DR. KENNETH EDWARD ALLEN (NPI# 1427362714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427362714 |
Entity Type | Individual |
Full Name | DR. KENNETH EDWARD ALLEN |
Credential | PH.D. |
Practice Address |
828 S Bascom Ave San Jose CA 95128-2651 |
Mailing Address |
3570 Jarvis Ave San Jose CA 95118-1333 |
Practice Telephone | 4087935959 |
Mailing Telephone | 8186215413 |
Enumeration Date | 2010-07-29 |
Last Update Date | 2017-01-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY28570 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912521626 | Kenneth Jefferson Allen IIi | Dietitian, Registered | 2106 Barnett Ave, Wilmington, NC 28403-2240 | 2020-05-29 |
1871148171 | Kenneth Allen | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 135 E Menefee St, Lufkin, TX 75901-4701 | 2019-08-05 |
1528512563 | Kenneth Allen IIi | Pharmacist | 2667 Country Club Dr, Madisonville, KY 42431-3875 | 2016-08-08 |
1891003380 | Kenneth J Allen | Registered Nurse | 2277 Buffington Rd., Boaz, AL 35956 | 2010-09-17 |
1235324377 | Kenneth J. Allen | Dentist | 1440 S Wabash Ave, Unit 101, Chicago, IL 60605-2897 | 2007-09-12 |
1114005063 | Kenneth R Allen | Social Worker | 8131 Ritchie Hwy Ste G, Pasadena, MD 21122-6940 | 2006-11-01 |
1104829118 | Kenneth Billings Allen | Dentist | 1337 Riverside Ave, Ste 1, Fort Collins, CO 80524-4373 | 2005-05-23 |
1609346691 | Kenneth Allen | Respiratory Therapist, Registered | 97 San Marin Dr, Novato, CA 94945-1100 | 2018-12-03 |
1669835377 | Kenneth D. Allen | Internal Medicine | 410 W 10th Ave, Columbus, OH 43210-1240 | 2016-03-30 |
1205233228 | Kenneth Jd Allen | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2014-11-20 |
Street Address |
828 S BASCOM AVE |
City | SAN JOSE |
State | CA |
Zip Code | 95128-2651 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902875842 | Richard Benson Coolman | Pediatrics | 828 S Bascom Ave, Center for Learning and Achiement, San Jose, CA 95128-2651 | 2006-03-14 |
1629685771 | Reyna Marie Manzo | Counselor | 828 S Bascom Ave, San Jose, CA 95128-2651 | 2020-09-23 |
1467982702 | Tina Nguyen | Occupational Therapist | 828 S Bascom Ave, San Jose, CA 95128-2651 | 2017-06-19 |
1528437290 | Stephanie Tran | Speech-Language Pathologist | 828 S Bascom Ave, Suite 100, San Jose, CA 95128-2651 | 2015-09-23 |
1720455108 | Rosalilia Mendoza | Social Worker | 828 S Bascom Ave, Suite 100, San Jose, CA 95128-2651 | 2015-09-01 |
1306255203 | Melissa Lenon | Marriage & Family Therapist | 828 S Bascom Ave, San Jose, CA 95128-2651 | 2014-08-05 |
1316379050 | Melissa Preader | Social Worker | 828 S Bascom Ave, Suite 200, San Jose, CA 95128-2651 | 2013-08-05 |
1275974768 | Kwok Hin Alex Yuen | Social Worker | 828 S Bascom Ave, San Jose, CA 95128-2651 | 2013-07-11 |
1669750998 | Nadia Takla | Marriage & Family Therapist | 828 S Bascom Ave, Suite 100, San Jose, CA 95128-2651 | 2011-08-04 |
1396989349 | Linda Susan Boucher | Counselor | 828 S Bascom Ave, San Jose, CA 95128-2651 | 2009-04-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
Find all providers in zip 95128 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861023020 | Widyasita Sawyer | Psychologist | 1189 Curtner Ave, San Jose, CA 95125-3618 | 2020-01-27 |
1861030033 | Maria-christina Stewart | Psychologist | 3141 Stevens Creek Blvd # 40167, San Jose, CA 95117-1141 | 2019-12-18 |
1306404504 | Palak Dipak Kothari | Psychologist | 20 S 2nd St Unit 425, San Jose, CA 95113-2532 | 2019-06-03 |
1942762299 | Dr. Danessa Mayo, Phd | Psychologist | 1190 Lincoln Ave Ste 7, San Jose, CA 95125-3036 | 2019-04-04 |
1104362433 | Samantha Kountz-edwards | Psychologist | 1588 Hallbrook Dr, San Jose, CA 95118-1611 | 2017-01-10 |
1306243530 | Kell Fujimoto | Psychologist | 2845 Moorpark Ave, Suite 203, San Jose, CA 95128-3158 | 2014-12-03 |
1174964092 | Brandi Marche Brooks | Psychologist | 1866 Half Pence Way, San Jose, CA 95132 | 2013-07-08 |
1306181284 | Marion Marsha Wadley | Psychologist | 1443 Lupton Ave, San Jose, CA 95125-3847 | 2012-12-04 |
1639433709 | Janice Jaishika Raj | Psychologist | 2400 Moorpark Ave., #300, San Jose, CA 95128 | 2012-07-03 |
1114296803 | Amanda M Walters | Psychologist | 1101 S Winchester Blvd Ste P297, San Jose, CA 95128 | 2011-12-24 |
Find all providers in SAN JOSE |
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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.