DR. ANITA LOUISE PEDERSEN-PENNOCK (NPI# 1871129932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871129932 |
| Entity Type | Individual |
| Full Name | DR. ANITA LOUISE PEDERSEN-PENNOCK |
| Credential | PH.D. |
| Practice Address |
2716 Cherry Creek Ct Modesto CA 95355-9354 |
| Practice Telephone | 8145742100 |
| Mailing Telephone | 8145742100 |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
28738 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2716 CHERRY CREEK CT |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-9354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972993509 | City Psychology, Inc. | Psychologist | 909 15th St Ste 8, Modesto, CA 95354-1130 | 2015-02-03 |
| 1154443927 | Marcus C Kluender | Psychologist | 1518 Coffee Road, Ste C, Modesto, CA 95355 | 2007-04-04 |
| 1194875377 | Nicholas George Minardi | Psychologist | 3409 Whitehorse Ave, Modesto, CA 95350-1067 | 2007-01-11 |
| 1487715777 | Gary William Zimmerman | Psychologist | 1420 'f' Street, Modesto, CA 95354 | 2006-12-12 |
| 1073671228 | Tamara Lynn Elkins | Psychologist | 802 14th St, Ste G, Modesto, CA 95354-1029 | 2006-12-04 |
| 1306880448 | Anna Maria Hall | Psychologist | 1608 Sunrise Ave, Modesto, CA 95350-4678 | 2006-06-16 |
| 1831150192 | Robert Leroy Morgan | Psychologist | 2030 Coffee Rd Ste C1, Modesto, CA 95355-2413 | 2006-03-28 |
| 1821584137 | Erin Mary Gaab Arsala | Psychologist | 4125 Bangs Ave, Modesto, CA 95356-8713 | 2018-07-10 |
| 1326547266 | Felicia M Agibi | Psychologist | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2018-02-06 |
| 1407205651 | Kathy Ann Rasmussen | Psychologist | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2016-06-08 |
| Find all providers in MODESTO | ||||
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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.