KEN WEINSTOCK (NPI# 1265406268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265406268 |
| Entity Type | Individual |
| Full Name | KEN WEINSTOCK |
| Credential | M.D. |
| Practice Address |
1179 N Mcdowell Blvd Petaluma CA 94954-6559 |
| Practice Telephone | 7075597500 |
| Mailing Telephone | 7075597500 |
| Mailing Fax Number | 7075597570 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2011-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A92787 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1179 N MCDOWELL BLVD |
| City | PETALUMA |
| State | CA |
| Zip Code | 94954-6559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445785 | Michelle Davey | Family Medicine | 1179 N Mcdowell Blvd, Petaluma, CA 94954 | 2005-05-31 |
| 1942809256 | Rachel Pradarelli | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-10-19 |
| 1518573161 | Cicily Raye Cooper | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-09-18 |
| 1912512492 | Andrea Akabike | Dentist | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-09-11 |
| 1306479381 | Leslie Ann Burger | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-02-18 |
| 1932759461 | Joanna Tripet-diel | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-09-17 |
| 1588214019 | Colette Long | Registered Nurse | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-09-17 |
| 1184274615 | Mario Marin Garcia | Physician Assistant | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-09-17 |
| 1073162541 | Luisa Rendon Ward | Social Worker | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-09-08 |
| 1801356605 | Kelly Marie Ware | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
| 1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
| 1326607201 | Making Magic Happen - People Helping People, Inc. | Marriage & Family Therapist | 1318 Redwood Way, Suite 260, Petaluma, CA 94954 | 2019-06-13 |
| 1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
| 1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
| 1669956967 | Alyssa Messer | Assistant Behavior Analyst | 1670 Corporate Cir, Petaluma, CA 94954 | 2018-09-21 |
| 1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
| 1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
| 1083080717 | Pacific Restorative Center | Clinic/Center | 1456 Professional Drive, Suite 404, Petaluma, CA 94954 | 2015-08-17 |
| 1619354198 | Accu Quest Hearing Centers | Clinic/Center | 1456 Professional Dr., Suite 404, Petaluma, CA 94954 | 2015-05-04 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437486719 | Megan Suzanne Thurmond | Psychiatry & Neurology | 9 Kingswood Dr, Petaluma, CA 94952-4700 | 2009-11-07 |
| 1780848325 | Rebecca Saben Timme | Psychiatry & Neurology | 1150 N Mcdowell Blvd Unit 750724, Petaluma, CA 94975-8808 | 2008-07-14 |
| 1386866531 | Leon Siegel | Psychiatry & Neurology | 24 Western Ave, Ste 309, Petaluma, CA 94952-2907 | 2007-05-03 |
| 1386778348 | Alan Leslie Dubin | Psychiatry & Neurology | 14 Keller St, Petaluma, CA 94952-2939 | 2007-03-14 |
| 1548338551 | David John Anderson | Psychiatry & Neurology | 30 5th St, Suite 150, Petaluma, CA 94952-3042 | 2006-11-30 |
| 1023125226 | David Arthur Browne | Psychiatry & Neurology | 111 Liberty Street, Petaluma, CA 94952-2902 | 2006-08-24 |
| 1578570016 | Orren Z Perlman | Psychiatry & Neurology | 101 H St, Suite N, Petaluma, CA 94952-5152 | 2006-08-01 |
| 1215921184 | Paul Richard Mascovich | Psychiatry & Neurology | 322 Jacquelyn Ln, Petaluma, CA 94952-5300 | 2005-09-07 |
| 1316007156 | Sophie Aneson-macleon | Psychiatry & Neurology | 1360 N Mcdowell Blvd, Petaluma, CA 94954-1115 | 2006-12-11 |
| 1184796922 | Edna S. Rivera | Psychiatry & Neurology | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2006-11-15 |
| Find all providers in PETALUMA | ||||
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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.