MS. IDA NILANTHI LONNERDAL (NPI# 1730634486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730634486 |
| Entity Type | Individual |
| Full Name | MS. IDA NILANTHI LONNERDAL |
| Credential | MFT INTERN |
| Practice Address |
455 First Street Woodland CA 95695 |
| Practice Telephone | 5306622211 |
| Practice Fax Number | 6306624315 |
| Mailing Telephone | 5306622211 |
| Mailing Fax Number | 6306624315 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 86632 | CA | Behavioral Health & Social Service Providers |
| Street Address |
455 FIRST STREET |
| City | WOODLAND |
| State | CA |
| Zip Code | 95695 |
| 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 |
| 1912365974 | Yaretzi Counseling and Consulting LLC | Social Worker | 327 College St Ste 105, Woodland, CA 95695 | 2016-02-05 |
| 1871854513 | Misty Lee Burriss | Social Worker | 1706 Coloma Way, Woodland, CA 95695 | 2012-05-30 |
| Find all providers in zip 95695 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093277683 | Christie Lynne Vice | Marriage & Family Therapist | 255 W Court St Ste D, Woodland, CA 95695 | 2019-04-02 |
| 1811299563 | Jennie Lee Basarich | Marriage & Family Therapist | 327 College St Ste 212, Woodland, CA 95695 | 2010-12-01 |
| 1699000885 | Mario Andrew Martinez | Marriage & Family Therapist | 29 Barth Ct, Woodland, CA 95776-4925 | 2009-10-06 |
| 1558583286 | Carol A Rodgers | Marriage & Family Therapist | 285 W Court St Ste 202, Woodland, CA 95695-2977 | 2007-05-03 |
| 1871615500 | Elisabeth Marlene Robbins | Marriage & Family Therapist | 150 Freeman St, Woodland, CA 95695-2810 | 2007-04-04 |
| 1588782866 | Victoria Jane Cruz | Marriage & Family Therapist | 825 East St Ste 123, Woodland, CA 95776-4980 | 2007-03-26 |
| 1316079353 | Kristen Leigh Cline | Marriage & Family Therapist | 137 N Cottonwood St Ste 1520, Woodland, CA 95695-6664 | 2007-03-12 |
| 1245369354 | Ronald D Austin | Marriage & Family Therapist | 137 N. Cottonwood Street, Suite 2500, Woodland, CA 95695 | 2007-03-05 |
| 1649314261 | Elizabeth Hover | Marriage & Family Therapist | 736 Davidson Ave., Woodland, WA 98674-9494 | 2007-02-16 |
| 1346311529 | Pamela M. Delaney | Marriage & Family Therapist | 9 Woodland Ave, Woodland, CA 95695-2764 | 2006-11-10 |
| Find all providers in WOODLAND | ||||
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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.