DR. CYNTHIA L KOHLES (NPI# 1417910316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417910316 |
| Entity Type | Individual |
| Full Name | DR. CYNTHIA L KOHLES |
| Credential | PHD |
| Practice Address |
2455 Bennett Valley Rd Suite B208 Santa Rosa CA 95404-5663 |
| Practice Telephone | 7075295942 |
| Practice Fax Number | 7079425062 |
| Mailing Telephone | 7075295942 |
| Mailing Fax Number | 7079425062 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
PSY17462 | CA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PSY17462 | CA | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY17462 | CA | Behavioral Health & Social Service Providers |
| X | 103TF0000X |
Psychologist Specialization: Family |
PSY17462 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2455 BENNETT VALLEY RD SUITE B208 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-5663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639169576 | Carol Weser | Psychologist | 2455 Bennett Valley Rd, Suite B-208, Santa Rosa, CA 95404-5663 | 2005-10-23 |
| 1831566546 | Andrew E Pearson | Psychologist | 2455 Bennett Valley Rd, Ste B208, Santa Rosa, CA 95404-5667 | 2015-08-28 |
| 1568806560 | Joseph Christopher Puentes | Psychologist | 2455 Bennett Valley Rd, Waterfall Towers Suite B-208, Santa Rosa, CA 95404-5663 | 2013-04-20 |
| 1477887024 | Kofi E Inkabi | Anesthesiology | 2455 Bennett Valley Rd, Suite C-219, Santa Rosa, CA 95404-5663 | 2009-09-30 |
| 1215260591 | Jeremy Blank | Clinical Neuropsychologist | 2455 Bennett Valley Rd, Ste B208, Santa Rosa, CA 95404-5667 | 2009-09-17 |
| 1316160906 | Gary A Blank | Psychologist | 2455 Bennett Valley Rd, Suite 208b, Santa Rosa, CA 95404-5663 | 2007-04-11 |
| 1215087697 | Traviss Family Counseling | Social Worker | 2455 Bennett Valley Rd, Suite 208b, Santa Rosa, CA 95404-5663 | 2007-01-10 |
| 1881744266 | Sandra S Traviss | Social Worker | 2455 Bennett Valley Rd, Suite 208b, Santa Rosa, CA 95404-5663 | 2007-01-10 |
| 1073660973 | Patrick A Traviss | Social Worker | 2455 Bennett Valley Rd, Suite 208b, Santa Rosa, CA 95404-5663 | 2007-01-04 |
| 1649368150 | Jain Fairfax Langston | Marriage & Family Therapist | 2455 Bennett Valley Rd, Suite B-208, Santa Rosa, CA 95404-5663 | 2006-10-10 |
| Find all providers in the same location | ||||
| 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 | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1720632631 | Efren Esparza | Psychologist | 525 Cabrillo Park Dr Ste 300525, Santa Ana, CA 92701-5017 | 2019-07-29 |
| 1649742479 | Cristina Ambos Wilson | Psychologist | 108 Holly Way, Pismo Beach, CA 93449-3221 | 2018-12-18 |
| 1871097311 | Chelsea By The Sea | Psychologist | 10211 Kukui Dr, Huntington Beach, CA 92646-2518 | 2018-03-20 |
| 1033636501 | Khachik Petrosyan | Psychologist | 1225 Oakridge Dr, Glendale, CA 91205-3412 | 2017-08-25 |
| 1891151213 | Shyma El Sayed | Psychologist | 1029 H St, 403, Sacramento, CA 95814-2847 | 2016-01-14 |
| 1720450638 | Nicholas Anderson | Psychologist | 2901 S Sepulveda Blvd Apt 206, Los Angeles, CA 90064-3946 | 2015-10-30 |
| 1669864302 | T. Adelstein, Ph.d., Psychologist, P.C. | Psychologist | 150 Morning Sun Ave, Mill Valley, CA 94941-3507 | 2015-03-03 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1619399052 | Kerry Hubel | Psychologist | 480 N 1st St, San Jose, CA 95112-4043 | 2014-01-18 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on DR. CYNTHIA L KOHLES.
| 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.