DR. DORANN LEE BOULIAN (NPI# 1649610627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649610627 |
| Entity Type | Individual |
| Full Name | DR. DORANN LEE BOULIAN |
| Credential | PH.D. |
| Practice Address |
2100 Peabody Road Vacaville CA 95695-4000 |
| Mailing Address |
Po Box 4000 Vacaville CA 95696-4000 |
| Practice Telephone | 7074510182 |
| Practice Fax Number | 7074513462 |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 9705 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSED PSYCHOLOGIST | PSY 9705 | 01 |
| Street Address |
2100 PEABODY ROAD |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95695-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942365358 | Alvaro Cruz Traquina | Surgery | 2100 Peabody Road, Medical Modular, Vacaville, CA 95687 | 2006-12-26 |
| 1124648712 | Corrections and Rehabilitation | Pharmacy | 2100 Peabody Road, Vacaville, CA 95687 | 2020-04-23 |
| 1396150470 | David Schuh | Pharmacist | 2100 Peabody Road, Csp-solano/department of Pharmacy, Vacaville, CA 95696 | 2014-06-26 |
| 1972775336 | Segundina Agustin Yancha | Psychiatry & Neurology | 2100 Peabody Road, Csp Solano, Vacaville, CA 95687 | 2008-03-26 |
| 1730364506 | Paul William Sheeran | Dentist | 2100 Peabody Road, Vacaville, CA 95087 | 2007-12-29 |
| 1821272733 | Rita Dacia Mcintyre | Dentist | 2100 Peabody Road, Vacaville, CA 95696-4000 | 2007-12-27 |
| 1356548119 | Khin Mg Win | Internal Medicine | 2100 Peabody Road, Vacaville, CA 95696-4000 | 2007-06-27 |
| 1437355476 | Kathleen Anne Mahon Howe | Nurse Practitioner | 2100 Peabody Road, Vacaville, CA 95696 | 2007-06-26 |
| 1720297575 | Tesie Rafael Rallos | Internal Medicine | 2100 Peabody Road, Vacaville, CA 95686 | 2007-05-21 |
| 1912116864 | Alfredo Quicho Noriega | Surgery | 2100 Peabody Road, Vacaville, CA 95687 | 2007-05-21 |
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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 | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316425051 | Donna Lynn Guzman | Psychologist | 943 Cedarcrest Dr, Vacaville, CA 95687-7881 | 2018-08-03 |
| 1760729685 | Wayne Eric Pribble | Psychologist | 2050 Peabody Rd Ste 300, Vacaville, CA 95687-6695 | 2013-01-11 |
| 1174663447 | Shirley Ann Kramer-webb | Psychologist | 419 Mason St., Suite 201, Vacaville, CA 95688-4535 | 2007-02-07 |
| 1336670777 | Lourdes Mejia | Psychologist | 1600 California Drive, Vacaville, CA 95620 | 2017-03-27 |
| 1437605797 | Daniel Munoz-santamaria | Psychologist | 1600 California Dr., Vacaville, CA 94534-2297 | 2016-08-28 |
| 1124574348 | Bailey Ellen Glaves | Psychologist | 1600 California Dr, Vacaville, CA 95687 | 2016-08-28 |
| 1811361587 | Alison Gastorf Aylward | Psychologist | 1 Quality Dr, Vacaville, CA 95688-9494 | 2015-11-18 |
| 1326454828 | Michael Jay Ryan | Psychologist | 1600 California Drive, Vacaville, CA 95696 | 2014-07-03 |
| 1508206830 | Judith Mudge Herman | Psychologist | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2013-07-01 |
| 1932448867 | Roy W. Johnson | Psychologist | 1600 California Dr., Vacaville, CA 95656-2000 | 2013-02-13 |
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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.