DR. KELLY DON KRUEGER (NPI# 1861767386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861767386 |
| Entity Type | Individual |
| Full Name | DR. KELLY DON KRUEGER |
| Credential | PSYD |
| Practice Address |
3711 S Sea Clf Santa Ana CA 92704-7142 |
| Practice Telephone | 7148898046 |
| Mailing Telephone | 7148898046 |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-24823 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487632014 | Kelly M Krueger | Family Medicine | 39555 W. Ten Mile, #302, Novi, MI 48375 | 2006-01-04 |
| 1548755705 | Kelly Krueger | Occupational Therapist | 2900 Ogden Ave, Lisle, IL 60532-1631 | 2018-06-28 |
| 1245768969 | Kelly Ann Krueger | Nurse Practitioner | 1000 Universal Studios Plz Bldg 3, Orlando, FL 32819 | 2017-05-25 |
| 1720483209 | Kelly Krueger | Counselor | 160 E Virginia St, Ste. 100, San Jose, CA 95112-5857 | 2014-10-27 |
| 1780007146 | Kelly Krueger | Speech-Language Pathologist | 1720 S Cliff Ave, Sioux Falls, SD 57105-2129 | 2014-01-21 |
| 1215212261 | Kelly Krueger | Nurse Practitioner | 18432 Kenrick Ave, Lakeville, MN 55044-9288 | 2011-10-20 |
| 1861663528 | Kelly A Krueger | Internal Medicine | 140 Park Ave, Florham Park, NJ 07932-1049 | 2008-03-20 |
| 1720259039 | Kelly Ann Krueger | Case Manager/Care Coordinator | 5121 Stockdale Hwy, Bakersfield, CA 93309-2656 | 2008-03-13 |
| 1356519649 | Kelly Krueger | Counselor | 22426 Saint Francis Blvd, Anoka, MN 55303-9670 | 2008-02-20 |
| Street Address |
3711 S SEA CLF |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92704-7142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
| 1639728538 | Dorothy A Powell | Technician | 722 S. Arapaho Dr, Santa Ana, CA 92704 | 2019-09-04 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1215414024 | Sonia Molina | Dietitian, Registered | 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 | 2018-07-24 |
| 1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
| 1104317940 | The Mend of California, LLC | Substance Abuse Rehabilitation Facility | 1909 W. Carlton Place, Santa Ana, CA 92704 | 2018-05-29 |
| 1154811784 | Phleetbo LLC | In Home Supportive Care | 3760 W Mcfadden Ave # B164, Santa Ana, CA 92704 | 2018-05-18 |
| 1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
| 1952811978 | Rising Roads Recovery Services for Women, LLC | Substance Abuse Rehabilitation Facility | 2750 S Harbor Blvd Ste G, Santa Ana, CA 92704 | 2017-10-04 |
| 1427577907 | Advance Oc Surgical Inc. | Clinic/Center | 3500 S. Bristol St., Suite 200, Santa Ana, CA 92704 | 2017-09-15 |
| Find all providers in zip 92704 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290094 | Holistic Mental Health | Psychologist | 1801 Park Court Pl Ste F201, Santa Ana, CA 92701-5031 | 2019-11-19 |
| 1780245241 | Nancy Bement | Psychologist | 1651 E 4th St Ste 140, Santa Ana, CA 92701-5173 | 2019-06-25 |
| 1144572009 | Annie Nguyen Bui | Psychologist | 1634 W 19th St # C, Santa Ana, CA 92706-2301 | 2012-10-02 |
| 1184930919 | Philip Stephen Pines | Psychologist | 1633 E 4th St Ste 156, Santa Ana, CA 92701-5170 | 2010-08-31 |
| 1801122486 | Ronald L. Scott | Psychologist | 2220 E. Fruit Street, Suite 109, Santa Ana, CA 92701-4459 | 2009-11-02 |
| 1710129374 | Geraldine Marie Olin | Psychologist | 2021 E 4th St, Suite 116, Santa Ana, CA 92705-3912 | 2009-03-28 |
| 1184871048 | Jennifer Ann Morey | Psychologist | 2100 N Broadway Ste 101, Santa Ana, CA 92706-2624 | 2008-08-22 |
| 1366606386 | Michelle Protes Roth | Psychologist | 405 West 5th Street, Cys, Santa Ana, CA 92701 | 2008-07-18 |
| 1861664088 | Jennifer Mitolo | Psychologist | 1526 Brookhollow Dr, Suite 73, Santa Ana, CA 92705-5421 | 2008-03-27 |
| 1982895421 | Psychological Assessment Services | Psychologist | 2107 N. Broadway #207, Santa Ana, CA 92706 | 2007-08-08 |
| Find all providers in SANTA ANA | ||||
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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.