HEATHER L HATHAWAY (NPI# 1194999755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194999755 |
| Entity Type | Individual |
| Full Name | HEATHER L HATHAWAY |
| Credential | LMFT 51143 |
| Practice Address |
45445 Portola Ave Suite 2b Palm Desert CA 92260-4844 |
| Mailing Address |
45445 Portola Ave Ste 2b #7 Palm Desert CA 92260-4844 |
| Practice Telephone | 7609778189 |
| Practice Fax Number | 7606105366 |
| Mailing Telephone | 7609778189 |
| Mailing Fax Number | 7606105366 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2019-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC 51143 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | IMF56344 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447684386 | Heather R. Hathaway | Pharmacist | 1 Va Center, Augusta, ME 04330 | 2013-08-28 |
| Street Address |
45445 PORTOLA AVE SUITE 2B |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92260-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639248826 | Cathy Parker | Psychologist | 45445 Portola Ave, Ste 2b, Palm Desert, CA 92260-4844 | 2006-11-06 |
| 1508471079 | Alison Catherine Campbell | Marriage & Family Therapist | 45445 Portola Ave, Palm Desert, CA 92260-4844 | 2020-09-11 |
| 1255705612 | Cindy Miyamoto | Marriage & Family Therapist | 45445 Portola Ave, Palm Desert, CA 92260-4844 | 2015-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414202 | Arianna D Aguilar | Behavioral Analyst | 7410 Highway 111 Suite 102, Palm Desert, CA 92260 | 2020-10-12 |
| 1063053098 | Sylvia Ann Trapuzzano | Marriage & Family Therapist | 74-040 Highway IIi, Suite L-202, Palm Desert, CA 92260 | 2019-10-01 |
| 1477011153 | Alexis Ivonne Corrales | Behavior Technician | 74-710 Ca-111, Ste #102, Palm Desert, CA 92260 | 2019-03-12 |
| 1992272421 | Sarah Baik | Pharmacist | 72314 Ca-111, Palm Desert, CA 92260 | 2018-11-02 |
| 1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1225540180 | Dr Fatemeh Hadjian D.d.s. P.a. | Dentist | 74000 Country Club Ste B1, Palm Desert, CA 92260 | 2017-11-01 |
| 1871032185 | Brianne Lee Stoddard | Behavioral Analyst | 41555 Cook Street, Suite 100, Palm Desert, CA 92260 | 2017-02-20 |
| 1275072720 | Michael Giordano Jerez | Chiropractor | 72840 Ca - 111 Suite 2, Palm Desert, CA 92260 | 2017-02-16 |
| 1982150785 | Joshua W Cartter Dds Inc | Dentist | 72415 Park View, Palm Desert, CA 92260 | 2016-08-31 |
| Find all providers in zip 92260 | ||||
| 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 |
|---|---|---|---|---|
| 1821619149 | Bernard Peter Mcinerny | Marriage & Family Therapist | 36603 Monarch Pass, Palm Desert, CA 92211-2343 | 2020-04-27 |
| 1063053098 | Sylvia Ann Trapuzzano | Marriage & Family Therapist | 74-040 Highway IIi, Suite L-202, Palm Desert, CA 92260 | 2019-10-01 |
| 1710453683 | Kimberly Kay Skeeens | Marriage & Family Therapist | 73345 Highway 111 Ste 203, Palm Desert, CA 92260-3909 | 2018-10-18 |
| 1003317801 | Caroline Redmon | Marriage & Family Therapist | 73726 Alessandro Dr Ste 201, Palm Desert, CA 92260-3640 | 2018-02-27 |
| 1942671615 | Kara Ludmilla Wahlin | Marriage & Family Therapist | 74075 El Paseo Ste A2a, Palm Desert, CA 92260-4118 | 2015-10-07 |
| 1417292533 | Terri Compton | Marriage & Family Therapist | 73929 Larrea St Ste 1b, Palm Desert, CA 92260 | 2012-11-29 |
| 1700182805 | Hiba Kehdy Lai | Marriage & Family Therapist | 77564 Country Club Dr Ste 368, Palm Desert, CA 92211-6226 | 2011-02-07 |
| 1083918379 | Irma Monsivaiz-cervantes | Marriage & Family Therapist | 74333 Highway 111 Ste 205, Palm Desert, CA 92260-4131 | 2010-12-31 |
| 1346567773 | Kelly Lewallen | Marriage & Family Therapist | 44672 Monterey Ave, Palm Desert, CA 92260-3326 | 2010-04-25 |
| 1225365562 | All Desert Wellness Centers | Marriage & Family Therapist | 74-333 Highway 111, Suite 205, Palm Desert, CA 92260-4131 | 2009-11-06 |
| Find all providers in PALM DESERT | ||||
| City | PALM DESERT |
| Zip Code | 92260 |
Please comment or provide details below to improve the information on HEATHER L HATHAWAY.
| 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.