | Obstetrics & Gynecology | 8700 Beverly Blvd Ste 3622, Cedars-sinai Department of Ob/gyn, West Hollywood, CA 90048-1804 | 2015-05-01 |
| Street Address |
6600 BRUCEVILLE RD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-4671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254295 | Lon Jacobus Taff | Obstetrics & Gynecology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2005-09-08 |
| 1770195232 | Alexi Taylor Spoto | Pharmacist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-08-17 |
| 1134747306 | Poline Chhun Engeman X | Nurse Practitioner | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-07-13 |
| 1659904365 | Regan Watson | Nurse Practitioner | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-20 |
| 1740813443 | Caitlin Elizabeth Galvez | Physical Therapist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-20 |
| 1750912119 | Maria Monserrat Perez | Registered Nurse | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-03 |
| 1699312645 | Kayla Renee Hazel | Speech-Language Pathologist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-12-09 |
| 1366087553 | Michelle Schiltz | Registered Nurse | 6600 Bruceville Rd, Sacramento, CA 95823 | 2019-11-12 |
| 1013564145 | Katheirne Anne Lloyd | Dietitian, Registered | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-08-22 |
| 1699320077 | Sarah Lackey | Physical Therapist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669098885 | Alexander Laszlo Peterkin | Psychologist | 4500 Truxel Rd Apt 834, Sacramento, CA 95834-3739 | 2020-06-23 |
| 1548881667 | Jene Edwards | Psychologist | 3090 Fite Cir Ste 102, Sacramento, CA 95827-1810 | 2020-04-29 |
| 1215597968 | Kaitlyn Hoitomt | Psychologist | 3331 Power Inn Rd # 140, Sacramento, CA 95826-3889 | 2019-06-15 |
| 1215452925 | Tiffany Chang | Psychologist | 1500 W El Camino Ave # 420, Sacramento, CA 95833-1945 | 2017-08-03 |
| 1699220046 | Kira Christensen | Psychologist | 3630 Winding Creek Rd, Sacramento, CA 95864-1531 | 2016-08-15 |
| 1932565769 | First Love Yourself Inc. | Psychologist | 3425 1st Ave, Apartment 4, Sacramento, CA 95817-2034 | 2016-01-09 |
| 1649682469 | Walter (rusty) Wallace Otto | Psychologist | 1970 University Park Drive, Sacramento, CA 95825 | 2014-05-28 |
| 1912332107 | Laura Magdalen Tully | Psychologist | 4701 X St, Uc Davis Imaging Research Center, Sacramento, CA 95817-2219 | 2013-09-06 |
| 1154763936 | Jonathan Preiss | Psychologist | 801 Alhambra Blvd Ste 2b, Sacramento, CA 95816-4432 | 2013-07-22 |
| 1700165016 | Donald Lawrence Salz | Psychologist | 2540 Land Park Dr, Sacramento, CA 95818-2244 | 2011-08-04 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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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.