DR. BONNIE JEAN IVERS (NPI# 1982885430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982885430 |
| Entity Type | Individual |
| Full Name | DR. BONNIE JEAN IVERS |
| Credential | PSY.D. |
| Practice Address |
10725 International Dr Asd Rancho Cordova CA 95670-7967 |
| Mailing Address |
Kaiser Permanente Autism Spectrum Disorders Center 10725 International Drive Rancho Cordova CA 95670 |
| Practice Telephone | 9166312561 |
| Practice Fax Number | 9166312553 |
| Mailing Telephone | 9166312561 |
| Mailing Fax Number | 9166312553 |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
21391 | CA | Behavioral Health & Social Service Providers |
| Street Address |
10725 INTERNATIONAL DR ASD |
| City | RANCHO CORDOVA |
| State | CA |
| Zip Code | 95670-7967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768467 | Emily Kassenbrock | Pediatrics | 10725 International Dr, Rancho Cordova, CA 95670-7967 | 2005-05-24 |
| 1447862974 | Brittany Hraiz | Social Worker | 10725 International Dr, Rancho Cordova, CA 95670-7967 | 2020-08-17 |
| 1053953042 | Evanne Conley | Physical Therapist | 10725 International Dr, Rancho Cordova, CA 95670-7967 | 2019-10-11 |
| 1205340072 | Navneet Kaur Thind | Psychologist | 10725 International Dr, Rancho Cordova, CA 95670-7967 | 2017-11-30 |
| 1962937896 | Ivette Marie Yoder | Pharmacist | 10725 International Dr, Rancho Cordova, CA 95670-7967 | 2017-04-28 |
| 1518491760 | Albert C Wang | Pharmacist | 10725 International Dr, Rancho Cordova, CA 95670-7967 | 2017-04-14 |
| 1699206003 | Hao Tang | Pharmacist | 10725 International Dr, Rancho Cordova, CA 95670-7967 | 2017-03-27 |
| 1285165605 | Lisa Duong | Pharmacist | 10725 International Dr, Rancho Cordova, CA 95670-7967 | 2017-03-27 |
| 1326579772 | David M Haddad | Pharmacist | 10725 International Dr, Rancho Cordova, CA 95670-7967 | 2017-03-27 |
| 1386931947 | Lisa Ann Leftwich | Occupational Therapist | 10725 International Dr, Attention: Asd Clinic, Rancho Cordova, CA 95670-7967 | 2011-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297640 | Blue Angels Trans LLC | Non-emergency Medical Transport (VAN) | 11082 Coloma Rd. Suite #10, Rancho Cordova, CA 95670 | 2020-05-26 |
| 1104452796 | Stephanie Lynn Miller | Registered Nurse | 10850 Golden Center Drive, Rancho Cordova, CA 95670 | 2020-03-16 |
| 1174165948 | Sacramento County Office of Education | Clinic/Center | Mitchell Middle School/folsom-cordova Unified School Di, 2100 Zinfandel Drive, School Counseling Office, Rancho Cordova, CA 95670 | 2019-10-14 |
| 1700364353 | Kavneet Bindra | Dentist | 3191 Zinfandel Dr Ste 21, Rancho Cordova, CA 95670 | 2018-08-04 |
| 1487172029 | Monica Jackson | Registered Nurse | 3235 Gosport Way, Rancho Cordova, CA 95670 | 2017-09-05 |
| 1710408422 | Noemi Colmenares | Specialist/Technologist | 11100 Coloma Rd., Rancho Cordova, CA 95670 | 2017-07-03 |
| 1245779552 | Kristin Lyn Kaminski-wadle | Student in an Organized Health Care Education/Training Program | 11344 Coloma Rd Ste 515, Gold River, CA 95670 | 2017-02-20 |
| 1801331822 | Margrette Elaine Townsend | Counselor | 2379 Stone River Ct, Gold River, CA 95670 | 2016-12-29 |
| 1164889572 | Jose H Macaspac Iv | Physical Therapist | 12155 Tributary Point Dr Apt 124, Rancho Cordova, CA 95670 | 2016-01-15 |
| 1972971620 | Harry James Buzbuzian Jr. | General Practice | 11345 Gold Country Blvd, Gold River, CA 95670 | 2015-09-11 |
| Find all providers in zip 95670 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
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|---|---|---|---|---|
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| 1568082113 | Laura Adery | Psychologist | 760 Westwood Plz # 27-448, Los Angeles, CA 90095-8353 | 2020-04-23 |
| 1073148938 | Kristine Fleming | Psychologist | 4309 Campbell Dr, Pittsburg, CA 94565-6017 | 2020-03-11 |
| 1730711375 | Benjamin Alpert, Psyd, A Psychological Corporation | Psychologist | 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 | 2020-02-11 |
| 1073144010 | Melissa Alexis Ramirez | Psychologist | 1514 Caminito Soria Unit 2, Chula Vista, CA 91913-2503 | 2020-01-29 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1184264533 | New Vision Counseling Center | Psychologist | 8050 La Mesa Blvd, La Mesa, CA 91942-0335 | 2020-01-14 |
| 1235778614 | Jessica Herbold | Psychologist | 1044 Sir Francis Drake Blvd Ste 7, Kentfield, CA 94904-1454 | 2020-01-02 |
| 1003478405 | Melissa Berrenge-browde | Psychologist | 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 | 2019-07-05 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO CORDOVA |
| Zip Code | 95670 |
Please comment or provide details below to improve the information on DR. BONNIE JEAN IVERS.
| 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.