DR. ANETTA BLEVINS (NPI# 1417227950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417227950 |
| Entity Type | Individual |
| Full Name | DR. ANETTA BLEVINS |
| Other Name | DR. ANETTA BLEVINS |
| Credential | PSY.D. |
| Practice Address |
7707 Austin Rd Stockton CA 95215-8312 |
| Practice Telephone | 2094671854 |
| Mailing Telephone | 2094671854 |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2014-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
7707 AUSTIN RD |
| City | STOCKTON |
| State | CA |
| Zip Code | 95215-8312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134230485 | Saul B Zelan | Psychiatry & Neurology | 7707 Austin Rd, Stockton, CA 95215-8312 | 2006-08-31 |
| 1659981330 | Kamaljot Bajwa | Nurse Practitioner | 7707 Austin Rd, Stockton, CA 95215-8312 | 2020-08-06 |
| 1053956581 | Brian Lee Barker | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2019-11-07 |
| 1235795543 | Mike Kerr | Registered Nurse | 7707 Austin Rd, Stockton, CA 95215-8312 | 2019-05-13 |
| 1942792650 | Esmeralda J Pena | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-05-30 |
| 1306336888 | Debra Ann Robertson | Psychologist | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-05-10 |
| 1689162182 | Glenn Robert Lundberg | Psychologist | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-04-30 |
| 1104354273 | Tracy Monique Grissett | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2017-06-01 |
| 1609302959 | Melonie Shultz Shultz | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2017-05-05 |
| 1245764778 | Samantha Obanor | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2017-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023566098 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 3663 E Arch Rd, Suite 400, Stockton, CA 95215 | 2016-09-19 |
| 1518392067 | Thuy Nhut Nguyen | Pharmacist | 7707 S Austin Rd, Stockton, CA 95215 | 2013-09-03 |
| 1154760270 | Stephanie Skewes | Psychologist | 7707 S Austin Road, Department of State Hospitals-stockton, Stockton, CA 95215 | 2013-06-21 |
| 1053750398 | Steven Cartwright | Psychologist | 7707 S. Austin Road, Department of State Hospitals-stockton, Stockton, CA 95215 | 2013-06-20 |
| 1447520465 | James E Telander | Psychologist | 7650 S. Newcastle Rd., Stockton, CA 95215 | 2012-01-06 |
| 1568479806 | John Carl Molthen | Chiropractor | 4795 E State Route 88, Stockton, CA 95215 | 2006-08-01 |
| 1932735420 | Corrections and Rehabilitation | Pharmacy | 7707 South Austin Road, Room 123, Stockton, CA 95215 | 2020-03-17 |
| 1972101681 | Mersadez Oller | Behavior Technician | 4815 Joseph Leon Ln, Stockton, CA 95215-1153 | 2020-10-14 |
| 1477809929 | Milagros Moreno Mcarthur | Licensed Psychiatric Technician | 10834 Copperopolis Rd, Stockton, CA 95215-1741 | 2012-08-01 |
| 1710535141 | Edith Reyes | Nurse Practitioner | 4815 Palmer Ave, Stockton, CA 95215-1824 | 2019-08-28 |
| Find all providers in zip 95215 | ||||
| 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 |
|---|---|---|---|---|
| 1811352628 | Stephen Gutknecht | Psychologist | 3755 W Benjamin Holt Dr Apt 163, Stockton, CA 95219-3313 | 2015-12-21 |
| 1518277433 | Maria Elisabet Revilla | Psychologist | 1350 W Robinhood Dr Ste 18, Stockton, CA 95207-5519 | 2010-10-13 |
| 1184869356 | Frederick Arthur Martin | Psychologist | 1232 Mill Way, Stockton, CA 95209-4368 | 2008-12-02 |
| 1720108335 | Crystal Rose Krull | Psychologist | 1117 S Grant St, Stockton, CA 95206-1626 | 2007-03-29 |
| 1316003759 | Cheryl Thornton | Psychologist | 808 South St, Stockton, MO 65785 | 2006-12-29 |
| 1851493639 | Victor Manuel Zapien | Psychologist | 1743 Grand Canal Blvd Suite #16, Stockton, CA 95207 | 2006-09-02 |
| 1720021975 | Floyd Joseph O'brien | Psychologist | 33 W Alder St, Stockton, CA 95204-5701 | 2006-06-14 |
| 1306336888 | Debra Ann Robertson | Psychologist | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-05-10 |
| 1992175863 | Ronnie Doss | Psychologist | 7707 Austin Rd, Stockton, CA 95215-8312 | 2015-10-04 |
| 1528450459 | Jennifer Crews Thom | Psychologist | 7373 West Ln, Stockton, CA 95210-3377 | 2015-03-02 |
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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.