DR. HEIDI Y KWAN (NPI# 1649382680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649382680 |
Entity Type | Individual |
Full Name | DR. HEIDI Y KWAN |
Credential | PH.D. |
Practice Address |
3585 Maple St Ste 255 Ventura CA 93003-9147 |
Practice Telephone | 8056500657 |
Practice Fax Number | 8056541098 |
Mailing Telephone | 8056500657 |
Mailing Fax Number | 8056541098 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-06-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY15019 | CA | Behavioral Health & Social Service Providers |
Street Address |
3585 MAPLE ST STE 255 |
City | VENTURA |
State | CA |
Zip Code | 93003-9147 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083621593 | Irene De La Cruz Mason | Nurse Practitioner | 3585 Maple St, Ste 258, Ventura, CA 93003-3504 | 2006-08-01 |
1205245495 | Bstmd, Incorporated | Psychiatry & Neurology | 3585 Maple St, Suite # 205, Ventura, CA 93003-3504 | 2014-08-13 |
1356767685 | Joyce Weckl Pmhnp A Nursing Corporation | Nurse Practitioner | 3585 Maple St, Suite # 205, Ventura, CA 93003-3504 | 2014-03-11 |
1992905723 | Brian Steven Taylor | Psychiatry & Neurology | 3585 Maple St, Suite # 205, Ventura, CA 93003-3504 | 2007-07-19 |
1043416738 | Laura Maria Hughes | Marriage & Family Therapist | 3585 Maple St, 265, Ventura, CA 93003-3504 | 2007-06-21 |
1326269317 | Christina R. Griffin | Psychologist | 3585 Maple St, Suite 235, Ventura, CA 93003-3504 | 2007-05-01 |
1669691341 | Jeffrey Scott Campbell | Marriage & Family Therapist | 3585 Maple St, Ventura, CA 93003-3504 | 2007-04-24 |
1205054418 | Ofelia Kitty Schemenauer | Marriage & Family Therapist | 3585 Maple St, #266, Ventura, CA 93003-3504 | 2007-04-23 |
1942428453 | Helen Ann Herms | Marriage & Family Therapist | 3585 Maple St, Suite 266, Ventura, CA 93003-3504 | 2007-04-22 |
1831221027 | Laura Lynn Shore | Social Worker | 3585 Maple St, Ste 255, Ventura, CA 93003-9147 | 2007-03-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
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Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
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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.