EILEEN DENISE ROBERTS (NPI# 1447309216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447309216 |
Entity Type | Individual |
Full Name | EILEEN DENISE ROBERTS |
Other Name | EILEEN DENISE EDMUNSON |
Credential | PHD |
Practice Address |
8911 Lakewood Dr Ste 25b Windsor CA 95492-7856 |
Mailing Address |
859 Washington St # 203 Red Bluff CA 96080-2704 |
Practice Telephone | 7073389084 |
Practice Fax Number | 7074339084 |
Enumeration Date | 2007-01-09 |
Last Update Date | 2019-09-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
PY2948 | FL | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY21296 | CA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1399 Ygnacio Valley Rd Ste 3, Walnut Creek, CA 945982868 | 7073389084 | 7074339084 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609435791 | Eileen Roberts | Chore Provider | C/o Eileen Roberts, 5200 Clark Ave Unit 846, Lakewood, CA 90714 | 2019-06-12 |
1184753766 | Eileen Bradshaw Roberts | Registered Nurse | 501 E Green Dr, High Point, NC 27260-6707 | 2007-03-02 |
Street Address |
8911 LAKEWOOD DR STE 25B |
City | WINDSOR |
State | CA |
Zip Code | 95492-7856 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740687862 | Eileen Roberts Ph.d. Inc. | Psychologist | 8911 Lakewood Dr Ste 25b, Windsor, CA 95492-7856 | 2014-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235368572 | Kelly Vanzutphen | Clinical Neuropsychologist | 9940 Starr Rd., Ste 140, Windsor, CA 95492 | 2009-07-08 |
1932315934 | Charles Henry Aikawa | Dentist | 8741 Brooks Road South Ste 201, Windsor, CA 95492 | 2007-05-15 |
1417025701 | Barbara W Franzen | Family Medicine | 404 Gordon Ct, Windsor, CA 95492 | 2006-12-02 |
1780768382 | Joyce Yu Chang | Dentist | 8886 Lakewood Dr, Windsor, CA 95492 | 2006-10-24 |
1477564946 | Jamila M Benn | Family Medicine | 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492 | 2006-08-10 |
1538173141 | Elizabeth Flower | Family Medicine | 6580 Hembree Ln Ste 270, Windsor, CA 95492 | 2006-07-28 |
1093785826 | Windsor Primary Care Medical Group Inc | Family Medicine | 8465 Old Redwood Hwy, #320, Windsor, CA 95492 | 2006-01-24 |
1093288995 | Elizabeth Vasquez Quiroz | Counselor | 3555 Sonoma Hwy, Santa Rosa, CA 95492 | 2019-01-03 |
1336488071 | Jennifer L Price | Chiropractor | 8499 Old Redwood Hwy, Suite 204, Windsor, CA 95492 | 2013-01-31 |
1104163815 | Rael Bernstein Dds Apc | Dentist | 8741 Brooks Rd S, Windsor, CA 95492 | 2013-01-15 |
Find all providers in zip 95492 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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1720249311 | J Sandra Leonard | Psychologist | 613 S Tebo St, Windsor, MO 65360-1737 | 2008-06-17 |
1265622476 | Peggy Maki -white Phd LLC | Psychologist | 1226 West Ash, Suite F, Windsor, CO 80550 | 2007-07-25 |
1841342094 | Thomas F. Reif | Psychologist | 32 Maple Avenue, Windsor, CT 06095 | 2007-01-17 |
1821161753 | June Roberta Hyman Cismoski | Psychologist | 1194 W Ash, Ste D, Windsor, CO 80550-4608 | 2006-11-16 |
1306947213 | Walter Joseph Pawlowski | Psychologist | 113 Maple Avenue, Windsor, CT 06095 | 2006-09-25 |
1366420796 | Tenea M Lowman | Psychologist | 307 N. Main, Windsor, MO 65360 | 2006-01-05 |
1467438895 | Patricia Hanley | Psychologist | 79 E Windsor Blvd, Windsor, VA 23487-9410 | 2005-12-18 |
1851771505 | Dana Therese Carr | Psychologist | 100 Deerfield Road, Windsor, CT 06095 | 2015-06-08 |
Find all providers in WINDSOR |
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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.