DR. VIRDETTE L BRUMM (NPI# 1669565990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669565990 |
Entity Type | Individual |
Full Name | DR. VIRDETTE L BRUMM |
Credential | PHD |
Practice Address |
787 Munras Ave Suite 101 Monterey CA 93940-3128 |
Mailing Address |
Po Box 3534 Carmel CA 93921-3534 |
Practice Telephone | 8316429400 |
Practice Fax Number | 8316457906 |
Mailing Telephone | 8316429400 |
Mailing Fax Number | 8316457906 |
Enumeration Date | 2006-09-30 |
Last Update Date | 2009-07-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY15531 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PSY155310 | 05 |
Street Address |
787 MUNRAS AVE SUITE 101 |
City | MONTEREY |
State | CA |
Zip Code | 93940-3128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992224125 | Kaitlin Anne Roe | Speech-Language Pathologist | 787 Munras Ave, Monterey, CA 93940-3128 | 2017-09-19 |
1932647435 | Tasneem Ali | Speech-Language Pathologist | 787 Munras Ave, Suite 101, Monterey, CA 93940-3128 | 2017-02-03 |
1245787266 | Kelly Mitchell | Speech-Language Pathologist | 787 Munras Ave, Suite 101, Monterey, CA 93940-3128 | 2016-09-07 |
1932550902 | Courtney Long | Speech-Language Pathologist | 787 Munras Ave, Suite 101, Monterey, CA 93940-3128 | 2016-06-30 |
1841673035 | Jennifer Magee | Speech-Language Pathologist | 787 Munras Ave, Suite 101, Monterey, CA 93940-3128 | 2015-07-07 |
1134545718 | Jonathan Robert James Mahaffie | Speech-Language Pathologist | 787 Munras Ave, Monterey, CA 93940-3128 | 2014-03-06 |
1770908436 | Doris Jean Smith | Speech-Language Pathologist | 787 Munras Ave, Suite 101, Monterey, CA 93940-3128 | 2014-03-04 |
1093145633 | Catherine Beth Adams | Speech-Language Pathologist | 787 Munras Ave, Suite 101, Monterey, CA 93940-3128 | 2013-11-18 |
1922438852 | Maria Costa | Student in an Organized Health Care Education/Training Program | 787 Munras Ave, Suite 101, Monterey, CA 93940-3128 | 2013-11-13 |
1366872210 | Brian Hernandez | Speech-Language Pathologist | 787 Munras Ave, Monterey, CA 93940-3128 | 2013-11-13 |
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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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003099144 | Erica Downs-karai | Psychologist | 576 Hartnell St, Monterey, CA 93940-2833 | 2007-12-12 |
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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.