VITALITY FRP MULTIDISCIPLINARY PSYCHOLOGY AND PHYSIOTHERAPY FOR CHRONI (NPI# 1831621291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831621291 |
| Entity Type | Organization |
| Organization Name | VITALITY FRP MULTIDISCIPLINARY PSYCHOLOGY AND PHYSIOTHERAPY FOR CHRONI |
| Practice Address |
1650 Lead Hill Blvd Roseville CA 95661-3061 |
| Mailing Address |
1640 Ainsdale Dr Roseville CA 95747-5838 |
| Practice Telephone | 5109672474 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | HEATHER MARTARELLA (PRESIDENT) |
| Authorized Official Telephone | 5109672474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT19666 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY21758 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1650 LEAD HILL BLVD |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811981277 | Scott Tyler Warren | Chiropractor | 1650 Lead Hill Blvd, # 600, Roseville, CA 95661-3061 | 2005-08-31 |
| 1972856490 | Nalini G Prasad | Dermatology | 1650 Lead Hill Blvd, Suite 400, Roseville, CA 95661-3061 | 2012-10-22 |
| 1770853566 | Aubrey Tennant | Physical Therapist | 1650 Lead Hill Blvd, Roseville, CA 95661-3061 | 2012-01-10 |
| 1235438136 | Neil A Van Dyck, Dpm, Podiatry Corporation | Podiatrist | 1650 Lead Hill Blvd, # 100, Roseville, CA 95661-3061 | 2011-03-18 |
| 1013124908 | James Doran Wallace | Chiropractor | 1650 Lead Hill Blvd, Suite 600, Roseville, CA 95661-3061 | 2007-05-17 |
| 1144388331 | Kristin Wetter | Physical Therapist | 1650 Lead Hill Blvd, 300, Roseville, CA 95661-3061 | 2006-12-04 |
| 1851469845 | Sacramento Spine & Physical Therapy Inc. | Physical Therapist | 1650 Lead Hill Blvd, 300, Roseville, CA 95661-3061 | 2006-11-30 |
| 1205900065 | Bryan Robert Phillips | Physical Therapist | 1650 Lead Hill Blvd, 300, Roseville, CA 95661-3061 | 2006-11-20 |
| 1104990951 | Kevin Dumitru | Physical Therapist | 1650 Lead Hill Blvd, Suite 300, Roseville, CA 95661-3061 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205287885 | Layla Asamarai | Psychologist | 1611 County Road B W Ste 218, Roseville, MN 55113-4053 | 2016-06-25 |
| 1578939658 | Patricia L. Bach, Psyd, Inc., A Psychological Corporation | Psychologist | 300 Harding Blvd Ste 203k, Roseville, CA 95678-2474 | 2015-08-12 |
| 1760815229 | Tamarind P Knutson, LLC | Psychologist | 2579 Hamline Ave N Ste D, Roseville, MN 55113-3187 | 2013-08-19 |
| 1699021766 | Jazmine Mccoy | Psychologist | 8775 Sierra College Blvd Ste 250, Roseville, CA 95661-5986 | 2012-07-26 |
| 1437393287 | Kelly & Nguyen-kelly Psychological and Consulting Services, LLC | Psychologist | 1315 Larpenteur Ave W, Suite I, Roseville, MN 55113-6323 | 2009-04-23 |
| 1508087909 | Nicole Solomon | Psychologist | 1660 E Roseville Pkwy Ste 160, Roseville, CA 95661-3988 | 2007-05-01 |
| 1427273507 | Randy Allan Gilchrist I | Psychologist | 1899 E Roseville Pkwy Ste 100, Roseville, CA 95661-7980 | 2007-04-16 |
| 1033246137 | Heather Jane Forde | Psychologist | 970 Reserve Dr Ste 205, Roseville, CA 95678-1378 | 2007-02-27 |
| 1023159191 | Michael A. Molyn | Psychologist | Valley Psychological Center, 1891 E. Roseville Parkway, Suite 100, Roseville, CA 95661 | 2007-02-09 |
| 1427197540 | Travis H Owens | Psychologist | 1891 East Roseville Parkway, Suite 100, Roseville, CT 95661-7979 | 2007-02-05 |
| Find all providers in ROSEVILLE | ||||
Please comment or provide details below to improve the information on VITALITY FRP MULTIDISCIPLINARY PSYCHOLOGY AND PHYSIOTHERAPY FOR CHRONI.
| 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.