DR. KALEN TAI ERICKSON-MOREO (NPI# 1346637659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346637659 |
| Entity Type | Individual |
| Full Name | DR. KALEN TAI ERICKSON-MOREO |
| Credential | PSY.D. |
| Practice Address |
2 Upper Ragsdale Dr Bldg A Monterey CA 93940-5736 |
| Practice Telephone | 8313333040 |
| Practice Fax Number | 8318863639 |
| Mailing Telephone | 8312428392 |
| Mailing Fax Number | 8316494966 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY29442 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23845 Holman Hwy Ste 210, Monterey, CA 939405907 | 8316200700 | 8318863649 |
| Street Address |
2 UPPER RAGSDALE DR BLDG A |
| City | MONTEREY |
| State | CA |
| Zip Code | 93940-5736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538155908 | Harry Edmond Nervino | Internal Medicine | 2 Upper Ragsdale Dr Bldg A, Monterey, CA 93940-5736 | 2005-09-21 |
| 1215575550 | Elizabeth Rojas | Psychologist | 2 Upper Ragsdale Dr Bldg A, Monterey, CA 93940-5736 | 2019-12-17 |
| 1467004218 | Carmela Flores | Marriage & Family Therapist | 2 Upper Ragsdale Dr Bldg A, Monterey, CA 93940-5736 | 2019-07-11 |
| 1578093969 | Jon-peter Meckel | Family Medicine | 2 Upper Ragsdale Dr Bldg A, Monterey, CA 93940-5736 | 2017-06-18 |
| 1891226825 | Pablo Nicholas Veliz | Family Medicine | 2 Upper Ragsdale Dr Bldg A, Monterey, CA 93940-5736 | 2017-03-22 |
| 1720463854 | Kearnan Adam Welch | Internal Medicine | 2 Upper Ragsdale Dr Bldg A, Monterey, CA 93940-5736 | 2015-07-30 |
| 1356738462 | Daniel Gregory Torba | Family Medicine | 2 Upper Ragsdale Dr Bldg A, Monterey, CA 93940 | 2015-04-16 |
| 1093101248 | Nicholas Raubitschek | Family Medicine | 2 Upper Ragsdale Dr Bldg A, Monterey, CA 93940 | 2015-04-14 |
| 1477967024 | Michael Mcglue | Family Medicine | 2 Upper Ragsdale Dr Bldg A, Monterey, CA 93940 | 2014-06-11 |
| 1225458433 | Samantha Anne Williams | Psychiatry & Neurology | 2 Upper Ragsdale Dr Bldg A, Monterey, CA 93940-5736 | 2014-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770145682 | Mogo Urgent Care | Clinic/Center | 2020 Del Monte Avenue, Suite B, Monterey, CA 93940 | 2019-07-01 |
| 1023537883 | Drais and Chow Dental Corporation | Dentist | 21 Upper Ragsdale Suite 160, Monterey, CA 93940 | 2017-09-13 |
| 1639697048 | Neil Northey | Counselor | 343 Dela Vina Ave., Monterey, CA 93940 | 2017-09-06 |
| 1316469075 | Ashley Nicole Walden | Counselor | 1010 Cass St Ste C, Monterey, CA 93940 | 2017-07-13 |
| 1801317524 | Aubrey Nicole Trammell | Behavior Technician | 140 W Franklin St., Unit 202, Monterey, CA 93940 | 2017-07-03 |
| 1366971764 | Marlene Schwaighofer | Behavior Technician | 140 W Franklin Street, Ste. #202, Monterey, CA 93940 | 2017-06-08 |
| 1235668500 | Rochelle Lyrae Winsted | Licensed Psychiatric Technician | Drake House 399 Drake St, Monterey, CA 93940 | 2017-06-08 |
| 1447783386 | Interim Incorporated | Community Based Residential Treatment Facility, Mental Illness | 321 Hawthorne St, Apt B, Monterey, CA 93940 | 2017-04-07 |
| 1851841076 | Joy Dean | Counselor | 343 Dela Vina, Monterey, CA 93940 | 2016-10-12 |
| 1629426416 | Interim Inc | Community Based Residential Treatment Facility, Mental Illness | 604 Pearl St., Monterey, CA 93940 | 2016-06-02 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194958991 | Sandra C Fowler | Clinical Neuropsychologist | 1011 Cass St, Suite 111, Monterey, CA 93940-4518 | 2009-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
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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.