SEQUOIA BEHAVIORAL HEALTH (NPI# 1467701649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467701649 |
| Entity Type | Organization |
| Organization Name | SEQUOIA BEHAVIORAL HEALTH |
| Practice Address |
10 Jackson Ct Novato CA 94947-5532 |
| Mailing Address |
10 Jackson Ct Novato Novato CA 94947-5532 |
| Practice Telephone | 4153172343 |
| Mailing Telephone | 4153172343 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |
| Authorized Official Name | DR. KIMBERLY ANN GAUNTLETT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4153172343 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY23692 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 1154638740 | 01 |
| Street Address |
10 JACKSON CT |
| City | NOVATO |
| State | CA |
| Zip Code | 94947-5532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135882 | Rainey Sealey Temkin | Psychologist | 1682 Novato Blvd Ste 105, Novato, CA 94947 | 2011-08-16 |
| 1801192786 | Barbara Jean Gosselin | Marriage & Family Therapist | 1748 Novato Blvd Suite 210, Novato, CA 94947 | 2011-02-10 |
| 1659681377 | Karen Ann Murphy | Occupational Therapist | 27 Stasia Dr., Novato, CA 94947 | 2010-10-15 |
| 1154659415 | Christopher Michael Hackett | Chiropractor | 1559 South Novato Blvd., Suite E, Novato, CA 94947 | 2009-11-25 |
| 1003068305 | Suttinee Saguandeekul | Pharmacist | 910 Diablo Ave, Novato, CA 94947 | 2008-10-17 |
| 1891983581 | Shital Gandhi | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947 | 2007-10-09 |
| 1356544126 | Victoria Elizabeth Herzog | Marriage & Family Therapist | 1682 Novato Blvd, Suite 250a, Novato, CA 94947 | 2007-06-07 |
| 1912047655 | Michael Craig Corder | Chiropractor | 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 | 2007-02-08 |
| 1427106905 | Jacob Kyle Leone | Naturopath | 1748 Novato Blvd, Suite 100, Novato, CA 94947 | 2007-01-08 |
| 1881756401 | Mental Health Management I, Inc. | Psychiatric Residential Treatment Facility | 655 Canyon Road, Novato, CA 94947 | 2006-12-14 |
| Find all providers in zip 94947 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710338959 | Stephanie A King | Psychologist | 405 Enfrente Rd Ste 220, Novato, CA 94949-7201 | 2016-06-29 |
| 1629451703 | Big Dog Counseling, Inc. | Psychologist | 1683 Novato Blvd, Suite 1b, Novato, CA 94947-3200 | 2015-07-07 |
| 1255670311 | Nobuko Hattori | Psychologist | 7428 Redwood Blvd Ste 203, Novato, CA 94945-2419 | 2013-02-11 |
| 1104152206 | Edmund Bourne | Psychologist | 32 Curlew Way, Novato, CA 94949-6614 | 2009-10-23 |
| 1457569394 | Michele Saloner | Psychologist | 690 De Long Ave, Suite 150, Novato, CA 94945-3359 | 2007-05-21 |
| 1851437214 | Grace W Rogers | Psychologist | 250 Bel Marin Keys, #c5, Novato, CA 94949-5708 | 2007-01-30 |
| 1669920286 | Barbara Murphy | Psychologist | 1025 5th St, Novato, CA 94945-2413 | 2016-09-12 |
| 1821302191 | Joy Ann Fillman | Psychologist | 250 Bel Marin Keys Blvd, Suite B3, Novato, CA 94949-5707 | 2010-07-29 |
| 1124347224 | Deborah Christman Clark | Psychologist | 1615 Hill Rd, Suite 10, Novato, CA 94947-4340 | 2010-05-28 |
| 1447480140 | Andrea Marie Pinkerton | Psychologist | 505 San Marin Dr, Ste A150, Novato, CA 94945-1357 | 2009-07-16 |
| Find all providers in NOVATO | ||||
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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.