DR. VICKIE J DWYER (NPI# 1790842524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790842524 |
| Entity Type | Individual |
| Full Name | DR. VICKIE J DWYER |
| Credential | PSY.D. |
| Practice Address |
518 S School St Ste 205 Ukiah CA 95482-5479 |
| Mailing Address |
Po Box 482 Ukiah CA 95482-0482 |
| Practice Telephone | 7074621985 |
| Mailing Telephone | 7074621985 |
| Mailing Fax Number | 7074621985 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 21067 | CA | Behavioral Health & Social Service Providers |
| Street Address |
518 S SCHOOL ST STE 205 |
| 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 |
| 1710195540 | Teresa Wells | Psychologist | 518 S School St, Ukiah, CA 95482-5479 | 2007-05-17 |
| 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 |
| 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 | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125617 | Jennifer E. Schooley | Psychologist | 1264 Helen Ave, Ukiah, CA 95482-6309 | 2018-05-22 |
| 1316157340 | Lynne Marie Fiore | Psychologist | 1380 Carrigan Ln, Ukiah, CA 95482-3378 | 2007-05-22 |
| 1770706954 | Sara Callender Stark | Psychologist | 406 W Standley Street, Ukiah, CA 95482 | 2007-04-10 |
| 1063538155 | Laura Monica Mares | Psychologist | 260 Hospital Dr., Suite #101, Ukiah, CA 95482 | 2007-03-21 |
| 1326181199 | Cheryl Rae Wantland | Psychologist | 387 N Oak St, Ukiah, CA 95482-4302 | 2007-02-14 |
| 1952449787 | Joann J Rosen | Psychologist | 390 W Stephenson St, Ukiah, CA 95482 | 2007-02-02 |
| 1033257357 | Martin Steve Lorber | Psychologist | 1009 W Clay St, Ukiah, CA 95482-4604 | 2007-02-01 |
| 1194861542 | Judith C Albert | Psychologist | 406 W Standley, Ukiah, CA 95482-8842 | 2007-01-30 |
| 1407932718 | Paul Stearns Otto | Psychologist | 205 W Clay St, Ukiah, CA 95482-5452 | 2006-10-29 |
| 1427385228 | Vanessa Vagt | Psychologist | 401 W Mill St, Ukiah, CA 95482-5435 | 2009-11-16 |
| Find all providers in UKIAH | ||||
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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.