MS. KIMBERLY D MATHIS


Address: 3002 Armstrong St, San Diego, CA 92111-5702
Phone: 6194594760

MS. KIMBERLY D MATHIS (NPI# 1104347160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104347160
Entity Type Individual
Full Name MS. KIMBERLY D MATHIS
Credential PHD
Practice Address 3002 Armstrong St
San Diego
CA 92111-5702
Practice Telephone 6194594760
Mailing Telephone 6194594670
Enumeration Date 2017-06-29
Last Update Date 2020-09-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers KIMBERLY MATHIS

NPI Name Taxonomy Address Enumeration
1669777439 Kimberly Mathis Non-emergency Medical Transport (VAN) 37578 Fountain Park Cir, Apt 428, Westland, MI 48185-5627 2011-01-25
1427241421 Kimberly D. Mathis Nurse Practitioner 1600 Mcarthur Street, Manchester, TN 37355 2007-08-22
1790305423 Kimberly Ann Mathis Behavior Technician 8001 Beaty Grove Dr, Tampa, FL 33626-1602 2020-04-22
1821521477 Kimberly Brooke Mathis Nurse Practitioner 140 Eagle Spring Ct, Stockbridge, GA 30281-6441 2017-04-10
1659818458 Kimberly Anne Mathis Counselor 2711 Ernest St, Lake Charles, LA 70601-8406 2017-01-31
1609110212 Kimberly Marie Mathis Acupuncturist 2509 S Power Rd, Suite 115, Mesa, AZ 85209-6695 2012-11-20

Office Location

Street Address 3002 ARMSTRONG ST
City SAN DIEGO
State CA
Zip Code 92111-5702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649348061 Ariel Mirana Fletcher Counselor 3002 Armstrong St, San Diego, CA 92111-5702 2006-12-01
1962002683 Jina Paola Chavarro Cubides Counselor 3002 Armstrong St, San Diego, CA 92111-5702 2020-10-30
1467059717 Sarah Amanda Stewart Licensed Vocational Nurse 3002 Armstrong St, San Diego, CA 92111-5702 2020-10-08
1316554926 Madison Vermazen Student in an Organized Health Care Education/Training Program 3002 Armstrong St, San Diego, CA 92111-5702 2020-09-28
1053928655 Nina Lauren Galvan Student in an Organized Health Care Education/Training Program 3002 Armstrong St, San Diego, CA 92111-5702 2020-09-28
1326654419 Filiberto Alejandro Lopez Counselor 3002 Armstrong St, San Diego, CA 92111-5702 2020-09-23
1477169613 Ana Urena Rosario Student in an Organized Health Care Education/Training Program 3002 Armstrong St, San Diego, CA 92111-5702 2020-09-22
1013523240 Ayana Jones Student in an Organized Health Care Education/Training Program 3002 Armstrong St, San Diego, CA 92111-5702 2020-09-22
1518573351 Jasmine Yolanda Orozco Counselor 3002 Armstrong St, San Diego, CA 92111-5702 2020-09-17
1942814223 Rachel Ruth Katz Student in an Organized Health Care Education/Training Program 3002 Armstrong St, San Diego, CA 92111-5702 2020-09-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982220653 Karen Elizabeth Mitchell Registered Nurse County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 2020-06-18
1912523804 Access Medical, Inc. Durable Medical Equipment & Medical Supplies 4150 Convoy Street, Suite A, San Diego, CA 92111 2020-06-17
1154944551 Mei Ling Milan Szeto Student in an Organized Health Care Education/Training Program 7917 Ostrow Street, Suite A, San Diego, CA 92111 2020-05-20
1346893831 Leticia Isabel Peralta Assistant Behavior Analyst 563 Balboa Avenue. Number 521, San Diego, CA 92111 2019-07-23
1295204394 Demetria Serfas Behavioral Analyst 563 Balboa Ave #521, San Diego, CA 92111 2018-11-19
1568981678 Ross Psychology Psychologist 4883 Ronson Court, Suite K, San Diego, CA 92111 2017-09-11
1225554587 Bianca Acosta Technician, Other 563 Balboa Ave. #521, San Diego, CA 92111 2017-08-18
1194240085 Kazuhiro Kato Dentist 3707 Convoy St., San Diego, CA 92111 2017-08-11
1073038527 Joanne Epps-yentz Licensed Vocational Nurse 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 2017-08-06
1184158446 Positive Behavior Supports Corp Community/Behavioral Health 563 Balboa Ave, 521, San Diego, CA 92111 2017-04-13
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1639779101 Paula Perez Counselor 5882 Adobe Falls Rd, San Diego, CA 92120-4600 2020-10-26
1558974378 Monica Dixon Counselor 4930 Naples St Fl 1, San Diego, CA 92110-3820 2020-08-31
1952911612 Shannon Kathleen Nolte Counselor 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 2020-08-06
1033728498 Hala Kadhem Counselor 1664 Broadway, El Cajon, San Diego, CA 92021 2020-07-30
1487279493 Christi Susan Leyva Counselor 10417 Crosscreek Ter, San Diego, CA 92131-1344 2020-06-15
1285256099 Jehna Barnes Counselor 3636 Camino Del Rio N, San Diego, CA 92108-1703 2020-05-14
1457973455 Cassandra Detgen Counselor 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 2020-05-12
1972131589 Douglas Baker Marriage and Family Therapy, Inc. Counselor 2911 Adams Ave # 5, San Diego, CA 92116-1509 2020-03-30
1255966859 Job Brunat Counselor 4169 38th St Apt 10, San Diego, CA 92105-1367 2020-03-04
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Competitor

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City SAN DIEGO
Zip Code 92111

Improve Information

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Dataset Information

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.

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