TERESA WELLS (NPI# 1710195540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710195540 |
| Entity Type | Individual |
| Full Name | TERESA WELLS |
| Credential | PH.D |
| Practice Address |
518 S School St Ukiah CA 95482-5479 |
| Mailing Address |
Po Box 268 Talmage CA 95481-0268 |
| Practice Telephone | 7074626801 |
| Mailing Telephone | 7074626801 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2012-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 23811 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538480868 | Teresa Garcia Wells | Speech-Language Pathologist | 2900 Woodridge Dr Ste 300, Houston, TX 77087-2506 | 2010-06-22 |
| 1861092082 | Teresa Wells | Pharmacist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-10-27 |
| 1699075028 | Teresa Ann Wells | Occupational Therapy Assistant | 4934 S 7th St, Abilene, TX 79605-2642 | 2010-11-02 |
| 1982928040 | Teresa Wells | Technician, Other | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2010-03-18 |
| Street Address |
518 S SCHOOL ST |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-5479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699876920 | Terrance Harold Kennedy | Social Worker | 518 S School St, Ste. 203, Ukiah, CA 95482-5479 | 2006-09-26 |
| 1811388580 | Iris Padgett | Counselor | 518 S School St, Ukiah, CA 95482-5479 | 2015-02-16 |
| 1942348362 | Deborah L Jaynes | Marriage & Family Therapist | 518 S School St, Suite 201, Ukiah, CA 95482-5479 | 2007-02-01 |
| 1386790764 | Tom Fuller | Marriage & Family Therapist | 518 S School St, Ukiah, CA 95482-5479 | 2007-01-26 |
| 1790842524 | Vickie J Dwyer | Psychologist | 518 S School St, Ste 205, Ukiah, CA 95482-5479 | 2007-01-02 |
| 1780740266 | Susan Pepperwood | Psychologist | 518 S School St, # 102, Ukiah, CA 95482-5479 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932316957 | Mark Mario Cerri | Psychologist | 205 W Clay St, Ukiah, CA 95482-5452 | 2007-05-17 |
| 1780740266 | Susan Pepperwood | Psychologist | 518 S School St, # 102, Ukiah, CA 95482-5479 | 2006-12-29 |
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| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
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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.