DR. KATIE PILGERAM COUGEVAN (NPI# 1457528077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457528077 |
| Entity Type | Individual |
| Full Name | DR. KATIE PILGERAM COUGEVAN |
| Credential | PH.D. |
| Practice Address |
621 4th St Ste 3 Davis CA 95616-4151 |
| Practice Telephone | 5309026057 |
| Mailing Telephone | 5309026057 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2010-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 20085 | CA | Behavioral Health & Social Service Providers |
| Street Address |
621 4TH ST STE 3 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-4151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073944930 | Shea Garvin | Marriage & Family Therapist | 621 4th St Ste 3, Davis, CA 95616-4151 | 2013-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389912 | Daniel Suavengco Lumbres | Psychologist | 207 E St Unit B, Davis, CA 95616-4523 | 2019-11-06 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1295279883 | Acacia Psychological Corporation | Psychologist | 207 E St Ste B, Davis, CA 95616-4523 | 2016-12-15 |
| 1326338468 | Thomas Roe | Psychologist | One Shields Avenue, Davis, CA 95616 | 2011-04-11 |
| 1700033040 | Gordon Leroy Ulrey | Psychologist | 433 F Street, Davis, CA 95616 | 2008-08-19 |
| 1275727554 | Norma Cole | Psychologist | 712 F St, Davis, CA 95616-3722 | 2007-08-30 |
| 1043435332 | Jerry G Balaban | Psychologist | 3000 Woods Cir, Davis, CA 95616-2678 | 2007-04-13 |
| 1528121571 | Louise G Bettner | Psychologist | 1903 Picasso Ave, Davis, CA 95616-0503 | 2006-12-19 |
| 1902969652 | Dafna Gatmon | Psychologist | 816 Hacienda Ave, Davis, CA 95616-0129 | 2006-12-17 |
| 1831269141 | Margaret Bezmalinovic | Psychologist | 424 2nd St Ste D, Davis, CA 95616-4675 | 2006-11-08 |
| Find all providers in DAVIS | ||||
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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.