SAMANTHA KETTLE (NPI# 1679704472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679704472 |
| Entity Type | Individual |
| Full Name | SAMANTHA KETTLE |
| Credential | PSY.D. |
| Practice Address |
1201 Alhambra Blvd Ste 340 Sacramento CA 95816-5242 |
| Practice Telephone | 9167317951 |
| Mailing Telephone | 9167317951 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY29461 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1201 ALHAMBRA BLVD STE 340 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578192662 | Jaspreet Singh | Student in an Organized Health Care Education/Training Program | 1201 Alhambra Blvd Ste 340, Sacramento, CA 95816-5242 | 2020-04-02 |
| 1922637024 | Thomas Huey | Student in an Organized Health Care Education/Training Program | 1201 Alhambra Blvd Ste 340, Sacramento, CA 95816-5242 | 2020-04-02 |
| 1841829959 | Chenxi Song | Student in an Organized Health Care Education/Training Program | 1201 Alhambra Blvd Ste 340, Sacramento, CA 95816-5242 | 2020-04-02 |
| 1114586583 | Vincent Patrick O'brien Guerrero | Student in an Organized Health Care Education/Training Program | 1201 Alhambra Blvd Ste 340, Sacramento, CA 95816-5242 | 2019-06-10 |
| 1811459704 | Taylor Duke | Student in an Organized Health Care Education/Training Program | 1201 Alhambra Blvd Ste 340, Sacramento, CA 95816-5242 | 2019-04-01 |
| 1023579380 | Elyza Genilo | Student in an Organized Health Care Education/Training Program | 1201 Alhambra Blvd Ste 340, Sacramento, CA 95816-5242 | 2019-03-28 |
| 1528529096 | Tiffany Chen | Student in an Organized Health Care Education/Training Program | 1201 Alhambra Blvd Ste 340, Sacramento, CA 95816-5242 | 2019-03-27 |
| 1730668344 | Savannah Lee Schewe | Family Medicine | 1201 Alhambra Blvd Ste 340, Sacramento, CA 95816-5242 | 2018-08-14 |
| 1447741038 | Esther Lin | Student in an Organized Health Care Education/Training Program | 1201 Alhambra Blvd Ste 340, Sacramento, CA 95816-5242 | 2018-05-20 |
| 1639669260 | Jessica Fortin | Family Medicine | 1201 Alhambra Blvd Ste 340, Sacramento, CA 95816-5242 | 2018-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608613 | Emily Fortney | Psychologist | 5960 S Land Park Dr # 1194, Sacramento, CA 95822-3313 | 2020-08-06 |
| 1750916177 | Assessment and Development Center of Sacramento | Psychologist | 1555 River Park Dr Ste 103, Sacramento, CA 95815-4603 | 2020-03-05 |
| 1376009068 | Alexis Piciucco | Psychologist | 9700 Business Park Dr Ste 207, Sacramento, CA 95827-1717 | 2019-02-18 |
| 1235625765 | John Alan Foster | Psychologist | 8943 Twin Falls Dr, Sacramento, CA 95826-2136 | 2018-07-09 |
| 1447609995 | Susan Mendez | Psychologist | 1453 45th St, Sacramento, CA 95819-4137 | 2016-06-06 |
| 1881065993 | Tara Cryderman | Psychologist | 2801 57th St, Sacramento, CA 95817-2403 | 2015-10-14 |
| 1194122069 | Satinder Gill | Psychologist | 4701 X St Ste E, Sacramento, CA 95817-2219 | 2014-11-20 |
| 1093119489 | Robert Alexander Prentice | Psychologist | 2228 Murieta Way, Sacramento, CA 95822-2851 | 2014-10-14 |
| 1407284516 | Christina Nicole Spragg | Psychologist | 2109 J St, Suite # 201, Sacramento, CA 95816-4709 | 2013-10-29 |
| 1891128062 | Sarvenaz Sepehri | Psychologist | 601 University Ave Ste 144, Sacramento, CA 95825-6706 | 2013-08-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.