DR. RODERICK SEITES HALL (NPI# 1104821479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104821479 |
| Entity Type | Individual |
| Full Name | DR. RODERICK SEITES HALL |
| Credential | PH.D. |
| Practice Address |
1224 10th St Ste 208 Coronado CA 92118-3420 |
| Practice Telephone | 6194370440 |
| Practice Fax Number | 6194356040 |
| Mailing Telephone | 6194370440 |
| Mailing Fax Number | 6194356040 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PSY15283 | CA | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY 15283 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487939344 | Roderick Jay Hall Sr. | Pharmacist | 1111 N High St, Millville, NJ 08332-2528 | 2011-10-11 |
| Street Address |
1224 10TH ST STE 208 |
| City | CORONADO |
| State | CA |
| Zip Code | 92118-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457728453 | Blair S Arceo | Physical Therapist | 1224 10th St, Suite 204, Coronado, CA 92118-3416 | 2015-08-25 |
| 1912390998 | Laura Milligan | Nurse Practitioner | 1224 10th St, Suite 200, Coronado, CA 92118-3416 | 2015-03-14 |
| 1326450255 | Results Rehabilitation Inc | Physical Therapist | 1224 10th St, Suite 204, Coronado, CA 92118-3416 | 2014-05-27 |
| 1417373937 | Michelle Satake Baxter | Physical Therapist | 1224 10th St, Suite 204, Coronado, CA 92118-3416 | 2014-03-07 |
| 1033368741 | Laura Norton Petrovich Md PC | Internal Medicine | 1224 10th St, Suite 200, Coronado, CA 92118-3416 | 2008-09-17 |
| 1053597641 | Asha Devereaux, Md, Mph A Professional Corporation | Specialist | 1224 10th St, Ste 205, Coronado, CA 92118-3416 | 2008-01-14 |
| 1487842654 | Jennifer Lee Woodson | Family Medicine | 1224 10th St, Suite 200, Coronado, CA 92118-3416 | 2007-10-12 |
| 1558419994 | Wanda L. Brothers | Marriage & Family Therapist | 1224 10th St, Suite 206, Coronado, CA 92118-3416 | 2007-01-08 |
| 1417056227 | Results Rehabilitation, Inc. | Clinic/Center | 1224 10th St, Suite 204, Coronado, CA 92118-3416 | 2006-09-21 |
| 1891800116 | Laura Norton Petrovich | Internal Medicine | 1224 10th St, Suite 200, Coronado, CA 92118-3416 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962997643 | Natalie Bailey | Dentist | 1010 8th St Ste A, Coronado, CA 92118 | 2018-06-26 |
| 1639661143 | Rebecca L. Frazier | Acupuncturist | 543 Orange Ave., Coronado, CA 92118 | 2018-05-31 |
| 1376046201 | Laura Mead Clapper | Pediatrics | 840 Adella Ave, Coronado, CA 92118 | 2018-03-16 |
| 1154836336 | Sarah R Peck | Occupational Therapy Assistant | 1530 Da Nang Dr Apt C, Coronado, CA 92118 | 2017-12-09 |
| 1962921395 | Jennifer Waidelich | Physical Therapist | 410 E Ave, Coronado, CA 92118 | 2017-09-18 |
| 1861843641 | Cliff Lovick I | Counselor | 1522 Frist St. Apt M 106, Coronada, CA 92118 | 2016-06-23 |
| 1184004871 | Melanie Villalobos | Dentist | 1001 B Ave #313, Coronado, CA 92118 | 2015-06-08 |
| 1801273479 | Jacqueline Brogan | Dermatology | 230 Prospect Pl Ste 260, Coronado, CA 92118 | 2015-05-02 |
| 1790184083 | Robert Cole Dunlap | Optometrist | 810 J Avenue, Coronado, CA 92118 | 2014-08-22 |
| 1235493602 | Jin Ah | Acupuncturist | 2425 Camino De Rio South, Suite 180, San Diego, CA 92118 | 2012-06-29 |
| Find all providers in zip 92118 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629691126 | Rika Tanaka | Psychologist | 854 A Ave, Coronado, CA 92118-2646 | 2020-05-19 |
| 1376770099 | Stephanie Abel | Psychologist | 549 Orange Ave, Coronado, CA 92118-1826 | 2009-06-20 |
| 1669525028 | Beth A. Kalal | Psychologist | 830 Orange Ave, Ste. A2, Coronado, CA 92118-2658 | 2007-01-19 |
| 1134182058 | Sean Hodges | Psychologist | 549 Orange Ave # 213, Coronado, CA 92118-1826 | 2006-04-11 |
| 1093709263 | Denise Lee Buchanan | Psychologist | 138 B Ave, Coronado, CA 92118-1511 | 2005-09-02 |
| 1184182214 | Andreas Marwick | Psychologist | 549 Orange Ave, Coronado, CA 92118-1826 | 2019-03-07 |
| 1336405117 | Linda Williams | Psychologist | 158 C Avenue, Coronado, CA 92118-1420 | 2012-04-06 |
| 1467724542 | Laura Mccrary Hansen | Psychologist | 158 C Avenue, Coronado, CA 92118-1420 | 2012-02-03 |
| 1922388750 | Erin Leigh Cook | Psychologist | 549 Orange Ave, Coronado, CA 92118-1826 | 2011-08-24 |
| 1457584542 | Kristina Marie Lee Miholich | Psychologist | 158 C Ave, Coronado, CA 92118-1420 | 2009-08-24 |
| Find all providers in CORONADO | ||||
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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.