DR. TIMOTHY J WORDEN (NPI# 1447488127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447488127 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY J WORDEN |
| Credential | PH.D. |
| Practice Address |
1160 N Dutton Ave Ste 230 Santa Rosa CA 95401-4658 |
| Practice Telephone | 7073033201 |
| Practice Fax Number | 7075268310 |
| Mailing Telephone | (310) 701-7058 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2017-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
PSY19475 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY19475 | CA | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
PSY19475 | CA | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
PSY19475 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1160 N DUTTON AVE STE 230 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730558495 | Pamela Anne Cronin | Marriage & Family Therapist | 1160 N Dutton Ave Ste 230, Santa Rosa, CA 95401-4658 | 2015-09-23 |
| 1750670030 | Robert Davis Mosby | Psychologist | 1160 N Dutton Ave Ste 230, Santa Rosa, CA 95401-4658 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922574821 | Megan Nolan | Psychologist | 4378 Bennett Valley Rd, Santa Rosa, CA 95404-6239 | 2018-10-17 |
| 1023505344 | Cross Cultural Services and Evaluations, Inc | Psychologist | 1550 Airport Blvd Ste 206, Santa Rosa, CA 95403-1095 | 2018-04-23 |
| 1053764688 | Dominic G Lucia | Psychologist | 1824 Empire Industrial Ct, Suite 'c', Santa Rosa, CA 95403-1991 | 2016-07-19 |
| 1942659024 | Anne Babin | Psychologist | 819 3rd St Ste 103, Santa Rosa, CA 95404-4546 | 2016-06-08 |
| 1649524802 | Sheila Albert | Psychologist | 4911 Perezoso Calle, Santa Rosa, CA 95409-2651 | 2012-11-08 |
| 1730443359 | Silvio Machado | Psychologist | 1626 4th St, Santa Rosa, CA 95404-4020 | 2012-06-28 |
| 1619266343 | Carla Marie Manly | Psychologist | 320 10th St Ste 303, Santa Rosa, CA 95401-5291 | 2011-04-04 |
| 1154638740 | Kimberly A Gauntlett | Psychologist | 657 Connie St, Santa Rosa, CA 95407-6267 | 2010-09-03 |
| 1063740736 | Kathleen A Kunster | Psychologist | 320 Tenth Street, Suite 205, Santa Rosa, CA 95401-9540 | 2009-11-18 |
| 1588801054 | Lisa Rohe | Psychologist | 1008 Fifth Street, Santa Rosa, CA 95404 | 2009-01-20 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on DR. TIMOTHY J WORDEN.
| 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.