DR. COLLEEN NOEL PENNINGTON (NPI# 1831415587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831415587 |
| Entity Type | Individual |
| Full Name | DR. COLLEEN NOEL PENNINGTON |
| Credential | PSY.D. |
| Practice Address |
191 Sand Creek Rd Suite 202 E Brentwood CA 94513-2215 |
| Mailing Address |
2630 Orange Way Antioch CA 94531-8025 |
| Practice Telephone | 9256421987 |
| Mailing Telephone | 9252064745 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2013-12-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY22533 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696244 | Colleen Marie Pennington | Specialist/Technologist, Other | 87936 Limpit Ln, Florence, OR 97439-9053 | 2019-12-11 |
| Street Address |
191 SAND CREEK RD SUITE 202 E |
| City | BRENTWOOD |
| State | CA |
| Zip Code | 94513-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194976795 | Carolyn Breaud | Marriage & Family Therapist | 191 Sand Creek Rd, Suite 202-k, Brentwood, CA 94513-2215 | 2008-10-01 |
| 1033502760 | Kristin M Palmer | Marriage & Family Therapist | 191 Sand Creek Rd, Suite 202f, Brentwood, CA 94513-2215 | 2015-03-05 |
| 1629476528 | Smith Massage Therapy | Massage Therapist | 191 Sand Creek Rd, Suite 202-b, Brentwood, CA 94513-2215 | 2014-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806008 | Brooke Bell | Student in an Organized Health Care Education/Training Program | 1780 Anastasia Drive, Brentwood, CA 94513 | 2018-09-26 |
| 1992287353 | Cheryl Lynn Dobson | Nurse Practitioner | 1206 Silverton Way, Brentwood, CA 94513 | 2018-09-02 |
| 1093212102 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 795 Eden Plains Road, Brentwood, CA 94513 | 2018-04-06 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1770012221 | Rosalind Sheila Raynor | Marriage & Family Therapist | Golden Hills Counseling Center, 2401 Shady Willow Ln., Brentwood, CA 94513 | 2017-06-08 |
| 1427592054 | Tekia Oliver | Private Vehicle | 2758 Saint Andrews Dr., Brentwood, CA 94513 | 2016-12-16 |
| 1467908681 | Abid Niazi | Student in an Organized Health Care Education/Training Program | 2108 Cristina Way, Brentwood, CA 94513 | 2016-08-28 |
| 1346600418 | Foundations Therapy Services | Specialist/Technologist | 101 Continente Ave, Suite 100, Brentwood, CA 94513 | 2016-03-02 |
| 1093171654 | Sabrina Samaniego | Behavioral Analyst | 809 Paririe Rose Way, Brentwood, CA 94513 | 2016-01-12 |
| 1477920841 | Susan C Novak-nizami | Registered Nurse | 2400 Balfour Rd., Patient Support Services, Brentwood, CA 94513 | 2015-09-01 |
| Find all providers in zip 94513 | ||||
| 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 |
|---|---|---|---|---|
| 1801249263 | Tami Futerman | Psychologist | 164 3rd Ave, Brentwood, NY 11717-5324 | 2016-07-20 |
| 1770852972 | Mark William Petro | Psychologist | 9005 Demery Ct, Brentwood, TN 37027-3300 | 2011-12-19 |
| 1891062550 | Milagros Santiago-vazquez | Psychologist | 77 Stahley Road, Loretta Park Elementary, Brentwood, NY 11717 | 2011-11-23 |
| 1750687810 | Anna Goodwin Settle | Psychologist | 7075 Willowick Dr, Brentwood, TN 37027-6930 | 2011-02-07 |
| 1699004788 | Ryan Oetting | Psychologist | 1616 Westgate Cir Ste 119, Brentwood, TN 37027 | 2009-12-18 |
| 1356577225 | William Bellet | Psychologist | 213 Ward Cir Ste 101, Brentwood, TN 37027-7536 | 2009-06-05 |
| 1588824205 | Lifeline Mental Health Services, LLC | Psychologist | 313 Red Feather Ln, Brentwood, TN 37027-4772 | 2008-06-16 |
| 1114122868 | Ashley Pineda Wendt | Psychologist | 104 Eastpark Dr Ste 208, Brentwood, TN 37027-7535 | 2007-06-20 |
| 1114135993 | Jeanne M. Stedrak | Psychologist | 278 Franklin Rd, Suite 239, Brentwood, TN 37027-5224 | 2007-05-18 |
| 1326267832 | Allison Sue Bender | Psychologist | 6544 Murray Ln, Brentwood, TN 37027-5515 | 2007-04-24 |
| Find all providers in BRENTWOOD | ||||
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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.