PEGGY KWUN (NPI# 1396774436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396774436 |
| Entity Type | Individual |
| Full Name | PEGGY KWUN |
| Credential | MD |
| Practice Address |
111 Smith Ranch Rd San Rafael CA 94903-1939 |
| Practice Telephone | 4154913000 |
| Practice Fax Number | 4154913170 |
| Mailing Telephone | 4154913000 |
| Mailing Fax Number | 4154913170 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2016-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G80768 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
111 SMITH RANCH RD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021341 | Kim Huong Huynh | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2020-10-20 |
| 1164044483 | Corinne Heimer | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2020-05-08 |
| 1487283685 | Miriam Fagan | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2020-04-08 |
| 1962063537 | Laura Meredith Cohen | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2019-06-25 |
| 1295398519 | Maxwell Berlyant | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2019-04-22 |
| 1043777618 | Stephanie Lopez | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2019-03-01 |
| 1770021503 | Jennica Murray-elizondo | Marriage & Family Therapist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2017-01-31 |
| 1932653235 | James Paul Roehrig | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2016-08-04 |
| 1174979660 | Shiri Lichtenstein | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2016-05-13 |
| 1770940694 | Silva Hassert | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2016-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083038228 | Stephen Schoen | Psychiatry & Neurology | 567 Heather Way, San Rafael, CA 94903-2446 | 2014-02-07 |
| 1932443850 | Stephen Andrew Levine | Psychiatry & Neurology | 1634 Fifth Avenue, San Rafael, CA 94901 | 2012-11-15 |
| 1639392160 | Alan Teitelbaum | Psychiatry & Neurology | 140 Spring Grove Ave, San Rafael, CA 94901-2638 | 2007-04-11 |
| 1184712531 | Wendy Eberhardt | Psychiatry & Neurology | 42 Rhinestone Ter, San Rafael, CA 94903-1310 | 2006-10-11 |
| 1003832916 | Patricia Jane Stamm | Psychiatry & Neurology | 2 Narragansett Cove, San Rafael, CA 94901 | 2006-07-14 |
| 1780616201 | Monika Ferreira Queiroz Do Valle | Psychiatry & Neurology | 268 Channing Way, San Rafael, CA 94903-2606 | 2006-07-07 |
| 1083677686 | Edward Oklan | Psychiatry & Neurology | 454 Las Gallinas Ave, Ste. 289, San Rafael, CA 94903-3618 | 2006-04-06 |
| 1104813351 | David Leh-sheng Huang | Psychiatry & Neurology | 820 Las Gallinas Ave, San Rafael, CA 94903-3410 | 2005-10-03 |
| 1699052605 | Keerthi Akkineni | Psychiatry & Neurology | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2011-11-05 |
| 1992949457 | Daniel Notzon | Psychiatry & Neurology | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2009-04-28 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
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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.