STEPHANIE A KING (NPI# 1710338959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710338959 |
| Entity Type | Individual |
| Full Name | STEPHANIE A KING |
| Credential | PSYD |
| Practice Address |
405 Enfrente Rd Ste 220 Novato CA 94949-7201 |
| Practice Telephone | 4158275446 |
| Mailing Telephone | 4158275446 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
28314 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447797840 | Stephanie King | Behavior Technician | 1787 63rd Ter S, Saint Petersburg, FL 33712-5944 | 2017-01-23 |
| 1881070639 | Stephanie King | Speech-Language Pathologist | 14355 Murdoch Dr, Reno, NV 89506 | 2015-08-04 |
| 1962814376 | Stephanie Heaton King | Nurse Practitioner | 13000 Warwick Blvd # 8497, Newport News, VA 23602 | 2014-05-20 |
| 1679715296 | Stephanie Michelle King | Dietitian, Registered | 237 Trout Lake Dr, Sanger, CA 93657-9102 | 2009-03-27 |
| 1811165707 | Stephanie King | Occupational Therapist | 100 Debs Pl, Apt 22g, Bronx, NY 10475-2502 | 2008-02-14 |
| 1649495086 | Stephanie Maggio King | Occupational Therapy Assistant | 711 Avigon Dr, Ridgeland, MS 39157 | 2007-04-13 |
| 1457484040 | Stephanie Marie King | Occupational Therapist | 517 Alcove Rd, Mooresville, NC 28117-8573 | 2007-03-13 |
| 1386724078 | Stephanie Marion King | Chiropractor | 6575 S Redwood Rd Ste 350, Taylorsville, UT 84123-5693 | 2006-10-16 |
| 1427077049 | Stephanie King | Counselor | 6854 Kerry Valley Ln, Cordova, TN 38018-2849 | 2006-07-18 |
| 1588200117 | Stephanie Ann King | Nurse Practitioner | 1061 N Coleman St Ste 10, Prosper, TX 75078-2318 | 2019-11-19 |
| Street Address |
405 ENFRENTE RD STE 220 |
| City | NOVATO |
| State | CA |
| Zip Code | 94949-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365427 | Rebecca Pia Ashkenazy | Counselor | 201 Alameda Del Prado Suite 201, Novato, CA 94949 | 2020-01-15 |
| 1063073583 | Minding Your Body | Clinic/Center | 250 Bel Marin Keys Boulevard, Suite D1, Nevato, CA 94949 | 2019-06-25 |
| 1750743555 | Shivani Vasishta | Physician Assistant | 5800 Nave Dr, Novato, CA 94949 | 2016-03-22 |
| 1780065516 | Sikander Isshak | Pharmacist | 437 Via Del Plano, Novato, CA 94949 | 2015-06-17 |
| 1619224763 | Kerby Ann Gleeson | Social Worker | 1385 North Hamilton Parkway, Novato, CA 94949 | 2012-08-08 |
| 1295094241 | Stacy Anne Rosenblatt | Social Worker | 1385 North Hamilton Prkway, Novato, CA 94949 | 2012-05-11 |
| 1487913505 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 394 Bel Marin Keys Blvd, Suite 4, Novato, CA 94949 | 2012-05-09 |
| 1609181213 | Vincent Gregory Pons | Internal Medicine | 448 Ignacio Blvd, No. 403, Novato, CA 94949 | 2010-08-09 |
| 1811217946 | Prima Medical Foundation | Clinic/Center | 4 Hamilton Landing, Suite 100, Novato, CA 94949 | 2010-06-11 |
| 1770776957 | Lisa Marutani | Registered Nurse | 21 Tamal Vista, 100, Corte Madera, CA 94949 | 2007-08-22 |
| Find all providers in zip 94949 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629451703 | Big Dog Counseling, Inc. | Psychologist | 1683 Novato Blvd, Suite 1b, Novato, CA 94947-3200 | 2015-07-07 |
| 1255670311 | Nobuko Hattori | Psychologist | 7428 Redwood Blvd Ste 203, Novato, CA 94945-2419 | 2013-02-11 |
| 1467701649 | Sequoia Behavioral Health | Psychologist | 10 Jackson Ct, Novato, CA 94947-5532 | 2012-09-05 |
| 1104152206 | Edmund Bourne | Psychologist | 32 Curlew Way, Novato, CA 94949-6614 | 2009-10-23 |
| 1457569394 | Michele Saloner | Psychologist | 690 De Long Ave, Suite 150, Novato, CA 94945-3359 | 2007-05-21 |
| 1851437214 | Grace W Rogers | Psychologist | 250 Bel Marin Keys, #c5, Novato, CA 94949-5708 | 2007-01-30 |
| 1669920286 | Barbara Murphy | Psychologist | 1025 5th St, Novato, CA 94945-2413 | 2016-09-12 |
| 1821302191 | Joy Ann Fillman | Psychologist | 250 Bel Marin Keys Blvd, Suite B3, Novato, CA 94949-5707 | 2010-07-29 |
| 1124347224 | Deborah Christman Clark | Psychologist | 1615 Hill Rd, Suite 10, Novato, CA 94947-4340 | 2010-05-28 |
| 1447480140 | Andrea Marie Pinkerton | Psychologist | 505 San Marin Dr, Ste A150, Novato, CA 94945-1357 | 2009-07-16 |
| Find all providers in NOVATO | ||||
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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.