DR. KRISTIN NICOLE HERZBERG PURDY (NPI# 1467825125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467825125 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN NICOLE HERZBERG PURDY |
| Other Name | DR. KRISTIN NICOLE HERZBERG |
| Credential | PH.D. |
| Practice Address |
5480 Baltimore Dr #250 La Mesa CA 91942-2020 |
| Practice Telephone | 3108630767 |
| Mailing Telephone | 3108630767 |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 27449 | CA | Behavioral Health & Social Service Providers |
| Street Address |
5480 BALTIMORE DR #250 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740271337 | Charles Anthony Long | Marriage & Family Therapist | 5480 Baltimore Dr, Suite 202, La Mesa, CA 91942 | 2005-11-02 |
| 1295270080 | Heather Lynn Gibson | Marriage & Family Therapist | 5480 Baltimore Dr, Suite 250, La Mesa, CA 91942-2020 | 2017-01-03 |
| 1356895981 | Sunset Psychology, Inc | Psychologist | 5480 Baltimore Dr, Suite 250, La Mesa, CA 91942-2020 | 2016-08-11 |
| 1144662131 | Charles A. Long, A Professional Marriage and Family Therapy Corporatio | Community/Behavioral Health | 5480 Baltimore Dr, Suite 202, La Mesa, CA 91942-2020 | 2013-07-19 |
| 1528102175 | Carol Simpson Dawidowicz | Marriage & Family Therapist | 5480 Baltimore Dr, Suite #250, La Mesa, CA 91942-2020 | 2007-02-16 |
| 1831264712 | Masako Yajima Stewart | Counselor | 5480 Baltimore Dr, 250, La Mesa, CA 91942-2020 | 2006-11-23 |
| 1083791271 | Jan Slack | Marriage & Family Therapist | 5480 Baltimore Dr, Ste. 202, La Mesa, CA 91942-2020 | 2006-11-01 |
| 1679655369 | Gary D Hittle, Ph.d., A Marriage and Family Counseling Corporation | Marriage & Family Therapist | 5480 Baltimore Dr, Suite 202, La Mesa, CA 91942-2020 | 2006-10-20 |
| 1568550234 | Karen Ann Cross | Psychologist | 5480 Baltimore Dr, Suite 103, La Mesa, CA 91942-2020 | 2006-10-10 |
| 1215032362 | Marsha Lane Strieker | Marriage & Family Therapist | 5480 Baltimore Dr, Suite 211, La Mesa, CA 91942-2020 | 2006-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| 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 |
|---|---|---|---|---|
| 1407010663 | Patricia Bauer | Psychologist | 4700 Spring St 204, La Mesa, CA 91942-0273 | 2008-07-16 |
| 1346314044 | Maria I. Frailey | Psychologist | 8355 La Mesa Blvd, La Mesa, CA 91942-9249 | 2006-11-17 |
| 1699849299 | Cynthia Ann Thayer | Psychologist | 4700 Spring Street, Suite 204, La Mesa, CA 91941 | 2006-11-17 |
| 1912914375 | Thomas Allen Keller | Psychologist | 7863 La Mesa Blvd, Suite 102, La Mesa, CA 91941-3657 | 2006-08-01 |
| 1083655328 | Gayle Lynnette Jensen | Psychologist | 4323 Palm Ave Ste D, La Mesa, CA 91941-6597 | 2006-06-09 |
| 1598702029 | Stephen Papaleo | Psychologist | 5400 Connecticut Ave, Suite E, La Mesa, CA 91942-1213 | 2006-06-01 |
| 1235196411 | Chad K Hybarger | Psychologist | 7171 Alvarado Rd Ste 100a, La Mesa, CA 91942-8996 | 2006-04-29 |
| 1053398222 | Lindsey Stroben Alper | Psychologist | 8318 University Ave, Suite A4, La Mesa, CA 91941 | 2005-12-28 |
| 1457345357 | Jeannine Ann Feldman | Psychologist | 7840 El Cajon Blvd, Ste 301, La Mesa, CA 91941-3600 | 2005-09-07 |
| 1013482140 | Rhombus | Psychologist | 8058 La Mesa Blvd, La Mesa, CA 91942-0335 | 2018-10-04 |
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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.