DR. CAROL INEZ ANDERSON (NPI# 1366783672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366783672 |
| Entity Type | Individual |
| Full Name | DR. CAROL INEZ ANDERSON |
| Credential | PSY.D. |
| Practice Address |
4001 California 104 Ione CA 95640 |
| Mailing Address |
Po Box 409099 Ione CA 95640-9099 |
| Practice Telephone | 5103934477 |
| Practice Fax Number | 2096654029 |
| Mailing Telephone | 5103934477 |
| Mailing Fax Number | 2096654029 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY21097 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235184 | Carol Laverne Anderson | Nurse Practitioner | 5229 Cortland Dr, Davenport, FL 33837-1763 | 2019-03-21 |
| 1821412974 | Carol Roberta Anderson | Psychologist | 23500 Kasson Rd., Tracy, CA 95378-0400 | 2014-02-10 |
| 1013297928 | Carol E. O. Anderson | Social Worker | 1905 Sunset Blvd Ste C, West Columbia, SC 29169 | 2011-08-23 |
| 1063728178 | Carol Suzanne Anderson | Massage Therapist | 4028 Holcomb Bridge Rd Ste 302a, Norcross, GA 30092-4620 | 2010-08-26 |
| 1659575629 | Carol Elvina Anderson | Registered Nurse | 468 Shamrock Ave, Eugene, OR 97404-1212 | 2007-06-13 |
| 1083737910 | Carol Anne Anderson | Social Worker | 120 Roxbury Rd, Syracuse, NY 13206-2318 | 2007-04-07 |
| 1245385673 | Carol A Anderson | Counselor | 8483 N Millbrook Ave Ste 101, Fresno, CA 93720-2153 | 2007-01-24 |
| 1467527523 | Carol L Anderson | Ophthalmology | 5161 Pleasant Ave, Fairfield, OH 45014-2639 | 2006-11-22 |
| 1538255385 | Carol Lynn Anderson | Dentist | 1025 10th Ave, Clarkfield, MN 56223-1301 | 2006-10-05 |
| 1699875625 | Carol Ann Anderson | Speech-Language Pathologist | 1606 29th Ave S, Fargo, ND 58103-5923 | 2006-09-22 |
| Street Address |
4001 CALIFORNIA 104 |
| City | IONE |
| State | CA |
| Zip Code | 95640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295930188 | Evalyn Horowitz | Internal Medicine | 4001 California 104, Ione, CA 95640 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
| 1164810370 | Sarah D Smith | Psychologist | 4001 Highway-104, Ione, CA 95640 | 2014-12-23 |
| 1992130108 | Robert W Landry | Psychologist | 4001 Hwy. 104, Ione, CA 95640 | 2013-09-06 |
| 1629414735 | Teresa Stevenson | Psychologist | 4001 California Highway 104, Ione, CA 95640 | 2013-05-15 |
| 1629319215 | Kristina Towner | Social Worker | Mcsp, 4001 Hwy 104, Attn: Mental Health Services Department, Ione, CA 95640 | 2013-03-07 |
| 1437495256 | Robert Charles Arnold | Psychologist | 4001 Ca-104, Ione, CA 95640 | 2012-12-26 |
| 1518214741 | Brandy Malloy | Student in an Organized Health Care Education/Training Program | 4001 Highway 101, Ione, CA 95640 | 2012-08-07 |
| 1215296918 | Wayne J Batalo | Pharmacist | 4001 Highway 102, Ione, CA 95640 | 2012-05-15 |
| 1447402920 | Allison L.v. Andres | Psychologist | 4001 Highway 104 Mental Health Department, Mule Creek State Prison (csp-mcsp), Ione, CA 95640 | 2008-10-16 |
| 1053513267 | Ione Family Chiropractic | Chiropractor | 119 Clay Street, Ione, CA 95640 | 2007-06-01 |
| Find all providers in zip 95640 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134598295 | O. M. Custer | Psychologist | 14 West Main St, Suite 5, Ione, CA 95640-1415 | 2015-09-18 |
| 1629414735 | Teresa Stevenson | Psychologist | 4001 California Highway 104, Ione, CA 95640 | 2013-05-15 |
| 1437495256 | Robert Charles Arnold | Psychologist | 4001 Ca-104, Ione, CA 95640 | 2012-12-26 |
| 1417111709 | Marilyn Sue Immoos | Psychologist | 323 Edgebrook Dr, Ione, CA 95640-5204 | 2008-07-15 |
| 1134720725 | Ava Le | Psychologist | 4001 Highway 104, Ione, CA 95640 | 2020-11-02 |
| 1669883336 | Kathleen Ann Keller | Psychologist | 4001 Highway 104, Ione, CA 95640-9099 | 2014-05-15 |
| 1053549774 | Annie Gutierrez | Psychologist | 4001 Highway 104, Ione, CA 95640 | 2009-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
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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.