DR. ANNE ELIZABETH REDBURN (NPI# 1609005206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609005206 |
| Entity Type | Individual |
| Full Name | DR. ANNE ELIZABETH REDBURN |
| Credential | D.O. |
| Practice Address |
5353 Mission Center Rd Suite #224 San Diego CA 92108-1306 |
| Mailing Address |
9800 4th Ave Ne Seattle WA 98115-2158 |
| Practice Telephone | 6196885855 |
| Practice Fax Number | 6195284625 |
| Mailing Telephone | 2063021200 |
| Mailing Fax Number | 2063021283 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2017-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
OP60775035 | WA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
240775 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE # | W416 | 01 |
| Street Address |
5353 MISSION CENTER RD SUITE #224 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992752091 | Marla Jeanne Vencil | Psychologist | 5353 Mission Center Rd, Suite 224, San Diego, CA 92108-1304 | 2006-05-27 |
| 1851901292 | Bohan Farrell | Registered Nurse | 5353 Mission Center Rd, San Diego, CA 92108-1306 | 2020-07-31 |
| 1114499340 | Dominick Louda | Physical Therapist | 5353 Mission Center Rd, San Diego, CA 92108-1306 | 2018-12-28 |
| 1043650450 | Cynthia Elizabeth Manly | Nurse Practitioner | 5353 Mission Center Rd, Suite 224, San Diego, CA 92108-1306 | 2013-06-28 |
| 1134474877 | Komal Deokule | Physical Therapist | 5353 Mission Center Rd, Ste 120, San Diego, CA 92108-1306 | 2012-07-18 |
| 1730459546 | David A. Kohanyi | Marriage & Family Therapist | 5353 Mission Center Rd, Suite 224, San Diego, CA 92108-1306 | 2012-01-10 |
| 1942443890 | Matthew Hunt Koch | Marriage & Family Therapist | 5353 Mission Center Rd, Suite 224, San Diego, CA 92108-1306 | 2009-04-08 |
| 1710123872 | Elizabeth S. Hammer | Psychologist | 5353 Mission Center Rd, Suite 224, San Diego, CA 92108-1306 | 2008-12-19 |
| 1659548824 | James Speck | Physical Therapist | 5353 Mission Center Rd, Suite 221, San Diego, CA 92108-1306 | 2008-05-15 |
| 1205032596 | Ramsey Khouri | Counselor | 5353 Mission Center Rd, Suite224, San Diego, CA 92108-1306 | 2007-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255951620 | Dymphna San Diego Tms Inc | Psychiatry & Neurology | 10850 Baroque Ln Ste A, San Diego, CA 92124-3029 | 2020-04-25 |
| 1316581846 | Botkiss Center for Recovery | Psychiatry & Neurology | 12625 High Bluff Dr Ste 301, San Diego, CA 92130-2054 | 2019-10-28 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1629501770 | Amanda Suzette Freitas | Psychiatry & Neurology | 11634 Maroon Peak Ct, San Diego, CA 92131-3846 | 2017-04-06 |
| 1114312147 | Jaclyn Joyce | Psychiatry & Neurology | 3344 4th Ave Ste 100, San Diego, CA 92103-5704 | 2015-04-07 |
| 1326433525 | Azin Khazaeli | Psychiatry & Neurology | 4445 Eastgate Mall Fl 2, San Diego, CA 92121-1979 | 2015-04-03 |
| 1083054639 | Kiran Sufian Munir | Psychiatry & Neurology | 8170 Miramar Rd, San Diego, CA 92126-4321 | 2013-06-27 |
| 1457799462 | Charles Howard Merideth | Psychiatry & Neurology | 8889 Rio San Diego Dr, Suite 103, San Diego, CA 92108-1670 | 2013-06-12 |
| 1114363876 | Safi Ahmed | Psychiatry & Neurology | 200 W Arbor Dr # 8809, San Diego, CA 92103-1911 | 2013-05-21 |
| 1639515364 | Paul Joseph Smith | Psychiatry & Neurology | 12520 High Bluff Dr Ste 135, San Diego, CA 92130 | 2013-05-21 |
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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.