AMY RUTH GLICK (NPI# 1629335427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629335427 |
| Entity Type | Individual |
| Full Name | AMY RUTH GLICK |
| Credential | MD |
| Practice Address |
1207 Fairchild Ct Woodland CA 95695 |
| Mailing Address |
3400 Data Dr Attn: Credentialing/payer Enrollment Rancho Cordova CA 95670-7956 |
| Practice Telephone | 5306682600 |
| Practice Fax Number | 5306695695 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A153517 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588846323 | Amy L Glick | Nurse Practitioner | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | 2007-12-04 |
| 1861440760 | Amy Glick | Pediatrics | 4901 Veterans Memorial Blvd, Metairie, LA 70006-5210 | 2006-05-04 |
| Street Address |
1207 FAIRCHILD CT |
| City | WOODLAND |
| State | CA |
| Zip Code | 95695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831180975 | Karen T Hopp | Family Medicine | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2005-10-28 |
| 1619354339 | Jason Michael Lee | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2015-05-01 |
| 1710306659 | Jonathan D Funk | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695 | 2014-04-08 |
| 1679898175 | Amy L. Ledgerwood | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2010-03-29 |
| 1558518464 | Sarah E Telles | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2008-08-21 |
| 1851550644 | Clara Cazares | Social Worker | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2008-06-05 |
| 1346432929 | Agnes Warhover | Physician Assistant | 1207 Fairchild Ct, Woodland, CA 95695 | 2007-08-16 |
| 1356553317 | Cong Zhang | Internal Medicine | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2007-05-04 |
| 1801955216 | Betty Lynn Mcnamara | Audiologist | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2006-12-08 |
| 1851494231 | Dignity Community Care | Home Health | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2006-09-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851144 | Tariro Angela Sawaya | Student in an Organized Health Care Education/Training Program | 445 1st Street, Woodland, CA 95695 | 2020-08-14 |
| 1093277683 | Christie Lynne Vice | Marriage & Family Therapist | 255 W Court St Ste D, Woodland, CA 95695 | 2019-04-02 |
| 1912479437 | Phillips Scoliosis Center | Chiropractor | 375 W Main St., Ste C-1, Woodland, CA 95695 | 2018-12-21 |
| 1568947042 | Nikhil Sibal | Dentist | Woodland Family Dental, 58 W Court Street, Woodland, CA 95695 | 2018-10-01 |
| 1659860849 | Savannah Ellizabeth Lindley | Behavior Technician | 260 West Main St, Woodland, CA 95695 | 2018-05-03 |
| 1982133344 | Brittanie Ann Akey | Behavior Technician | 1102 Gary Way, Woodland, CA 95695 | 2017-06-08 |
| 1083163604 | Arthur Hernandez | Nurse Practitioner | 215 West Beamer Street, Woodland, CA 95695 | 2016-09-23 |
| 1386191856 | Kelly Lee | Registered Nurse | 25 N. Cottonwood St., Adult and Aging Branch, Yolo County Hhsa, Woodland, CA 95695 | 2016-09-01 |
| 1730634486 | Ida Nilanthi Lonnerdal | Marriage & Family Therapist | 455 First Street, Woodland, CA 95695 | 2016-08-23 |
| 1912365974 | Yaretzi Counseling and Consulting LLC | Social Worker | 327 College St Ste 105, Woodland, CA 95695 | 2016-02-05 |
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| 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 |
|---|---|---|---|---|
| 1467617639 | Harinder Kaur | Psychiatry & Neurology | 1000 Main St Ste 265, Woodland, CA 95695-3551 | 2008-07-27 |
| 1184846834 | Leigh Erin Harrington | Psychiatry & Neurology | 137 Cottonwood, Alcohol Drug and Mental Health, Woodland, CA 95695 | 2007-05-03 |
| 1902966179 | Jon Gordon Caldwell | Psychiatry & Neurology | 137 N. Cottonwood, Woodland, CA 95695 | 2006-12-11 |
| 1790844637 | Ailene Isles Isleta-florento | Psychiatry & Neurology | 213 W Beamer St, Woodland, CA 95695-2510 | 2006-12-06 |
| 1467566059 | Arturo Lo Villamor | Psychiatry & Neurology | 1115 Cottonwood St, Woodland, CA 95695-4318 | 2006-08-19 |
| 1386158491 | Cep America - Psychiatry, PC | Psychiatry & Neurology | 1325 Cottonwood St, Woodland, CA 95695-5131 | 2017-11-28 |
| 1255703716 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 255 W Court St, Suite D, Woodland, CA 95695-2986 | 2015-10-23 |
| 1710306659 | Jonathan D Funk | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695 | 2014-04-08 |
| 1679836738 | Mark David Levine, M.d. Professional Corporation | Psychiatry & Neurology | 1115 Cottonwood St, Woodland, CA 95695-4318 | 2012-06-22 |
| 1679898175 | Amy L. Ledgerwood | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2010-03-29 |
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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.