DR. MOLLIE LYDDANE (NPI# 1346679404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346679404 |
| Entity Type | Individual |
| Full Name | DR. MOLLIE LYDDANE |
| Credential | PSYD |
| Practice Address |
2 Bayside Ct Richmond CA 94804-7441 |
| Practice Telephone | 2817931084 |
| Mailing Telephone | 2817931084 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 24783 | CA | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
PSY 24783 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 24783 | CA | Behavioral Health & Social Service Providers |
| N | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
PSY 24783 | CA | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
PSY 24783 | CA | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
PSY 24783 | CA | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
PSY 24783 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2 BAYSIDE CT |
| City | RICHMOND |
| State | CA |
| Zip Code | 94804-7441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1033769104 | Marc Anthony Garcia | Behavioral Analyst | 865 Marina Bay Parkway, Suite 37 & 38, Richmond, CA 94804 | 2019-09-19 |
| 1447818216 | Bay Area Community Services | Community/Behavioral Health | 3215/3221 Nevin Avenue, Richmond, CA 94804 | 2019-06-05 |
| 1558832709 | Eliseo Matthew Beltran Ong | Behavior Technician | 865 Marina Bay Parkway Building C, Suite 37 & 38, Richmond, CA 94804 | 2018-12-16 |
| 1679064943 | Katherine Bacher | Counselor | 200 24th Str., Richmond, CA 94804 | 2018-05-22 |
| 1508353160 | Aveida Home Care LLC | In Home Supportive Care | 302 S 18th Street, Richmond, CA 94804 | 2018-04-19 |
| 1427577980 | Adam Hudson | Counselor | 3215 Nevin Avenue, Richmond, CA 94804 | 2017-09-15 |
| 1205176583 | Anna Fisher | Counselor | 32 Shoreline Ct, Richmond, CA 94804 | 2013-02-22 |
| 1366744328 | Che Hoskins | Counselor | 820 23rd St., Richmond, CA 94804 | 2010-11-24 |
| 1558671297 | Angela May Gaiser | Case Manager/Care Coordinator | 2500 Bissell Avenue, Richmond, CA 94804 | 2010-10-15 |
| Find all providers in zip 94804 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548881352 | Kevin Raymond Tarlow | Psychologist | 2000 Riverside Drive, Apt. 6c, Richmond, VA 23225 | 2020-05-04 |
| 1093251936 | Erica Hurley | Psychologist | 681 Hioaks Rd Ste E, Richmond, VA 23225-4043 | 2017-01-17 |
| 1952728008 | Sukhpinder Dhillon | Psychologist | 2120 Staples Mill Rd Ste 209, Richmond, VA 23230-2917 | 2014-03-26 |
| 1649617051 | Kathryn Rose Hefner | Psychologist | 2123 Rosewood Avenue, Richmond, VA 23220 | 2013-05-24 |
| 1639430093 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Psychologist | 5855 Bremo Rd Ste 404, Mob North, Richmond, VA 23226-1924 | 2012-06-01 |
| 1316248297 | Carolyn Etheridge Harrington | Psychologist | 5322 Stokes Ln, Richmond, VA 23226-1918 | 2010-11-09 |
| 1740502269 | Lynda Ann Benson Fereday | Psychologist | 521 Lancaster Ave Rm 571, Richmond, KY 40475-3100 | 2010-02-25 |
| 1104067495 | Arts for Replenishment and Change, Pllc | Psychologist | 530 E Main St Ste 420, Richmond, VA 23219-2431 | 2009-03-16 |
| 1255577573 | Mark Stuart Pirie | Psychologist | 631 30th St, Richmond, CA 94804-1525 | 2008-12-17 |
| 1932344884 | Aliana Rosemarie Scurlock | Psychologist | 1200 Brickyard Way, Suite 104, Richmond, CA 94801-4144 | 2008-12-06 |
| Find all providers in RICHMOND | ||||
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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.