KELLY DADDOW (NPI# 1609436906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609436906 |
| Entity Type | Individual |
| Full Name | KELLY DADDOW |
| Other Name | MS. KELLY GILL |
| Credential | BA |
| Practice Address |
2131 Capitol Ave Ste 206 Sacramento CA 95816-5755 |
| Practice Telephone | 9162841416 |
| Mailing Telephone | 9162841416 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2131 CAPITOL AVE STE 206 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982955449 | Ellen Tarby | Marriage & Family Therapist | 2131 Capitol Ave Ste 206, Sacramento, CA 95816-5755 | 2012-09-25 |
| 1770130676 | Damien Christian Brunt | Student in an Organized Health Care Education/Training Program | 2131 Capitol Ave Ste 206, Sacramento, CA 95816-5755 | 2019-08-25 |
| 1174011522 | Jenna Vera Smith | Dietitian, Registered | 2131 Capitol Ave Ste 206, Sacramento, CA 95816-5755 | 2018-05-01 |
| 1083060354 | Hillary Sandoval | Marriage & Family Therapist | 2131 Capitol Ave Ste 206, Sacramento, CA 95816 | 2016-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730813 | Debrah Deans Therapy | Counselor | 1023 H St Ste B5, Sacramento, CA 95814-2815 | 2020-11-02 |
| 1417554007 | Norman Plotkin | Counselor | 717 K St Ste 430, Sacramento, CA 95814-3477 | 2020-10-06 |
| 1841806049 | Alexis C Nicodemus | Counselor | 10419 Old Placerville Rd, Sacramento, CA 95827-2509 | 2020-09-22 |
| 1265047310 | Pamela J Hammon | Counselor | 5572 Lackland Way, Sacramento, CA 95835-1540 | 2020-09-14 |
| 1164031357 | Dawn Patriece Carter | Counselor | 7215 Kara Dr, Sacramento, CA 95828-3506 | 2020-07-23 |
| 1821616103 | Chrystal Rene Baisley | Counselor | 3550 Watt Ave Ste 3, Sacramento, CA 95821-2668 | 2020-07-13 |
| 1417595422 | Kaeo Vang | Counselor | 906 G St Ofc 539, Sacramento, CA 95814-1800 | 2019-12-20 |
| 1780227298 | Alina A Sala | Counselor | 248 Arbor Crest Way, Sacramento, CA 95838-2031 | 2019-10-28 |
| 1144885963 | Jennifer Salvi | Counselor | 460 Drake Cir, Sacramento, CA 95864-5666 | 2019-05-07 |
| 1609431048 | Jessica Joanne Higgins Magana | Counselor | 6600 44th St Ste A, Sacramento, CA 95823-1260 | 2019-05-01 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on KELLY DADDOW.
| 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.