KRISTEN WORTMAN PSYCHOLOGY, P.C.


Address: 3738 Mt Diablo Blvd Ste 306, Lafayette, CA 94549-3600
Phone: 5104850008

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Next Steps Neuropsychology Doing Business As Name - Organization

Office Location

Street Address 3738 MT DIABLO BLVD STE 306
City LAFAYETTE
State CA
Zip Code 94549-3600

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City LAFAYETTE
Zip Code 94549

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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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