DR. MARY KELSO (NPI# 1154312189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154312189 |
| Entity Type | Individual |
| Full Name | DR. MARY KELSO |
| Credential | PH.D. |
| Practice Address |
325 E Hillcrest Dr Ste 115 Thousand Oaks CA 91360-7782 |
| Mailing Address |
Po Box 7251 Westlake Village CA 91359-7251 |
| Practice Telephone | 8053799600 |
| Practice Fax Number | 8054956970 |
| Mailing Telephone | 8053799600 |
| Mailing Fax Number | 8054956970 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY10466 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275579393 | Mary Ann Kelso | Registered Nurse | 1901 Willow St, Vincennes, IN 47591-4277 | 2006-06-20 |
| Street Address |
325 E HILLCREST DR STE 115 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91360-7782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033479258 | Sarah Scheerger | Social Worker | 325 E Hillcrest Dr Ste 115, Thousand Oaks, CA 91360-7782 | 2012-05-22 |
| 1376740704 | Marsha Gay Izen | Marriage & Family Therapist | 325 E Hillcrest Dr Ste 115, Thousand Oaks, CA 91360-7782 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633953 | Rhandi Walters | Marriage & Family Therapist | 208 E Thousand Oaks Blvd, Suite D, Thousand Oaks, CA 91360 | 2020-09-09 |
| 1942709837 | Stephanie Renee Neri | Behavior Technician | 325 E Hillcrest Dr Suite 140, Thousand Oaks, CA 91360 | 2018-02-06 |
| 1104340652 | Fernando Antonio Castaneda | Student in an Organized Health Care Education/Training Program | 325 E Hillcrest Dr Ste 140, Thousand Oaks, CA 91360 | 2017-07-26 |
| 1023548989 | Anna Garduno | Specialist/Technologist | 3680 Campus Drive, Thousand Oaks, CA 91360 | 2017-06-14 |
| 1467996306 | Ava Shokoufi | Marriage & Family Therapist | 280 E Thousand Oaks Blvd Suite D, Thousand Oaks, CA 91360 | 2016-12-12 |
| 1649621517 | Sandy Lynn Mcglynn | Social Worker | 460 East Gainsborough Road, Thousand Oaks, CA 91360 | 2016-06-22 |
| 1316363476 | Lorraine Jordan | Family Medicine | 1331 Witherspoon Dr, Thousand Oaks, CA 91360 | 2014-03-13 |
| 1841612033 | Katherine Snyder | Counselor | 280 East Thousand Oaks Blvd. Suite D, Thousand Oaks, CA 91360 | 2014-01-08 |
| 1235567397 | Christine Maria Katzenmaier | Speech-Language Pathologist | 223 E. Thousand Oaks Blvd, Thousand Oaks, CA 91360 | 2013-10-28 |
| 1912335233 | Lena Ameripour | Behavioral Analyst | 315 E. Hillcrest Dr., Thousand Oaks, CA 91360 | 2013-10-23 |
| Find all providers in zip 91360 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588933253 | Beth Baumeister, Ph.d. | Psychologist | 1546 Calle Hondanada, Thousand Oaks, CA 91360-6825 | 2011-12-23 |
| 1265738645 | Ivone Umar Ghazaleh | Psychologist | 2530 Ashmore Cir, Apt. 28, Thousand Oaks, CA 91362-5759 | 2011-02-02 |
| 1003137654 | David Alan Morrison | Psychologist | 509 Marin St Ste 229, Thousand Oaks, CA 91360-4231 | 2010-06-17 |
| 1174740070 | Lori Ann Thomas-shaw | Psychologist | 550 Saint Charles Dr Ste 101a, Thousand Oaks, CA 91360-3971 | 2007-04-20 |
| 1003955311 | Kenneth Raven | Psychologist | 25 W. Rolling Oaks Dr., Suite #107, Thousand Oaks, CA 91361-1003 | 2007-02-05 |
| 1780765909 | Steven Bryan Blakely | Psychologist | 1587 Oberlin Ave, Thousand Oaks, CA 91360-2042 | 2006-10-17 |
| 1144316696 | Thad Allen Eckman Jr. | Psychologist | 1588 Via Bajada, Thousand Oaks, CA 91360 | 2006-10-04 |
| 1992805048 | Edna Jimenez | Psychologist | 100 E Thousand Oaks Blvd Ste 217, Thousand Oaks, CA 91360-8177 | 2006-09-25 |
| 1790747095 | Terry Frances Perkins | Psychologist | 123 Hodencamp Rd, Suite 106, Thousand Oaks, CA 91360-5896 | 2006-04-04 |
| 1699748202 | Robert Barry Drezner | Psychologist | 1456 Calle Colina, Thousand Oaks, CA 91360-6815 | 2006-02-13 |
| Find all providers in THOUSAND OAKS | ||||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
Please comment or provide details below to improve the information on DR. MARY KELSO.
| 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.