KRISTEN WORTMAN PSYCHOLOGY, P.C. (NPI# 1447896253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447896253 |
Entity Type | Organization |
Organization Name | KRISTEN WORTMAN PSYCHOLOGY, P.C. |
Practice Address |
3738 Mt Diablo Blvd Ste 306 Lafayette CA 94549-3600 |
Mailing Address |
6353 Fairlane Dr Oakland CA 94611-1811 |
Practice Telephone | 5104850008 |
Practice Fax Number | 5104850009 |
Mailing Telephone | 5106378010 |
Enumeration Date | 2019-11-27 |
Last Update Date | 2019-11-27 |
Authorized Official Name | DR. KRISTEN MARIE WORTMAN (PRESIDENT) |
Authorized Official Telephone | 5104850008 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Next Steps Neuropsychology | Doing Business As Name - Organization |
Street Address |
3738 MT DIABLO BLVD STE 306 |
City | LAFAYETTE |
State | CA |
Zip Code | 94549-3600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
Find all providers in zip 94549 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295974210 | Gina Lynn Gibson | Clinical Neuropsychologist | 1602 W Pinhook Rd Ste 303, Lafayette, LA 70508-3735 | 2009-02-14 |
1396882445 | Elea Bernou | Clinical Neuropsychologist | 3744 Mt Diablo Blvd Ste 305, Lafayette, CA 94549-3602 | 2007-01-30 |
1316978935 | Larry James Benoit | Clinical Neuropsychologist | 119 Caillouett Pl, Lafayette, LA 70501-7807 | 2006-07-05 |
1831173384 | Janet A Lemmon | Clinical Neuropsychologist | 1120 W South Boulder Rd Ste 201d, Lafayette, CO 80026-8952 | 2005-11-29 |
1477023257 | Comprehensive Behavioral Health Center | Clinical Neuropsychologist | 1602 W Pinhook Rd Ste 303, Lafayette, LA 70508-3735 | 2018-12-05 |
1164621785 | Bianchini-strother, LLC | Clinical Neuropsychologist | 850 Kaliste Saloom Rd, Suite #103, Lafayette, LA 70508-4230 | 2007-07-13 |
1538383831 | Clare Ames-klein | Clinical Neuropsychologist | 895 Moraga Rd, Suite 10, Lafayette, CA 94549-5094 | 2007-04-11 |
1578786745 | Glenn A. Ally, Ph.d. | Clinical Neuropsychologist | 155 Hospital Dr, Suite 200, Lafayette, LA 70503-2852 | 2007-04-10 |
1437272945 | Glenn A Ally | Clinical Neuropsychologist | 155 Hospital Dr, Suite 200, Lafayette, LA 70503-2852 | 2007-04-09 |
1952434524 | Lynn Wayne Aurich | Clinical Neuropsychologist | 125 Ridgeway Dr, Suite A-1, Lafayette, LA 70503-3404 | 2007-03-13 |
Find all providers in LAFAYETTE |
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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.