MRS. AMY ELIZABETH KELLOGG (NPI# 1093287054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093287054 |
| Entity Type | Individual |
| Full Name | MRS. AMY ELIZABETH KELLOGG |
| Credential | APCC #6197 |
| Practice Address |
3717 Mt Pinos Way Suite C &d Frazier Park CA 93225 |
| Mailing Address |
3105 Wilson Rd Bakersfield CA 93304-5319 |
| Practice Telephone | 6612450250 |
| Mailing Telephone | 6612450250 |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 6197 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235447699 | Amy L. Kellogg | Speech-Language Pathologist | 50 Iroquois Dr, Salamanca, NY 14779-1361 | 2010-09-20 |
| 1861402315 | Amy Kellogg | Physician Assistant | 630 Plantation St, Worcester, MA 01605-2038 | 2006-08-08 |
| Street Address |
3717 MT PINOS WAY SUITE C &D |
| City | FRAZIER PARK |
| State | CA |
| Zip Code | 93225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427189596 | Theresa Dawn Harris | Case Manager/Care Coordinator | 3717 Mt Pinos Way, Frazier Park, CA 93225 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992235402 | El Tejon Drug Co. | Durable Medical Equipment & Medical Supplies | 3544 Mount Pinos Way, Frazier Park, CA 93225 | 2017-06-16 |
| 1801149406 | April Jean Herrera | Licensed Vocational Nurse | 3432 Texas Trail, Frazier Park, CA 93225 | 2012-10-19 |
| 1518213594 | Lorin Lindner, Phd | Psychologist | 3608 Mt Pinos Way, Frazier Park, CA 93225 | 2012-07-27 |
| 1790044154 | Heather M Oman | Case Manager/Care Coordinator | 3717 Mt. Pinos Way, Suite C-d, Frazier Park, CA 93225 | 2012-05-04 |
| 1306125638 | Sandy Sumingwa Atimama | Physical Therapist | 9362 West Appleton Avenue, Milwaukee, WI 93225 | 2011-08-04 |
| 1881901155 | Kathleen Johanna Palmer | Case Manager/Care Coordinator | 3717 Mt .pinos Way, Frazier Park, CA 93225 | 2010-09-08 |
| 1114131927 | Lorin Lindner | Psychologist | 15660 Curtis Trl, Frazier Park, CA 93225 | 2007-05-10 |
| 1265652697 | Clinica Sierra Vista | Clinic/Center | 3717 Mount Pinos Way, Suites A, B, C & D, Frazier Park, CA 93225 | 2007-04-26 |
| 1326262999 | Robert K Heartsill | Chiropractor | 6032 Frazier Mtn Park Rd, Frazier Park, CA 93225 | 2007-04-12 |
| 1588796288 | Jay Arden Robertson | Marriage & Family Therapist | 3717 Mt Pines Way, Suite C and D, Frazier Park, CA 93225 | 2007-03-09 |
| Find all providers in zip 93225 | ||||
| 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 |
|---|---|---|---|---|
| 1588796288 | Jay Arden Robertson | Marriage & Family Therapist | 3717 Mt Pines Way, Suite C and D, Frazier Park, CA 93225 | 2007-03-09 |
| 1801925359 | Laurel Quinn | Marriage & Family Therapist | 15908 Zurich Way, Frazier Park, CA 93222-0013 | 2007-03-02 |
| 1477913143 | Deisy Soria | Marriage & Family Therapist | 3717 Mount Pinos Way, Frazier Park, CA 93225 | 2016-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467291 | Jasmine Oganesyan | Marriage & Family Therapist | 29217 Flowerpark Dr, Santa Clarita, CA 91387-1807 | 2020-11-08 |
| 1760083463 | John Nelson | Marriage & Family Therapist | 4625 Mountain Lakes Blvd, Redding, CA 96003-1450 | 2020-11-08 |
| 1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
| 1760083679 | Heidi J Flanagan | Marriage & Family Therapist | 705 Sunrise Ave, D115, Roseville, CA 95661-6411 | 2020-11-06 |
| 1447851266 | Gloria Alice Lakin | Marriage & Family Therapist | 2720 Neilson Way # 5564, Santa Monica, CA 90405-4060 | 2020-11-06 |
| 1497356398 | Lourdes Loyola | Marriage & Family Therapist | 15720 Ventura Blvd Ste 603, Encino, CA 91436-4727 | 2020-11-06 |
| 1639770761 | Renee Lopez-delfino | Marriage & Family Therapist | 1244 Heatherstone Way, Sunnyvale, CA 94087-1537 | 2020-11-04 |
| 1346841558 | Jennifer Spiegel Aune | Marriage & Family Therapist | 810 College Ave Ste 1a, Kentfield, CA 94904-2565 | 2020-11-04 |
| 1225639495 | Bringing Medicine Culturally Competent Counseling and Indigenous | Marriage & Family Therapist | 206 Sacramento St Suite 212, Nevada, CA 95959 | 2020-11-04 |
| 1689275810 | Milestone Marriage and Family Therapy Services Professional Corporati | Marriage & Family Therapist | 10601 Civic Center Dr Ste 100a-d, Rancho Cucamonga, CA 91730-3878 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
| City | FRAZIER PARK |
| Zip Code | 93225 |
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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.