DR. SALLY KYDD (NPI# 1053787903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053787903 |
| Entity Type | Individual |
| Full Name | DR. SALLY KYDD |
| Credential | PSY.D |
| Practice Address |
17 Sanford Rd Stockton NJ 08559-1204 |
| Practice Telephone | 9087973979 |
| Mailing Telephone | 9087973979 |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5397 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
17 SANFORD RD |
| City | STOCKTON |
| State | NJ |
| Zip Code | 08559-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730569351 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 871 County Rte 579, Delaware Township, NJ 08559 | 2015-06-09 |
| 1497729305 | John A Salerno | Social Worker | 56 South Main St, Ste A, Stockton, NJ 08559 | 2006-02-15 |
| 1164498333 | Stuart H Freedenfeld | Family Medicine | 56 S Main St, Ste A, Stockton, NJ 08559 | 2006-02-27 |
| 1568436517 | Stuart H Freedenfeld | Family Medicine | 56 S Main St, Ste A, Stockton, NJ 08559 | 2006-02-15 |
| 1679076400 | Kasey Miller Ross | Behavioral Analyst | 60 Ferry Rd, Stockton, NJ 08559-1003 | 2018-03-18 |
| 1164653960 | Janet Patricia Mcmahon | Nurse Practitioner | 63 Britton Rd, Stockton, NJ 08559-1007 | 2009-07-28 |
| 1952781544 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 85 Locktown Sergeantsville Rd, Stockton, NJ 08559-1115 | 2015-06-09 |
| 1558897603 | David Herbel | Counselor | 42 Milltown Rd, Stockton, NJ 08559-1303 | 2017-05-11 |
| 1972586642 | Gary Alan Falcetano | Physician Assistant | 4 Edna Horn Dr, Stockton, NJ 08559-1401 | 2005-11-27 |
| 1215351937 | Ambient Physical Therapy PC | Clinic/Center | 27 Sandbrook Headquarters Rd, Stockton, NJ 08559-1404 | 2014-02-17 |
| Find all providers in zip 08559 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700390366 | Kenneth Bernard Spears | Psychologist | 1644 Oxford Way, Stockton, CA 95204-4259 | 2017-11-18 |
| 1902359722 | Michele Thomason, Ph.d. | Psychologist | 1111 W Robinhood Dr Ste D, Stockton, CA 95207-5626 | 2016-07-28 |
| 1447520465 | James E Telander | Psychologist | 7650 S. Newcastle Rd., Stockton, CA 95215 | 2012-01-06 |
| 1891822912 | Norman Solomowitz | Psychologist | 4227 Annandale Dr, Stockton, CA 95219-1778 | 2007-02-27 |
| 1568525954 | Juliet Darko Acolatse | Psychologist | 1201 N Sutter St, Stockton, CA 95202-1506 | 2006-12-18 |
| 1275646036 | Purna Chandra Datta | Psychologist | 7510 Shoreline Dr, Suite A-6, Stockton, CA 95219-5495 | 2006-08-16 |
| 1669403580 | John A Chellsen | Psychologist | 2155 W March Ln, Ste 2b, Stockton, CA 95207-6420 | 2006-07-06 |
| 1073091765 | Melissa Lynn Keane | Psychologist | 7373 West Ln, Stockton, CA 95210-3377 | 2018-08-03 |
| 1689162182 | Glenn Robert Lundberg | Psychologist | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-04-30 |
| 1306266473 | Mohit Dua | Psychologist | 7650 Newcastle Rd, Stockton, CA 95215-9663 | 2014-04-16 |
| Find all providers in STOCKTON | ||||
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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.