DR. KELSEY TUMIEL (NPI# 1982952230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982952230 |
| Entity Type | Individual |
| Full Name | DR. KELSEY TUMIEL |
| Credential | PSY.D |
| Practice Address |
4001 Highway 104 Ione CA 95640 |
| Practice Telephone | 2092744911 |
| Mailing Telephone | 2092744911 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
PSY30075 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1045 9th Ave, San Diego, CA 921015504 | 6192352600 |
| Street Address |
4001 HIGHWAY 104 |
| City | IONE |
| State | CA |
| Zip Code | 95640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841251105 | Joseph Chudy | Family Medicine | 4001 Highway 104, Ione, CA 95640 | 2006-03-28 |
| 1134720725 | Ava Le | Psychologist | 4001 Highway 104, Ione, CA 95640 | 2020-11-02 |
| 1821602855 | Marina Protsenko | Social Worker | 4001 Highway 104, Ione, CA 95640 | 2020-09-08 |
| 1427407832 | Melissa Derrick | Nurse Practitioner | 4001 Highway 104, Ione, CA 95640 | 2016-06-07 |
| 1669883336 | Kathleen Ann Keller | Psychologist | 4001 Highway 104, Ione, CA 95640-9099 | 2014-05-15 |
| 1134558240 | Cdcr | Psychologist | 4001 Highway 104, Ione, CA 95640 | 2013-11-08 |
| 1316287089 | Debra Ruth Laughlin | Social Worker | 4001 Highway 104, Ione, CA 95640 | 2013-02-18 |
| 1497068878 | Amy Smith | Counselor | 4001 Highway 104, Ione, CA 95640 | 2010-07-14 |
| 1073846291 | Marshay L. Anderson | Counselor | 4001 Highway 104, Ione, CA 95640 | 2009-09-08 |
| 1053549774 | Annie Gutierrez | Psychologist | 4001 Highway 104, Ione, CA 95640 | 2009-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
| 1164810370 | Sarah D Smith | Psychologist | 4001 Highway-104, Ione, CA 95640 | 2014-12-23 |
| 1992130108 | Robert W Landry | Psychologist | 4001 Hwy. 104, Ione, CA 95640 | 2013-09-06 |
| 1629414735 | Teresa Stevenson | Psychologist | 4001 California Highway 104, Ione, CA 95640 | 2013-05-15 |
| 1629319215 | Kristina Towner | Social Worker | Mcsp, 4001 Hwy 104, Attn: Mental Health Services Department, Ione, CA 95640 | 2013-03-07 |
| 1437495256 | Robert Charles Arnold | Psychologist | 4001 Ca-104, Ione, CA 95640 | 2012-12-26 |
| 1518214741 | Brandy Malloy | Student in an Organized Health Care Education/Training Program | 4001 Highway 101, Ione, CA 95640 | 2012-08-07 |
| 1215296918 | Wayne J Batalo | Pharmacist | 4001 Highway 102, Ione, CA 95640 | 2012-05-15 |
| 1447402920 | Allison L.v. Andres | Psychologist | 4001 Highway 104 Mental Health Department, Mule Creek State Prison (csp-mcsp), Ione, CA 95640 | 2008-10-16 |
| 1295930188 | Evalyn Horowitz | Internal Medicine | 4001 California 104, Ione, CA 95640 | 2007-06-19 |
| Find all providers in zip 95640 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049130 | Ashley Cohen | Psychologist | 320 Linda Dr, Hollister, CA 95023-6646 | 2019-12-05 |
| 1174185540 | Daisy Covarrubias | Psychologist | 9727 Diana Ave, Riverside, CA 92503-4281 | 2019-07-05 |
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982169587 | Jocelyn Roland | Psychologist | 2937 Veneman Ave Ste B125, Modesto, CA 95356-0690 | 2019-02-07 |
| 1265997936 | Shanda Angioli | Psychologist | 4640 Cass St # 90422, San Diego, CA 92109-2804 | 2019-02-06 |
| 1841755626 | Brianna Marie Alcantar | Psychologist | 855 E Laurel Dr Bldg H, Salinas, CA 93905-1300 | 2019-02-05 |
| 1003308446 | Kiara Dixon | Psychologist | 15501 San Pablo Ave # G-317, Richmond, CA 94806-5848 | 2018-06-01 |
| 1700322633 | Lindsay Heber | Psychologist | 28204 Picadilly Pl, Castaic, CA 91384-3830 | 2017-01-17 |
| 1295193738 | Schuyler Weifu Liao | Psychologist | 2576 W San Ramon Ave, Fresno, CA 93711-2749 | 2016-01-28 |
| 1699132795 | Sara Kesl-tahan | Psychologist | 4731 W Jennifer Ave, Fresno, CA 93722-6425 | 2016-01-20 |
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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.