MICHAEL INGRAM


Address: 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537
Phone: 7075657649

MICHAEL INGRAM (NPI# 1891961124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891961124
Entity Type Individual
Full Name MICHAEL INGRAM
Practice Address 1300 Coddingtown Ctr
Santa Rosa
CA 95401-3537
Practice Telephone 7075657649
Mailing Telephone 7075657649
Enumeration Date 2008-05-06
Last Update Date 2008-05-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Providers MICHAEL INGRAM

NPI Name Taxonomy Address Enumeration
1427438415 Michael Thomas Ingram Jr. Psychiatry & Neurology 8271 Melrose Ave Ste 110, Los Angeles, CA 90046-6800 2015-06-04
1942498027 Michael Allen Ingram Pharmacist 1134 Us Highway 27 S, Cynthiana, KY 41031-4177 2007-10-14
1679527949 Michael L Ingram Radiology 4145 Carmichael Road, Montgomery, AL 36106-2801 2006-05-20
1861999401 Michael David Ingram Surgery 1130 W. Michigan St, Fessler Hall 318, Indianapolis, IN 46202 2018-04-10
1679074371 Michael John Roy Ingram Physical Therapist 2490 International Cir, Colorado Springs, CO 80910-3150 2018-02-27
1790086262 Michael Joseph Ingram Counselor 1901 Huguenot Rd, Suite 201, Richmond, VA 23235-4311 2010-11-15
1295767283 Michael Ingram Psychiatry & Neurology 690 S Trumbull, Bay City, MI 48708 2006-07-07
1205888328 Michael A Ingram Emergency Medicine 1321 Colby Ave, Everett, WA 98201-1665 2006-05-17
1336112077 Michael Douglas Ingram Specialist 3705 5th Ave, Pittsburgh, PA 15213-2524 2006-02-13
1255329199 Michael A Ingram Obstetrics & Gynecology 103 E 23rd St, Panama City, FL 32405-4501 2005-10-13

Office Location

Street Address 1300 CODDINGTOWN CTR
City SANTA ROSA
State CA
Zip Code 95401-3537

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174659478 John S. Bowman Counselor 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 2007-02-23
1891030326 James Patrick Alexander Counselor 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 2012-12-10
1003151531 Jose Louis Safont Counselor 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 2012-12-10
1649416306 Claude Tarbe Counselor 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 2008-12-31
1194960864 Lisa Joanne Ellis Counselor 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 2008-12-10
1568617447 Marena Koukis Counselor 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 2008-11-19
1235388943 Alyssa J Morrow Counselor 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 2008-09-17
1306012661 Peggy Eva Parish Counselor 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 2008-05-06
1417146747 Carolyn Foust Counselor 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 2007-10-23
1447445051 Toni Traina Counselor 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 2007-09-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972148575 Megan Elizabeth Jones In Home Supportive Care 1239 Eardley Ave, Santa Rosa, CA 95401 2019-11-07
1801447230 Patty Macisaac Technician 3221 Oak Farm Lane, Santa Rosa, CA 95401 2019-09-26
1386114981 Victoria Maria Guillory Dental Hygienist 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 2018-11-27
1811470727 Chemarin Eve Boyd Student in an Organized Health Care Education/Training Program 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 2018-09-07
1073008181 Cristavel Camacho Behavioral Analyst 1439 Range Ave, #101, Santa Rosa, CA 95401 2018-06-30
1619479102 Victoria King Behavior Technician 1335 N. Dutton Ave., Santa Rosa, CA 95401 2018-03-01
1114436060 Lacey Lynn Palmer Counselor 341 Irwin Lane, Santa Rosa, CA 95401 2017-09-22
1720530587 Compassionate Homecare Solutions, LLC In Home Supportive Care 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 2016-10-27
1366998981 William Glenn Marriage & Family Therapist 1496 Willowside Road, Santa Rosa, CA 95401 2016-09-01
1790144046 Advocacy Home Nursing, Inc Home Health 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 2016-02-15
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568089803 Joan Colombo Counselor 1450 Neotomas Ave, Santa Rosa, CA 95405-7537 2020-07-02
1083230486 Lizett Camacho Counselor 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 2020-06-22
1568005205 Angela Tejeda Counselor 35555 Sonoma Hwy, Santa Rosa, CA 95409 2019-10-25
1780147538 Aimee Noelle Krzywicki Counselor 2403 Professional Dr Ste 102, Santa Rosa, CA 95403-3007 2019-04-09
1811487903 Michael Armand Maritzen Counselor 2245 Challenger Way # 100, Santa Rosa, CA 95407-5418 2018-05-14
1922520527 Robert John Lotero Counselor 7104 Oak Leaf Dr, Santa Rosa, CA 95409-6028 2017-07-14
1184153728 Amanda Christina Gomez-hernandez Counselor 2400 County Center Dr Ste B, Santa Rosa, CA 95403-3004 2017-06-07
1225577968 Kari Kenyon Counselor 1380 Wright St Apt 8, Santa Rosa, CA 95404-3437 2017-02-14
1013368083 Stanley Bragg Jr. Counselor 6119 Montecito Blvd Apt 12, Santa Rosa, CA 95409-2969 2016-06-30
1205207321 Flaman Craig Mccloud Jr. Counselor 440 Arrowood Dr., Santa Rosa, CA 95407 2015-10-15
Find all providers in SANTA ROSA

Competitor

Search similar providers

City SANTA ROSA
Zip Code 95401

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Dataset Information

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.

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