KRISTINE LYNN BRADY (NPI# 1962590018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962590018 |
| Entity Type | Individual |
| Full Name | KRISTINE LYNN BRADY |
| Credential | PHD |
| Practice Address |
345 Saxony Rd Suite 102 Encinitas CA 92024-2787 |
| Mailing Address |
1936 Hummock Ln Encinitas CA 92024-1908 |
| Practice Telephone | 7604204045 |
| Practice Fax Number | 7606328875 |
| Mailing Telephone | 7604369268 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
19375 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053377622 | Kristine Brady | Registered Nurse | 566 N Cedar, Mason, MI 48854 | 2006-04-24 |
| 1326419672 | Kristine Taylor Brady | Behavioral Analyst | 2447 Pacific Coast Hwy, Suite 111, Hermosa Beach, CA 90254-2714 | 2015-10-13 |
| 1295716389 | Kristine Lynn Brady | Psychologist | 110 E Main St, Vermillion, SD 57069-2201 | 2005-11-07 |
| Street Address |
345 SAXONY RD SUITE 102 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-2787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172461 | Glenn G Soppe | Family Medicine | 345 Saxony Rd, Suite 204, Encinitas, CA 92024-2787 | 2005-08-29 |
| 1740655935 | Dr. Ronald B Moss Inc | Clinic/Center | 345 Saxony Rd, Suite 105, Encinitas, CA 92024-2787 | 2015-12-14 |
| 1578904934 | Pingfeng Du, Md, Inc | Internal Medicine | 345 Saxony Rd, Suit 202, Encinitas, CA 92024-2787 | 2013-07-15 |
| 1821236365 | Kristin M Whiteside | Psychologist | 345 Saxony Rd, Suite 102, Encinitas, CA 92024-2787 | 2009-01-21 |
| 1497976658 | Raymond C Mueller | Dentist | 345 Saxony Rd, Suite 103, Encinitas, CA 92024 | 2007-05-02 |
| 1245350578 | Theresa Beauchamp | Physician Assistant | 345 Saxony Rd, Suite 204, Encinitas, CA 92024-2787 | 2007-03-30 |
| 1063545416 | Ann Mineo Kania | Dentist | 345 Saxony Rd, Suite 203, Encinitas, CA 92024-2787 | 2007-03-14 |
| 1316042070 | William J Dess | Psychologist | 345 Saxony Rd, Suite 201, Encinitas, CA 92024 | 2006-09-14 |
| 1215962451 | Roy A. Kaplan | Internal Medicine | 345 Saxony Rd, Suite 105, Encinitas, CA 92024-2787 | 2006-07-12 |
| 1447281324 | Michelle A. Turk | Nurse Practitioner | 345 Saxony Rd, Suite 105, Encinitas, CA 92024-2787 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841706264 | Rituals of Healing, Inc | Psychologist | 621 2nd St Ste A, Encinitas, CA 92024-3568 | 2017-12-21 |
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| 1366051070 | Shellie Renae Higuera | Psychologist | 5059 Day Dr, Fairfield, CA 94533-6597 | 2020-07-28 |
| 1730706979 | Oak Forest Recovery Center, Inc. | Psychologist | 5655 Lindero Canyon Rd Ste 425, Westlake Village, CA 91362-4046 | 2020-07-04 |
| 1861016842 | Valley Harvest Church of Merced | Psychologist | 557 W 26th St, Merced, CA 95340-2825 | 2020-06-04 |
| 1629691993 | Franklin Clifford Wimberly | Psychologist | 10 Pleasant Walk, Aliso Viejo, CA 92656-4266 | 2020-05-21 |
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1386282762 | Danielle Wischenka | Psychologist | 155 E Campbell Ave Ste 219, Campbell, CA 95008-2062 | 2019-12-16 |
| 1528525326 | Sylvia Cary | Psychologist | 4650 Sepulveda Blvd Apt 201, Sherman Oaks, CA 91403-2462 | 2019-02-28 |
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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.