DALE C. DALLAS (NPI# 1134207210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134207210 |
| Entity Type | Individual |
| Full Name | DALE C. DALLAS |
| Other Name | DALE C. LAKIS |
| Credential | MD |
| Practice Address |
6265 Highway 9 Felton CA 95018-3909 |
| Practice Telephone | 8312399913 |
| Practice Fax Number | 8884240191 |
| Mailing Telephone | 8312399913 |
| Mailing Fax Number | 8884240191 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2014-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
G37540 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G375400 | 05 |
| Street Address |
6265 HIGHWAY 9 |
| City | FELTON |
| State | CA |
| Zip Code | 95018-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154697019 | Carla J Noto-vencill | Marriage & Family Therapist | 6265 Highway 9, Felton, CA 95018-9710 | 2012-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205947116 | Erin Oshaughnessy | Marriage & Family Therapist | 386 River Rd, Felton, CA 95018 | 2006-08-31 |
| 1659427920 | Carolyn Ann Farrell | Marriage & Family Therapist | 6216 B Highway, Suite G, Felton, CA 95018-4058 | 2007-01-26 |
| 1699782532 | Viki Markham | Marriage & Family Therapist | 59 Woodmill Ln, Felton, CA 95018-8711 | 2006-08-02 |
| 1043406945 | Alison Jane Mccabe | Marriage & Family Therapist | 59 Woodmill Ln, Felton, CA 95018-8711 | 2007-09-25 |
| 1083848428 | Linda Ann Wintrode | Registered Nurse | 382 West Dr, Felton, CA 95018-8925 | 2009-05-13 |
| 1003345984 | Elisabeth Powell | Psychologist | 10985 Sequoia Ave, Felton, CA 95018-8930 | 2017-06-05 |
| 1740693126 | Melissa L Schrum | Marriage & Family Therapist | 620 Knoll Way, Felton, CA 95018-8990 | 2014-06-03 |
| 1992355911 | Evolution Support Services, LLC | Community/Behavioral Health | 9344 E Zayante Rd, Felton, CA 95018-9017 | 2019-09-12 |
| 1811193261 | Gwen Colleen Westphal Chiaramonte | Social Worker | 10065 E Zayante Rd, Felton, CA 95018-9032 | 2007-06-22 |
| 1194922773 | Mary Mulligan | Social Worker | 182 Russell Ave, Felton, CA 95018-9126 | 2007-06-28 |
| Find all providers in zip 95018 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184111494 | Lags Spine and Sportscare Medical Centers, Inc. | Psychiatry & Neurology | 1223 Higuera St Ste 101, San Luis Obispo, CA 93401-3167 | 2018-04-23 |
| 1053808899 | Klc Consultants, PC | Psychiatry & Neurology | 1808 Verdugo Blvd Ste 319, Glendale, CA 91208-1486 | 2018-04-17 |
| 1780196733 | Acceptance Detox LLC | Psychiatry & Neurology | 18779 Palm St, Fountain Valley, CA 92708-6428 | 2017-10-31 |
| 1952824021 | Novation Behavioral Health, LLC | Psychiatry & Neurology | 1707 E Bay Ave, Newport Beach, CA 92661-1453 | 2017-07-20 |
| 1912362567 | Sanjoy Sathpathy, M.d. Inc | Psychiatry & Neurology | 9888 Carroll Center Road, 218, San Diego, CA 92126-4515 | 2015-12-28 |
| 1043562630 | San Diego Professional Group, P. C. | Psychiatry & Neurology | 41655 Date St, Suite 101a, Murrieta, CA 92562-7040 | 2012-10-08 |
| 1841591690 | David E. Brody | Psychiatry & Neurology | 13200 South Bloomfield Ave, Norwalk, CA 90650 | 2010-11-10 |
| 1124342647 | Vicki Kalira | Psychiatry & Neurology | 150 Muir Rd Bldg 24, Martinez, CA 94553-4668 | 2010-03-26 |
| 1710127964 | Pacific Composure Psychiatry & Hypnotherapy | Psychiatry & Neurology | 180 7th Ave Ste 103, Santa Cruz, CA 95062-4732 | 2009-02-28 |
| 1235341330 | Timmen Cermak | Psychiatry & Neurology | 239 Miller Avenue, Suite #1, Mill Valley, CA 94941 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DALE C. DALLAS.
| 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.