DR. ROBERT M PELLERIN (NPI# 1043312374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043312374 |
| Entity Type | Individual |
| Full Name | DR. ROBERT M PELLERIN |
| Other Name | MR. ROBERT M PELLERIN |
| Credential | PH.D. |
| Practice Address |
1110 Melody Ln Suite 125 Roseville CA 95678-5193 |
| Practice Telephone | 9168787657 |
| Practice Fax Number | 9167714404 |
| Mailing Telephone | 9168787657 |
| Mailing Fax Number | 9167714404 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2016-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC 48241 | CA | Behavioral Health & Social Service Providers |
| N | 251S00000X | Community/Behavioral Health | IMF 44461 | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245283944 | Robert D Pellerin | Dentist | 351 Edwin Dr, Virginia Beach, VA 23462-4559 | 2006-05-17 |
| Street Address |
1110 MELODY LN SUITE 125 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678-5193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578979076 | Erica Rosas | Behavioral Analyst | 1110 Melody Ln, Suite 120, Roseville, CA 95678-5193 | 2014-07-03 |
| 1609908417 | Mariko Mally | Marriage & Family Therapist | 1110 Melody Ln, Suite 122, Roseville, CA 95678-5193 | 2007-03-09 |
| 1629174131 | Steve Eldon Lee | Marriage & Family Therapist | 1110 Melody Ln, Ste. 203, Roseville, CA 95678-5193 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| Find all providers in zip 95678 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083679 | Heidi J Flanagan | Marriage & Family Therapist | 705 Sunrise Ave, D115, Roseville, CA 95661-6411 | 2020-11-06 |
| 1679184337 | Joy Light | Marriage & Family Therapist | 300 Harding Blvd Ste 211, Roseville, CA 95678-2473 | 2020-08-14 |
| 1366098725 | Julie Anna Keller | Marriage & Family Therapist | 700 Gibson Dr Apt 1713, Roseville, CA 95678-5762 | 2019-08-12 |
| 1376105593 | David Heitzler | Marriage & Family Therapist | 8150 Industrial Ave Bldg A, Roseville, CA 95678-5903 | 2019-07-08 |
| 1124592027 | Kristin Lynn Beebe | Marriage & Family Therapist | 17955 E 11 Mile Rd, Roseville, MI 48066-2942 | 2019-01-15 |
| 1952874752 | Andrea A Kelly | Marriage & Family Therapist | 1680 Stone Canyon Dr, Roseville, CA 95661-4041 | 2019-01-04 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1205315520 | Katherine I Brown | Marriage & Family Therapist | 720 Sunrise Ave Ste 212, Roseville, CA 95661-4516 | 2018-08-08 |
| 1073004396 | Samuel Henning | Marriage & Family Therapist | 3300 Douglas Blvd Ste 240, Roseville, CA 95661-4287 | 2018-05-22 |
| 1245739465 | Isaiah Hulme | Marriage & Family Therapist | 1100 Melody Ln Ste 218, Roseville, CA 95678-5207 | 2018-02-02 |
| Find all providers in ROSEVILLE | ||||
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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.