DR. PATRICIA LATHAM BACH (NPI# 1578864203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578864203 |
Entity Type | Individual |
Full Name | DR. PATRICIA LATHAM BACH |
Credential | PSYD, RN |
Practice Address |
300 Harding Blvd Suite 203/204 K Roseville CA 95678-2470 |
Practice Telephone | 9166620767 |
Practice Fax Number | 9166520101 |
Mailing Telephone | 9166620767 |
Mailing Fax Number | 9166520101 |
Enumeration Date | 2010-11-11 |
Last Update Date | 2010-11-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
PSY 22517 | CA | Behavioral Health & Social Service Providers |
Y | 103G00000X | Clinical Neuropsychologist | PSY 22517 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225195084 | Patricia Bach | Psychologist | 4835 27th St W Ste 125, Bradenton, FL 34207-1759 | 2007-01-02 |
Street Address |
300 HARDING BLVD SUITE 203/204 K |
City | ROSEVILLE |
State | CA |
Zip Code | 95678-2470 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710096409 | Diane Jackson | Marriage & Family Therapist | 300 Harding Blvd, Suite 109, Roseville, CA 95678-2470 | 2006-08-29 |
1528509064 | Travel Well Corporation | Preventive Medicine | 300 Harding Blvd, Ste 103, Roseville, CA 95678-2471 | 2017-03-16 |
1093250185 | Kayle Anne Torres | Marriage & Family Therapist | 300 Harding Blvd, Suite 103c, Roseville, CA 95678-2471 | 2016-12-27 |
1891194411 | Marlon Morgan | Counselor | 300 Harding Blvd, Ste # 206, Roseville, CA 95678-2470 | 2014-08-19 |
1912285487 | Charles T Mccrory, Dc Md, Inc | Chiropractor | 300 Harding Blvd, Suite 213, Roseville, CA 95678-2470 | 2011-08-01 |
1417256470 | Terra Colbert | Massage Therapist | 300 Harding Blvd, Suite 213, Roseville, CA 95678-2470 | 2011-03-16 |
1497987150 | John Fielder | Psychologist | 300 Harding Blvd, Suite 118, Roseville, CA 95678-2470 | 2009-08-13 |
1588812267 | Kaellen Grace Lamonte | Counselor | 300 Harding Blvd, Ste 116, Roseville, CA 95678-2472 | 2008-09-05 |
1013102557 | Renae A Schieckoff | Student in an Organized Health Care Education/Training Program | 300 Harding Blvd, Suite 108, Roseville, CA 95678-2470 | 2007-09-07 |
1952596645 | Keri Lyn Turner | Psychologist | 300 Harding Blvd, Suite 108, Roseville, CA 95678-2470 | 2007-09-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
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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 |
---|---|---|---|---|
1720465453 | Bianca Georgescu | Clinical Neuropsychologist | 2801 Alexandra Dr, 3112, Roseville, CA 95661-6023 | 2015-05-01 |
1720352099 | Peggy Holcomb | Clinical Neuropsychologist | 4010 Foothills Bvld., Ste. 103-3, Roseville, CA 95747 | 2012-03-02 |
1952542326 | Joel Solomon | Clinical Neuropsychologist | 406 Sunrise Ave # 300, Roseville, CA 95661-4106 | 2009-03-16 |
1144238262 | Wendy Marquardt | Clinical Neuropsychologist | 6 Medical Plaza Dr, Roseville, CA 95661-3037 | 2006-08-04 |
1275091456 | Monica Smith | Clinical Neuropsychologist | 2235 Douglas Blvd Ste 500, Roseville, CA 95661-4266 | 2019-03-07 |
1194232975 | Calsey E Fasching | Clinical Neuropsychologist | 2355 Highway 36 W Ste 400, Roseville, MN 55113-3905 | 2018-01-03 |
1003231283 | Wendy Lewis | Clinical Neuropsychologist | 1643 Eureka Rd, Roseville, CA 95661-3027 | 2014-02-25 |
1437587615 | Kimberly Elizabeth Lanni | Clinical Neuropsychologist | 1891 E Roseville Pkwy, Suite 100, Roseville, CA 95661-7973 | 2013-10-24 |
1306195094 | David Spangler Phd Inc | Clinical Neuropsychologist | 6 Medical Plaza Dr, Roseville, CA 95661-3037 | 2012-09-10 |
1750521431 | M Melanie Sapienza | Clinical Neuropsychologist | 6 Medical Plaza Dr, Sutter Rehabilitation Institute, Roseville, CA 95661-3037 | 2009-02-20 |
Find all providers in ROSEVILLE |
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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.