DR. KJELL ERIK RUDESTAM (NPI# 1376661512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376661512 |
| Entity Type | Individual |
| Full Name | DR. KJELL ERIK RUDESTAM |
| Credential | PH.D. |
| Practice Address |
2020 Alameda Padre Serra Suite217 Santa Barbara CA 93103-1756 |
| Mailing Address |
3924 Foothill Rd Santa Barbara CA 93110-1208 |
| Practice Telephone | 8055692540 |
| Practice Fax Number | 8056874590 |
| Mailing Telephone | 8055692540 |
| Mailing Fax Number | 8056874590 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 5930 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2020 ALAMEDA PADRE SERRA SUITE217 |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93103-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477670388 | Janice Rudestam | Psychologist | 2020 Alameda Padre Serra, Suite 217, Santa Barbara, CA 93103-1756 | 2007-03-23 |
| 1619320843 | Hilary Mountford-paty | Marriage & Family Therapist | 2020 Alameda Padre Serra, Suite 217, Santa Barbara, CA 93103-1756 | 2016-07-22 |
| 1861757031 | Steven R Smith | Psychologist | 2020 Alameda Padre Serra, Suite 211, Santa Barbara, CA 93103-1756 | 2012-07-12 |
| 1639454515 | Judith Lion | Marriage & Family Therapist | 2020 Alameda Padre Serra, Suite 217, Santa Barbara, CA 93103-1756 | 2011-10-11 |
| 1053637470 | Ann Leslie Miles | Psychologist | 2020 Alameda Padre Serra, Ste 211, Santa Barbara, CA 93103-1756 | 2010-04-09 |
| 1033304159 | Lauren Guy | Psychologist | 2020 Alameda Padre Serra, Suite 211, Santa Barbara, CA 93103-1756 | 2007-09-11 |
| 1982824306 | Janet Noble Iversen | Psychologist | 2020 Alameda Padre Serra, Ebbetts Hall Suite 211, Santa Barbara, CA 93103-1756 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033730189 | Luis Soto | Counselor | 106 Juana Maria Avenue, Santa Barbara, CA 93103 | 2020-04-29 |
| 1952711624 | Monica Gonzalez-miller | Acupuncturist | 22 N. Milpas Street, Suite D, Santa Barbara, CA 93103 | 2014-05-05 |
| 1598061541 | P. Joseph Frawley M.d. Medical Group, Inc. | Internal Medicine | 525 E. Micheltorena, Ste. 107, Santa Barbara, CA 93103 | 2011-02-08 |
| 1982912473 | Lauren Bray | Counselor | 430 East Guiterrez Street, Santa Barbara, CA 93103 | 2010-09-17 |
| 1023349636 | Brian D Hardgrave | Counselor | 37 Mountain Dr., Santa Barbara, CA 93103 | 2010-01-21 |
| 1326214644 | James David Dart | Dentist | 536 E. Arrellaga St Ste 101, Santa Barbara, CA 93103 | 2008-05-06 |
| 1982804076 | Carl Hennessy Williams | Family Medicine | 400 E Pedregosa St, #b, Santa Barbara, CA 93103 | 2007-07-18 |
| 1083836415 | Randall Jay Schwalm | Community/Behavioral Health | 126 E. Haley St., Santa Barbara, CA 93103 | 2007-05-03 |
| 1215097217 | Janet Alexander | Marriage & Family Therapist | 2034 De La Vina Street, Santa Barbara, CA 93103 | 2006-12-11 |
| 1285718122 | Master Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 910 E Haley St, Santa Barbara, CA 93103 | 2006-10-25 |
| Find all providers in zip 93103 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898329 | Deborah C Schiller Phd A Psychology Corporation | Psychologist | 814 Willowglen Rd, Santa Barbara, CA 93105-2442 | 2020-07-20 |
| 1962020271 | Shelley N Osborn Lic Clinical Psychologist, Inc. | Psychologist | 1515 State St Ste 20, Santa Barbara, CA 93101-2536 | 2020-07-13 |
| 1275169708 | Angela Vigna, Psy.d., A Psychological Corporation | Psychologist | 1155 Coast Village Rd Bldg C, Santa Barbara, CA 93108-2728 | 2020-03-16 |
| 1881232999 | Sean Thomas O'connor | Psychologist | 351 Hitchcock Way Ste B-110, Santa Barbara, CA 93105-4016 | 2019-12-19 |
| 1902307614 | Koegel Autism Center | Psychologist | Koegel Autism Center, Santa Barbara, CA 93106-0001 | 2018-02-27 |
| 1568976744 | Emily Woodman Maynard | Psychologist | Counseling and Psychological Services Ucsb, Building 599, Santa Barbara, CA 93106 | 2017-11-26 |
| 1184025272 | Avery Voos | Psychologist | 925 De La Vina St Ste 100, Santa Barbara, CA 93101-3202 | 2014-09-09 |
| 1942624028 | Valerie Friedman | Psychologist | 11 West Victoria St. #209, Santa Barbara, CA 93101 | 2014-02-11 |
| 1285065011 | Irina Dashevsky-kerdman | Psychologist | 735 State St Ste 411, Santa Barbara, CA 93101-5552 | 2013-12-04 |
| 1689003568 | Merilee Lovejoy | Psychologist | 123 W Padre St Ste A, Santa Barbara, CA 93105-3960 | 2013-11-01 |
| Find all providers in SANTA BARBARA | ||||
| City | SANTA BARBARA |
| Zip Code | 93103 |
Please comment or provide details below to improve the information on DR. KJELL ERIK RUDESTAM.
| 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.