DR. KENNETH EDWARD ALLEN


Address: 828 S Bascom Ave, San Jose, CA 95128-2651
Phone: 4087935959

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY28570 CA Behavioral Health & Social Service Providers

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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

Office Location

Street Address 828 S BASCOM AVE
City SAN JOSE
State CA
Zip Code 95128-2651

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SAN JOSE
Zip Code 95128

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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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