MS. KATHLEEN M WOOD (NPI# 1437210721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437210721 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN M WOOD |
| Credential | B.A. |
| Practice Address |
15145a Lakeshore Dr Clearlake CA 95422-8106 |
| Practice Telephone | 7079940709 |
| Practice Fax Number | 7079447096 |
| Mailing Telephone | 7079940709 |
| Mailing Fax Number | 7079447096 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAXONOMY NUMBER | 101YM0800X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982167888 | Kathleen Wood | Behavioral Analyst | 1286 Scarlet Oak Cir, Vero Beach, FL 32966-4738 | 2019-04-09 |
| 1851466676 | Kathleen Ann Wood | Physical Therapist | 6700 Route 83, Willowbrook, IL 60527 | 2006-11-21 |
| 1114942372 | Kathleen Ann Wood | Radiology | 705 13th Ave N, Apt. 310, Fargo, ND 58102-2680 | 2006-07-12 |
| 1447241948 | Kathleen P Wood | Nurse Practitioner | 4448 York Blvd, Los Angeles, CA 90041-3328 | 2005-11-03 |
| 1063058659 | Kathleen Wood | Behavior Technician | 95 Farley Ave, Fanwood, NJ 07023-1004 | 2019-11-19 |
| 1366805830 | Kathleen Patricia Wood | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2016-04-01 |
| 1932430162 | Kathleen Allys Wood | Physical Therapy Assistant | 5514 Atascocita Rd, Suite 160, Humble, TX 77346-2968 | 2010-01-28 |
| 1518164904 | Kathleen Marie Wood | Occupational Therapist | 835 Madison Ave N, Bainbridge Island, WA 98110-1700 | 2007-06-28 |
| 1700932720 | Kathleen Mary Wood | Speech-Language Pathologist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-01-25 |
| Street Address |
15145A LAKESHORE DR |
| City | CLEARLAKE |
| State | CA |
| Zip Code | 95422-8106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952460735 | Scott Harvey Robbins | Counselor | 15145a Lakeshore Dr, Clearlake, CA 95422-8106 | 2006-12-07 |
| 1720296197 | Malka Rhonda Eisgrau | Counselor | 15145a Lakeshore Dr, Clearlake, CA 95422-8106 | 2007-05-18 |
| 1437297124 | Glenna Rae Mcgirr | Licensed Psychiatric Technician | 15145a Lakeshore Dr, Clearlake, CA 95422-8106 | 2007-02-02 |
| 1801959176 | Kathleen Marie Razmek | Licensed Psychiatric Technician | 15145a Lakeshore Dr, Clearlake, CA 95422-8106 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729201 | Richard Charles Hammond | Counselor | 7000 B South Center Drive, Clearlake, CA 95422 | 2020-01-24 |
| 1609416437 | Junirose Thom | Behavioral Analyst | 4456 Manzanita Avenue Suite 2, Clearlake, CA 95422 | 2020-01-09 |
| 1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
| 1083091326 | Noelle Menesini | Physician Assistant | 15230 Lake Shore Drive, Clearlake, CA 95422 | 2015-05-06 |
| 1861820979 | Lake County Office of Education | Local Education Agency (LEA) | 6945 Old Highway 53, Clearlake, CA 95422 | 2013-10-29 |
| 1124469838 | Hassan Sheikh Moghaddas | Surgery | 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 | 2013-07-10 |
| 1366710279 | Nancy Bylund | Licensed Psychiatric Technician | 7000b South Center Drive, Clearlake, CA 95422 | 2011-12-06 |
| 1699060830 | Planned Parenthood Shasta Pacific | Clinic/Center | 1437 Olympic Drive, Cleaklake, CA 95422 | 2011-06-16 |
| 1164655247 | Hector Lara | Counselor | 14130 Lakeshore Dr., Clearlake, CA 95422 | 2009-08-24 |
| 1518197607 | Vishal V Desai | Pharmacist | 15025, Olympic Drive, Clearlake, CA 95422 | 2009-07-23 |
| Find all providers in zip 95422 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114240033 | Gerald Douglas Rine | Counselor | 2971 Garner Ln, Clearlake, CA 95422-9556 | 2010-03-05 |
| 1639301534 | Dow Edwin Walton | Counselor | 7000#b South Center Drive, Clearlake, CA 95422-8106 | 2009-08-11 |
| 1760539407 | Shirin Roberts | Counselor | 15145a Lakeshore Dr., Clearlake, CA 95422 | 2007-01-04 |
| 1235299843 | Judy Wilhite | Counselor | 15145 Lakeshore Dr., Clearlake, CA 95422 | 2006-12-12 |
| 1952460735 | Scott Harvey Robbins | Counselor | 15145a Lakeshore Dr, Clearlake, CA 95422-8106 | 2006-12-07 |
| 1548328073 | Margaret Mary Cerbasi | Counselor | 15145 Lakeshore Drive, Clearlake, CA 95422 | 2006-12-05 |
| 1356994925 | Yesica Meza | Counselor | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2019-07-22 |
| 1053884395 | Richard Allan Cohn Jr. | Counselor | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2019-01-09 |
| 1033699129 | Sherry Bauman | Counselor | 6945 Old Highway 53, Clearlake, CA 95422-9381 | 2018-08-17 |
| 1063998292 | Elizabeth Salcedo Abrica | Counselor | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2018-07-11 |
| Find all providers in CLEARLAKE | ||||
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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.