PETER SHOLLEY MFT (NPI# 1356733257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356733257 |
| Entity Type | Organization |
| Organization Name | PETER SHOLLEY MFT |
| Practice Address |
651 Cherry St Santa Rosa CA 95404-4202 |
| Mailing Address |
779 Summerfield Rd Santa Rosa CA 95405-7103 |
| Practice Telephone | 4158203969 |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |
| Authorized Official Name | MR. PETER N SHOLLEY (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 4158203969 |
| Authorized Official Credential | MA, MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MFCC# 53511 | CA | Agencies |
| Street Address |
651 CHERRY ST |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659413219 | Kevin O'connor | Social Worker | 651 Cherry St, Santa Rosa, CA 95404-4202 | 2007-02-12 |
| 1689297558 | Brooke Kaufman | Psychologist | 651 Cherry St, Santa Rosa, CA 95404-4202 | 2020-05-26 |
| 1679818330 | Lani Eleanor Lee | Marriage & Family Therapist | 651 Cherry St, Santa Rosa, CA 95404-4202 | 2012-12-06 |
| 1598035230 | Steve Lee | Marriage & Family Therapist | 651 Cherry St, Santa Rosa, CA 95404-4202 | 2012-01-11 |
| 1922388800 | Edward Lee | Acupuncturist | 651 Cherry St, Santa Rosa, CA 95404-4202 | 2011-08-23 |
| 1528359833 | Amy K Lee | Acupuncturist | 651 Cherry St, Santa Rosa, CA 95404-4202 | 2011-04-21 |
| 1467741959 | Kathryn Higgins Lee | Marriage & Family Therapist | 651 Cherry St, Santa Rosa, CA 95404-4202 | 2011-04-05 |
| 1235461153 | Jina Christine Brooks | Marriage & Family Therapist | 651 Cherry St, Santa Rosa, CA 95404-4202 | 2010-02-03 |
| 1154504454 | Laura M Taylor | Marriage & Family Therapist | 651 Cherry St, Santa Rosa, CA 95404-4202 | 2007-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487908620 | Missing Elements | Community/Behavioral Health | 425 Denton Way, Santa Rosa, CA 95401-4810 | 2012-11-08 |
| 1720306939 | Life Works of Sonoma County | Community/Behavioral Health | 2590 Piner Road, Santa Rosa, CA 95401-4035 | 2010-05-12 |
| 1396063509 | Lifeworks of Sonoma County | Community/Behavioral Health | 2480 Sebastopol Road, Santa Rosa, CA 95407-6728 | 2010-05-12 |
| 1891028445 | Sunny Hills Services | Community/Behavioral Health | 365 Casa Manana Road, Building G, Santa Rosa, CA 95409-6559 | 2009-09-15 |
| 1821254889 | Lifeworks of Sonoma County | Community/Behavioral Health | 1350 Sonoma Avenue, Santa Rosa, CA 95405-6697 | 2008-07-30 |
| 1144431693 | Life Works of Sonoma County | Community/Behavioral Health | 1370 San Miguel Road, Santa Rosa, CA 95403-1986 | 2007-05-25 |
| 1619188166 | Lifeworks of Sonoma County | Community/Behavioral Health | 1235 Mendocino Avenue, Santa Rosa, CA 95401-4386 | 2007-05-25 |
| 1225249931 | Cil/psi Special Services, Inc. | Community/Behavioral Health | 1850 Vallejo St, Santa Rosa, CA 95404-5341 | 2007-05-24 |
| 1740490176 | Cilpsi Special Services | Community/Behavioral Health | 1700 Fulton Rd, Santa Rosa, CA 95403-1815 | 2007-05-23 |
| 1558580944 | Sunny Hills Services | Community/Behavioral Health | 1360 N Dutton Ave Ste 100, Santa Rosa, CA 95401-4668 | 2007-04-24 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on PETER SHOLLEY MFT.
| 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.