KRISTIE A NELSON (NPI# 1457656258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457656258 |
| Entity Type | Individual |
| Full Name | KRISTIE A NELSON |
| Credential | PH.D. |
| Practice Address |
500 N 9th St Suite A Modesto CA 95350-5814 |
| Practice Telephone | 2095274597 |
| Mailing Telephone | 2096049682 |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2017-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY29568 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558332361 | Kristie Lee Nelson | Emergency Medicine | Usa Meddac, Evans Army Community Hospital, Emergency Department, Fort Carson, CO 80913-4604 | 2006-01-30 |
| Street Address |
500 N 9TH ST SUITE A |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-5814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477610145 | Lori Norwood Jr. | Case Manager/Care Coordinator | 500 N 9th St, Modesto, CA 95350-5814 | 2007-01-02 |
| 1841807682 | Connie Chavarria | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2020-09-25 |
| 1831748565 | Jessica Acevedo | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2019-09-05 |
| 1487210605 | Lynnsey La Rae Howardcolossio | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2019-05-13 |
| 1316500630 | Lynda Cambra | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2019-04-22 |
| 1801459151 | Richard Kevin Lonsinger Jr. | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2019-04-22 |
| 1376080382 | Della Garcia | Student in an Organized Health Care Education/Training Program | 500 N 9th St, Modesto, CA 95350-5814 | 2017-01-28 |
| 1124565403 | Tyrone Thompson | Student in an Organized Health Care Education/Training Program | 500 N 9th St, Suite B, Modesto, CA 95350-5814 | 2017-01-25 |
| 1114463957 | Joshua Merrill | Case Manager/Care Coordinator | 500 N 9th St, Suite B, Modesto, CA 95350-5814 | 2017-01-18 |
| 1124576848 | Maria Scola | Case Manager/Care Coordinator | 500 N 9th St, Suite B, Modesto, CA 95350-5814 | 2016-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164060281 | Maria Nenova | Psychologist | 4601 Dale Rd Ste 2a2, Modesto, CA 95356-9718 | 2019-12-19 |
| 1780015990 | Irene Arande Guya-allen | Psychologist | 2812 Habsburg Cir, Modesto, CA 95356-0389 | 2013-12-13 |
| 1689909582 | Genesis Behavior Center, Inc | Psychologist | 528 14th Genesis Behavior Center, Inc., Modesto, CA 95354 | 2009-10-09 |
| 1811190507 | Robert E Schneider | Psychologist | 1601 I Street, Suite 440, Modesto, CA 95354 | 2007-06-08 |
| 1932225323 | Derek Elser Pehle | Psychologist | 1024 J St Ste 411, Modesto, CA 95354-0844 | 2007-03-21 |
| 1447383492 | Attila Kemeny | Psychologist | 1229 Brighton Ave, Apt 159, Modesto, CA 95355-6103 | 2007-03-13 |
| 1619062957 | Cheryl Kajander Carmichael | Psychologist | 706 13th St, Modesto, CA 95354-2414 | 2006-10-03 |
| 1013014711 | Elizabeth Marshall Swearingen | Psychologist | 1518 Coffee Rd, Ste. C, Modesto, CA 95355-3164 | 2006-09-17 |
| 1770696478 | Cynthia Lin Vincent | Psychologist | 909 15th St, Modesto, CA 95354-1130 | 2006-08-16 |
| 1609892504 | Robin Schaeffer | Psychologist | 225 W Granger Ave, Modesto, CA 95350-4425 | 2006-07-14 |
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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.