KATHERINE BANGEN (NPI# 1750758595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750758595 |
| Entity Type | Individual |
| Full Name | KATHERINE BANGEN |
| Credential | PHD |
| Practice Address |
9500 Gilman Drive, Mail Code 151b La Jolla CA 92093-9151 |
| Practice Telephone | 8585528585 |
| Practice Fax Number | 8586426340 |
| Mailing Telephone | 8585528585 |
| Mailing Fax Number | 8586426340 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY24559 | CA | Behavioral Health & Social Service Providers |
| Street Address |
9500 GILMAN DRIVE, MAIL CODE 151B |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92093-9151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902442908 | Forrest N Ridgway | Pharmacist | 3855 Health Sciences Drive #0845, La Jolla, CA 92093 | 2019-11-25 |
| 1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
| 1114372471 | Kevin Ting | Internal Medicine | 9500 Gilman Dr # Mc7411, La Jolla, CA 92093 | 2016-04-24 |
| 1225490147 | Karen Tye | Student in an Organized Health Care Education/Training Program | 3960 Health Sciences Drive, La Jolla, CA 92093 | 2016-03-22 |
| 1457716615 | Christine Pulido | Student in an Organized Health Care Education/Training Program | 9500 Gilman Drive #0851, La Jolla, CA 92093 | 2015-12-15 |
| 1467830489 | Justin Arshed Shaya | Internal Medicine | 3855 Health Sciences Dr #0829, La Jolla, CA 92093 | 2015-05-11 |
| 1225425606 | Brad Hiroshi Kimura | Internal Medicine | 9500 Gilman Dr # Mc9111g, La Jolla, CA 92093 | 2015-04-23 |
| 1407241169 | Courtney Holmes Mckee | Emergency Medicine | 3855 Health Sciences Drive Mc0987, La Jolla, CA 92093 | 2015-03-31 |
| 1528488350 | Arlene Bravo | General Practice | 9500 Gilman Dr # Mc0656, La Jolla, CA 92093 | 2014-04-19 |
| 1710237391 | Chaitanya Pabbati | Psychiatry & Neurology | 9500 Gillman Drive #9116a, La Jolla, CA 92093 | 2012-09-11 |
| Find all providers in zip 92093 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1083122014 | Bernadette M Di Toro | Psychologist | 7440 Girard Ave Ste 1, La Jolla, CA 92037-5157 | 2018-01-11 |
| 1144770207 | Deisy C. Boscan Ph.d. Psychologist Professional Corporation | Psychologist | 7946 Ivanhoe Ave Ste 305, La Jolla, CA 92037-4518 | 2016-10-12 |
| 1023566940 | Deborah K Hopper | Psychologist | 8124 Caminito Sonoma, La Jolla, CA 92037-2923 | 2016-09-20 |
| 1659759355 | Lisa Kristine Jensen | Psychologist | 3252 Holiday Ct Ste 201, La Jolla, CA 92037-1808 | 2015-05-13 |
| 1376800771 | Lavinia Fiorentino | Psychologist | 3855 Health Sciences Dr # 658, Suite 3086, La Jolla, CA 92093-1503 | 2012-04-23 |
| 1942529409 | Dianna Quach | Psychologist | 9500 Gilman Dr Dept 304, La Jolla, CA 92093-0304 | 2010-05-24 |
| 1538391909 | Christina M Watson | Psychologist | 7825 Fay Ave Ste 200, La Jolla, CA 92037-4270 | 2009-08-18 |
| 1376771048 | Maryann Stieber | Psychologist | 1020 Prospect St., Ste. 415, La Jolla, CA 92037 | 2009-07-01 |
| 1780820415 | Suzanne Mathews | Psychologist | 7946 Ivanhoe Ave Ste 211, La Jolla, CA 92037-4517 | 2008-12-30 |
| Find all providers in LA JOLLA | ||||
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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.