DR. KATHRYN JANE ANDERSON


Address: 1403 1st. Street, Coronado, CA 92118
Phone: 6199482912

DR. KATHRYN JANE ANDERSON (NPI# 1609140003) 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) 1609140003
Entity Type Individual
Full Name DR. KATHRYN JANE ANDERSON
Credential PSY.D
Practice Address 1403 1st. Street
Coronado
CA 92118
Practice Telephone 6199482912
Practice Fax Number 6194353332
Mailing Telephone 6199482912
Mailing Fax Number 6194353332
Enumeration Date 2012-03-02
Last Update Date 2012-03-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY16612 CA Behavioral Health & Social Service Providers

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1700128931 Kathryn Anne Anderson Counselor 6100 Southcenter Blvd Fl 3, Sound Mental Health, Tukwila, WA 98188-2442 2013-03-26
1013253202 Kathryn Anderson Licensed Practical Nurse 86 Stanford Rd, Millbrook, NY 12545-5605 2012-12-17
1346529419 Kathryn Anne Anderson Speech-Language Pathologist 3814 N 161st Ave, Omaha, NE 68116-2893 2011-08-08
1922324615 Kathryn Lindsey Anderson Massage Therapist 342 W Washington St, Sequim, WA 98382-3340 2010-04-20
1942448873 Kathryn Anne Anderson Counselor 600 N Robbins Rd., Boise, ID 83701 2009-01-30

Office Location

Street Address 1403 1ST. STREET
City CORONADO
State CA
Zip Code 92118

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962997643 Natalie Bailey Dentist 1010 8th St Ste A, Coronado, CA 92118 2018-06-26
1639661143 Rebecca L. Frazier Acupuncturist 543 Orange Ave., Coronado, CA 92118 2018-05-31
1376046201 Laura Mead Clapper Pediatrics 840 Adella Ave, Coronado, CA 92118 2018-03-16
1154836336 Sarah R Peck Occupational Therapy Assistant 1530 Da Nang Dr Apt C, Coronado, CA 92118 2017-12-09
1962921395 Jennifer Waidelich Physical Therapist 410 E Ave, Coronado, CA 92118 2017-09-18
1861843641 Cliff Lovick I Counselor 1522 Frist St. Apt M 106, Coronada, CA 92118 2016-06-23
1184004871 Melanie Villalobos Dentist 1001 B Ave #313, Coronado, CA 92118 2015-06-08
1801273479 Jacqueline Brogan Dermatology 230 Prospect Pl Ste 260, Coronado, CA 92118 2015-05-02
1790184083 Robert Cole Dunlap Optometrist 810 J Avenue, Coronado, CA 92118 2014-08-22
1235493602 Jin Ah Acupuncturist 2425 Camino De Rio South, Suite 180, San Diego, CA 92118 2012-06-29
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780856286 Maha Michelle Kabban-moses Psychologist 1224 10th St Ste 201a, Coronado, CA 92118-3420 2008-03-25
1942236716 Dennis Patrick Wood Psychologist 1050 B Ave, Suite B, Coronado, CA 92118-3430 2006-06-24
1205246980 Siri Hadland Psychologist 549 Orange Ave, Coronado, CA 92118-1826 2014-05-02
1770918674 Alo Ha Psychological Associates Inc. Psychologist 549 Orange Ave, Coronado, CA 92118-1826 2013-09-10
1104959378 Robert Darryl Gregory Psychologist 138 B Ave, Coronado, CA 92118-1511 2007-03-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992306690 Eileen Kay Laughman Psychologist 24545 Town Center Dr Apt 5406, Valencia, CA 91355-1397 2020-11-08
1194324954 Rachel Charman Psychologist 1001 Dove St Ste 110, Newport Beach, CA 92660-2845 2020-10-22
1700485760 Melissa Ernestine Munoz Psychologist 353 H St # 1517, Chula Vista, CA 91910-5501 2020-10-21
1235737669 Maha Nasrallah-babenko Psychologist 33442 Valley View Ct, Dana Point, CA 92629-1515 2020-10-16
1689272544 Kaleidoscope Solutions Family Therapy Psychologist 25876 The Old Road, #85, Stevenson Ranch, CA 91381 2020-10-13
1992302814 Sheena Gill Psychologist 2501 E Chapman Ave Ste 265, Fullerton, CA 92831-3108 2020-10-04
1255948600 Kesha Patrice Psychologist 939 Ellis St, San Francisco, CA 94109-7714 2020-09-29
1841807401 Midori K Dirig Psychologist 405 W. 3rd Street, Santa Ana, CA 92701 2020-09-28
1376159541 Jill Caryn Campbell Psychologist 342 Ocho Rios Way, Oak Park, CA 91377-5541 2020-09-22
1225644487 Brock Louis Pistel Psychologist 939 Ellis St Fl 67, San Francisco, CA 94109-7714 2020-09-22
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Competitor

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City CORONADO
Zip Code 92118

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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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