DR. NATHAN KYLE SIMMONS (NPI# 1447313846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447313846 |
| Entity Type | Individual |
| Full Name | DR. NATHAN KYLE SIMMONS |
| Credential | PSY.D. |
| Practice Address |
277 Rancheros Dr Suite 301 San Marcos CA 92069-2976 |
| Mailing Address |
Po Box 609001 San Diego CA 92160-9001 |
| Practice Telephone | 6195284600 |
| Practice Fax Number | 6195284625 |
| Mailing Telephone | 6195284600 |
| Mailing Fax Number | 6195284600 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2019-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY25856 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PCSD MEDICARE # | W416 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538615059 | Nathan Simmons | Counselor | 11 Rachel Ct, Middleboro, MA 02346-2848 | 2016-08-26 |
| 1740847326 | Nathan William Simmons | Nurse Anesthetist, Certified Registered | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2019-05-20 |
| 1124540505 | Nathan Allen Simmons | Technician, Other | 11037 Warner Ave, #339, Fountain Valley, CA 92708 | 2017-07-07 |
| 1972529121 | Nathan Eric Simmons | Neurological Surgery | One Medical Center Dr, Neurosurgery, Lebanon, NH 03756-0001 | 2006-07-14 |
| Street Address |
277 RANCHEROS DR SUITE 301 |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92069-2976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376513119 | Amy C Trewella | Family Medicine | 277 Rancheros Dr, Suite 100, San Marcos, CA 92069-2959 | 2006-01-24 |
| 1922445915 | Kendra Bartels | Registered Nurse | 277 Rancheros Dr, #370, San Marcos, CA 92069-2976 | 2013-05-30 |
| 1578815999 | Rancho Physical Therapy, Inc. | Physical Therapist | 277 Rancheros Dr, Ste. 150, San Marcos, CA 92069-2976 | 2012-10-09 |
| 1053625392 | Alexis Noel Adiarte | Physical Therapist | 277 Rancheros Dr, Suite 150, San Marcos, CA 92069-2976 | 2010-07-28 |
| 1942523691 | Soudabeh Rahmankhah | Marriage & Family Therapist | 277 Rancheros Dr, Ste 301, San Marcos, CA 92069-2976 | 2010-03-10 |
| 1598098345 | Cheng Lin Lee | Family Medicine | 277 Rancheros Dr, Suite 100, San Marcos, CA 92069-2959 | 2009-09-11 |
| 1972761120 | Janet Whitney, Do, Mph, Inc. | Clinic/Center | 277 Rancheros Dr, Suite 101, San Marcos, CA 92069-2976 | 2008-05-23 |
| 1881866390 | Kari Kimberly Pearman | Marriage & Family Therapist | 277 Rancheros Dr, #301, San Marcos, CA 92069-2976 | 2008-03-25 |
| 1629263629 | Juliet Anne Schmitt | Marriage & Family Therapist | 277 Rancheros Dr, Suite 301, San Marcos, CA 92069-2976 | 2007-09-12 |
| 1902099260 | Trayce L. Hansen | Psychologist | 277 Rancheros Dr, Suite 301, San Marcos, CA 92069-2976 | 2007-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364071 | Doreatha Yvonne Gandy-edmundson | Social Worker | 112 North Centre City Parkway, Unit 103, San Marcos, CA 92069 | 2020-04-13 |
| 1588150296 | Martha Gallo | Adult Companion | 1227 Armorlite Dr Apt 102, San Marcos, CA 92069 | 2018-07-05 |
| 1508357765 | Jensen Moore | Chiropractor | 370 Mulberry Dr Ste C, San Marcos, CA 92069 | 2018-05-23 |
| 1457870156 | Brandie Janette Limon-nava | Counselor | 751 Rancheros Dr Suite 5, San Marcos, CA 92069 | 2017-09-13 |
| 1336436872 | Vivek Solanki | Dentist | 197 Woodland Pkwy #100, Mission Hills Family Dental, San Marcos, CA 92069 | 2011-07-05 |
| 1558689448 | Jessie Janette Hiatt | Marriage & Family Therapist | 330 Rancheros Dr Ste 218, San Marcos, CA 92069 | 2010-05-17 |
| 1407174113 | Daniel Reinke | Counselor | 1560 Capalina Road, San Marcos, CA 92069 | 2010-05-06 |
| 1902130842 | Tiara Christine Esani | Physician Assistant | 277 Rancheros Drive, Suite 100, San Marcos, CA 92069 | 2009-09-24 |
| 1124220926 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 997 Woodland Pkwy, San Marcos, CA 92069 | 2007-06-04 |
| 1275755845 | Davoudi Dds Inc. | Dentist | 979 Woodland Parkway, Suite 100, San Marcos, CA 92069 | 2007-05-03 |
| Find all providers in zip 92069 | ||||
| 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 |
|---|---|---|---|---|
| 1003441247 | Cynthia Ann Plotts | Psychologist | 120 W Hopkins St Ste 102c, San Marcos, TX 78666-5749 | 2020-03-09 |
| 1326492026 | Shelli Jackson | Psychologist | 979 Woodland Pkwy Ste 101-48, San Marcos, CA 92069-2220 | 2016-04-19 |
| 1720281827 | Carole Lee Herbster | Psychologist | 630 Chesterfield Cir, San Marcos, CA 92069-8104 | 2007-06-06 |
| 1902969124 | Charmaine Grace Lowe | Psychologist | 1240 San Elijo Rd N, San Marcos, CA 92078-1086 | 2006-12-19 |
| 1992893119 | Joan M Matthews | Psychologist | 631 Mill Street, Suite 101, San Marcos, TX 78666 | 2006-10-11 |
| 1710981477 | Patrick John Dattore | Psychologist | 100 N Edward Gary St, Suite 103b, San Marcos, TX 78666-5726 | 2005-06-10 |
| 1619271517 | Leon Altamirano | Psychologist | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2011-01-06 |
| 1801104831 | Gal Goldwaser | Psychologist | 950 Boardwalk, Suite 304, San Marcos, CA 92078-2600 | 2010-09-24 |
| 1477785137 | Danielle I Flynn | Psychologist | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2009-08-13 |
| 1861616492 | Anne-marie Kimbell | Psychologist | 1901 Dutton Dr, San Marcos, TX 78666-7573 | 2007-04-13 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 92069 |
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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.