DEVON REDIN (NPI# 1437761897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437761897 |
| Entity Type | Individual |
| Full Name | DEVON REDIN |
| Credential | MS |
| Practice Address |
2240 Old River Rd Ukiah CA 95482-6103 |
| Mailing Address |
24177 Birch Cir Willits CA 95490-9507 |
| Practice Telephone | 7074675191 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
2240 OLD RIVER RD |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396899043 | Mendocino County Office of Education | Local Education Agency (LEA) | 2240 Old River Rd, Ukiah, CA 95482-6103 | 2007-01-22 |
| 1376155960 | Kimberly Anne Barden | Psychologist | 2240 Old River Rd, Ukiah, CA 95482-6103 | 2020-08-17 |
| 1780818179 | County of Mendocino | Clinic/Center | 2240 Old River Rd, Ukiah, CA 95482-6103 | 2009-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499292 | Deborah Briggs | Psychologist | 308 Hillcrest Ave, Ukiah, CA 95482-5602 | 2020-05-18 |
| 1801416409 | Melissa Suzanne Smith | Psychologist | 1000 Low Gap Rd, Ukiah, CA 95482-3737 | 2020-04-23 |
| 1275971335 | Nicole Therese Leveille Buchanan | Psychologist | 511 S Orchard Ave, Ukiah, CA 95482-3470 | 2013-06-11 |
| 1376155960 | Kimberly Anne Barden | Psychologist | 2240 Old River Rd, Ukiah, CA 95482-6103 | 2020-08-17 |
| 1750903282 | Jennifer Sampson Iacuaniello | Psychologist | 1000 Low Gap Rd, Ukiah, CA 95482-3737 | 2020-05-06 |
| 1487274106 | Daniel Drickman | Psychologist | 511 S Orchard Ave, Ukiah, CA 95482-5022 | 2020-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800610 | Christine Irene Wyeth I | Psychologist | 420 Orrell Dr, National City, CA 91950-7019 | 2020-10-30 |
| 1396351755 | Darinisha Williams | Psychologist | 228 W Pomona Ave Unit 453, Monrovia, CA 91016-4853 | 2020-09-21 |
| 1861006280 | Waneka Cabrera | Psychologist | 6140 Monterey Rd Apt 419, Los Angeles, CA 90042-5410 | 2020-09-02 |
| 1447862669 | Lynn Syrvart Saroyan | Psychologist | 302 W 5th St Ste 301, San Pedro, CA 90731-2750 | 2020-08-19 |
| 1386256741 | Earaj Afzal | Psychologist | 4175 Williwaw Dr, Irvine, CA 92620-3279 | 2020-08-18 |
| 1518578145 | Christina Marie Keefe | Psychologist | 222 Terrace Dr, Big Pine, CA 93513-2002 | 2020-08-17 |
| 1992317572 | Ferris Kevin Bruton | Psychologist | 850 Rosewood Ave, Vallejo, CA 94591-5647 | 2020-08-17 |
| 1376153460 | Louis Scott Addleson | Psychologist | 7915 Alida St, La Mesa, CA 91942-2541 | 2020-08-04 |
| 1326658592 | Aamna Hassan | Psychologist | 15132 Amso St, Poway, CA 92064-2604 | 2020-08-03 |
| 1922616218 | Janis Kingsley | Psychologist | 2746 Granville Ave, Los Angeles, CA 90064-3604 | 2020-07-22 |
| 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.