DR. KATHLEEN ANN LONGWELL


Address: 75 Selborne Dr, Piedmont, CA 94611-3618
Phone: 5105307300

DR. KATHLEEN ANN LONGWELL (NPI# 1215962758) 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) 1215962758
Entity Type Individual
Full Name DR. KATHLEEN ANN LONGWELL
Credential PH.D.
Practice Address 75 Selborne Dr
Piedmont
CA 94611-3618
Practice Telephone 5105307300
Practice Fax Number 5105306269
Mailing Telephone 5105307300
Mailing Fax Number 5105306269
Enumeration Date 2006-07-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist PY3473 WA Behavioral Health & Social Service Providers
Y 103T00000X Psychologist PSY13730 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICAL 5110027 01

Office Location

Street Address 75 SELBORNE DR
City PIEDMONT
State CA
Zip Code 94611-3618

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376740530 Anne B Brodzinsky Psychologist 129 Calvert Ct, Piedmont, CA 94611-3437 2007-06-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992306690 Eileen Kay Laughman Psychologist 24545 Town Center Dr Apt 5406, Valencia, CA 91355-1397 2020-11-08
1194324954 Rachel Charman Psychologist 1001 Dove St Ste 110, Newport Beach, CA 92660-2845 2020-10-22
1700485760 Melissa Ernestine Munoz Psychologist 353 H St # 1517, Chula Vista, CA 91910-5501 2020-10-21
1235737669 Maha Nasrallah-babenko Psychologist 33442 Valley View Ct, Dana Point, CA 92629-1515 2020-10-16
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1992302814 Sheena Gill Psychologist 2501 E Chapman Ave Ste 265, Fullerton, CA 92831-3108 2020-10-04
1255948600 Kesha Patrice Psychologist 939 Ellis St, San Francisco, CA 94109-7714 2020-09-29
1841807401 Midori K Dirig Psychologist 405 W. 3rd Street, Santa Ana, CA 92701 2020-09-28
1376159541 Jill Caryn Campbell Psychologist 342 Ocho Rios Way, Oak Park, CA 91377-5541 2020-09-22
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Competitor

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City PIEDMONT
Zip Code 94611

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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