CATHARINE ELIZABETH KIBIRA (NPI# 1083781439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083781439 |
| Entity Type | Individual |
| Full Name | CATHARINE ELIZABETH KIBIRA |
| Credential | PH.D. |
| Practice Address |
710 S Broadway Walnut Creek CA 94596-5294 |
| Mailing Address |
Po Box 8441 Berkeley CA 94707-8441 |
| Practice Telephone | 9252954145 |
| Practice Fax Number | 9252955226 |
| Mailing Telephone | 5102060687 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
PSY 14579 | CA | Behavioral Health & Social Service Providers |
| Street Address |
710 S BROADWAY |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-5294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376552836 | Fred K Sondheimer | Specialist | 710 S Broadway, Suite 203, Walnut Creek, CA 94596-5294 | 2006-08-05 |
| 1861009045 | Damari Simon | Behavior Technician | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2020-09-30 |
| 1932716115 | Isabella Blumin | Behavior Technician | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2020-09-30 |
| 1174176937 | Tina Kay Chov | Pharmacist | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2019-07-22 |
| 1124681077 | Nicole Alexandra Torres | Behavior Technician | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2019-04-17 |
| 1508333618 | Jessica Bergstrom | Psychologist | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2018-10-26 |
| 1710463518 | Andrea Secoquian Williams | Behavioral Analyst | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2018-07-14 |
| 1700375599 | Miriam Walter | Psychologist | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2018-05-07 |
| 1134670615 | Amy Beth Cohen | Psychologist | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2016-10-19 |
| 1093168312 | Kaiser Permanente | Health Maintenance Organization | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2016-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154472611 | Carl Gerard Oddo | Psychologist | 710 S Broadway Fl 3, Walnut Creek, CA 94596-5294 | 2007-01-12 |
| 1225581804 | Shelby Karoline Smith | Psychologist | 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 | 2016-07-29 |
| 1508073792 | Ann Lynn Schiebert | Psychologist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-05-17 |
| 1497802524 | Claudia Ann Wathen | Psychologist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-01-03 |
| 1205993029 | Margot Green | Psychologist | 1425 S Main St, Chemical Dependency Program, Walnut Creek, CA 94596-5318 | 2007-01-02 |
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| 1295253953 | Raphael Gidharry Johnson | Psychologist | 1753 N. Country Ln., Pasadena, CA 91107-1104 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
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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.