MARIA M SZPYT-DOMANSKA (NPI# 1629054168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629054168 |
| Entity Type | Individual |
| Full Name | MARIA M SZPYT-DOMANSKA |
| Credential | MD |
| Practice Address |
3133 N Millbrook Ave Fresno CA 93703-1425 |
| Practice Telephone | 5596008918 |
| Practice Fax Number | 5594533566 |
| Mailing Telephone | 5596008918 |
| Mailing Fax Number | 5594533566 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2011-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
C53830 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA MEDICAL LICENSE # | C53830 | 01 |
| CA | NPI | 1629054168 | 01 |
| MO | 209385301 | 05 |
| Street Address |
3133 N MILLBROOK AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93703-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416873 | Cecilia S. Salazar | Nurse Practitioner | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2005-06-09 |
| 1518568161 | Alejandro Alejandrez Cisneros | Student in an Organized Health Care Education/Training Program | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2020-11-02 |
| 1922609486 | Stephen John Georgiou Jr. | Student in an Organized Health Care Education/Training Program | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2020-11-02 |
| 1306445994 | Amitoj Singh | Student in an Organized Health Care Education/Training Program | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2020-10-23 |
| 1023582137 | Adam Garrett Balto | Counselor | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2019-01-11 |
| 1184198244 | Richard Luckhurst | Licensed Vocational Nurse | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2019-01-11 |
| 1114498623 | Addison Torossian | Marriage & Family Therapist | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2018-12-09 |
| 1346711041 | Mai Chang | Counselor | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2018-12-07 |
| 1518433507 | Erika Ochoa | Counselor | 3133 N Millbrook Ave, Fresno, CA 93703 | 2018-10-17 |
| 1942782404 | Rachel Kigano | Registered Nurse | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2018-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395638 | Angelica Gomez | Behavior Technician | 1535 N. Cedar Ave Apt 159, Fresno, CA 93703 | 2019-09-18 |
| 1326521659 | Skylar Nunes | Licensed Vocational Nurse | 3133 N. Millbrook Ave, Fresno, CA 93703 | 2018-09-12 |
| 1700379377 | Heather Rae Mann | Counselor | 3133 N Miibrook Ave, Fresno, CA 93703 | 2018-06-08 |
| 1891296422 | Guardian Angel's Adult Day Healt Care, LLC | Clinic/Center | 4837 E. Mckinley Avenue, Fresno, CA 93703 | 2018-02-28 |
| 1275052987 | Diana Christine Garnica | Nurse Practitioner | 4950 E Clinton Ave, Fresno, CA 93703 | 2017-09-13 |
| 1639609241 | Ryan Ruhl | Case Manager/Care Coordinator | 3133 N Millbrook Ave., Fresno, CA 93703 | 2017-06-15 |
| 1972034221 | Anna Garcia | Counselor | 1505 N Chestnut, Fresno, CA 93703 | 2017-03-27 |
| 1306227947 | Innovations Counseling Services | Health Maintenance Organization | 2100 Wst. Winery Ave, 101, Fresno, CA 93703 | 2015-06-09 |
| 1639592553 | Janelle K Raynor | Counselor | 1911 East Princeton Avenue, Fresno, CA 93703 | 2014-01-29 |
| 1104166297 | Jessica Marie Flowers-guerrero | Marriage & Family Therapist | 3133 N. Millbrook Ave., Fresno, CA 93703 | 2013-02-26 |
| Find all providers in zip 93703 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768590 | Joseph Alimasuya | Psychiatry & Neurology | 6777 N Willow Ave, Fresno, CA 93710-5900 | 2005-05-23 |
| 1285998740 | Sarah A Jillani | Psychiatry & Neurology | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2012-06-29 |
| 1215296041 | Jillian Emiko Yoshimoto | Psychiatry & Neurology | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2012-05-14 |
| 1699901884 | Denys Esther Arrieta-zorro | Psychiatry & Neurology | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2009-06-02 |
| 1144374091 | David Alan Fox | Psychiatry & Neurology | 3443 W Shaw Ave, Fresno, CA 93711-3204 | 2007-01-22 |
| 1649342452 | Shoujie Zhang | Psychiatry & Neurology | 7300 N Fresno St, Fresno, CA 93720-2941 | 2006-11-15 |
| 1245318062 | Bhaskara R. Tripuraneni | Psychiatry & Neurology | 7300 N Fresno St, Fresno, CA 93720-2941 | 2006-11-01 |
| 1588776918 | Indira Devi Adapa | Psychiatry & Neurology | 7341 N 1st St Ste 110, Fresno, CA 93720-2948 | 2006-08-31 |
| 1245205566 | Cheronne Danette Anderson | Psychiatry & Neurology | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2006-02-21 |
| 1346213352 | Dejuan Singletary | Psychiatry & Neurology | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2006-02-09 |
| Find all providers in FRESNO | ||||
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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.