KYLE CHAMBERLAIN (NPI# 1467840264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467840264 |
| Entity Type | Individual |
| Full Name | KYLE CHAMBERLAIN |
| Practice Address |
4250 Fowler Ln Ste 204 Diamond Springs CA 95619-9781 |
| Practice Telephone | 5306261491 |
| Mailing Telephone | 5306261491 |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4250 FOWLER LN STE 204 |
| City | DIAMOND SPRINGS |
| State | CA |
| Zip Code | 95619-9781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780807602 | Jennifer Anne Alexander | Marriage & Family Therapist | 4250 Fowler Ln, Suite #204, Diamond Springs, CA 95619-9781 | 2007-04-10 |
| 1164057196 | Sade Butler | Counselor | 4250 Fowler Ln, Diamond Springs, CA 95619-9781 | 2020-03-10 |
| 1023537487 | Kara Rose Okumura | Counselor | 4250 Fowler Ln, Diamond Springs, CA 95619-9781 | 2017-09-15 |
| 1225576234 | Justin Bauerle | Counselor | 4250 Fowler Ln, Suite 204, Diamond Springs, CA 95619-9781 | 2017-02-09 |
| 1467901801 | Daniel Sauve | Counselor | 4250 Fowler Ln, Suite 204, Diamond Springs, CA 95619-9781 | 2016-09-27 |
| 1174973291 | Carlie Regan | Counselor | 4250 Fowler Ln, Suite 204, Diamond Springs, CA 95619-9781 | 2016-06-20 |
| 1003265224 | P'anna Jefferies | Counselor | 4250 Fowler Ln, Diamond Springs, CA 95619-9781 | 2016-06-08 |
| 1023407608 | Michelle Harwell | Counselor | 4250 Fowler Ln, Diamond Springs, CA 95619-9781 | 2015-01-20 |
| 1770972556 | Marcia Fusano | Counselor | 4250 Fowler Ln, Diamond Springs, CA 95619-9781 | 2015-01-15 |
| 1376940320 | Gary Shurtz | Counselor | 4250 Fowler Ln, Ste. 102, Diamond Springs, CA 95619-9781 | 2014-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265916092 | John Bruce Quantrille | Licensed Vocational Nurse | 555 Arlette Arlette Lane, Diamond Springs, CA 95619 | 2018-09-18 |
| 1831611763 | Paul Canova Boice | Counselor | 3120 Freeboard Drive, Suite 102, West Sacramento, CA 95619 | 2017-07-12 |
| 1912397126 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4229 Toyan Dr, Diamond Springs, CA 95619 | 2015-01-26 |
| 1457699654 | Emma Curtiss | Social Worker | 768 Pleasant Valley Rd., Diamond Springs, CA 95619 | 2013-01-22 |
| 1568715704 | Cheryl Turnboo | Behavioral Analyst | 337 Griffith Road, Diamond Springs, CA 95619 | 2012-10-25 |
| 1528341039 | Michaela Renee Johnson | Counselor | 4224 Fowler Ln, Diamond Springs, CA 95619 | 2011-09-21 |
| 1518178193 | El Dorado County Mental Health | Clinic/Center | 768 Pleasant Valley Road, Suite 201, Diamond Springs, CA 95619 | 2007-05-24 |
| 1760694707 | John Carberry II | Counselor | 6692-b Merchandise Way, Diamond Springs, CA 95619 | 2007-05-03 |
| 1144343609 | Sierra Child and Family Services | Community/Behavioral Health | 4250 Fowler Ln. Suite 204, Diamond Springs, CA 95619 | 2007-04-09 |
| 1689790404 | Celia Sabra Mason-douglas | Marriage & Family Therapist | 6201 Enterprise Dr, Diamond Springs, CA 95619 | 2007-03-22 |
| Find all providers in zip 95619 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528341039 | Michaela Renee Johnson | Counselor | 4224 Fowler Ln, Diamond Springs, CA 95619 | 2011-09-21 |
| 1235411513 | Karen Pekarcik | Counselor | 4250 Fowler Ln Ste 204, Diamond Springs, CA 95619-1987 | 2011-09-13 |
| 1760694707 | John Carberry II | Counselor | 6692-b Merchandise Way, Diamond Springs, CA 95619 | 2007-05-03 |
| 1225251309 | Terry Thorson | Counselor | 6692 Merchandise Way Ste B, Diamond Springs, CA 95619-9453 | 2007-04-10 |
| 1649807124 | Jessica Marie Tappan | Counselor | 4250 Fowler Ln Ste 204, Diamond Springs, CA 95619-9782 | 2020-03-25 |
| 1164057196 | Sade Butler | Counselor | 4250 Fowler Ln, Diamond Springs, CA 95619-9781 | 2020-03-10 |
| 1508491952 | Jessica Lourdes Casillas | Counselor | 4250 Fowler Ln Ste 204, Diamond Springs, CA 95619-9782 | 2020-03-05 |
| 1336772409 | Sheilee Enid Fuss | Counselor | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2020-02-18 |
| 1073143251 | Breane Rae Crawford | Counselor | 4250 Fowler Ln Ste 204, Diamond Springs, CA 95619-9782 | 2020-01-16 |
| 1831740174 | Emily Dawes | Counselor | 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 | 2019-09-27 |
| Find all providers in DIAMOND SPRINGS | ||||
| City | DIAMOND SPRINGS |
| Zip Code | 95619 |
Please comment or provide details below to improve the information on KYLE CHAMBERLAIN.
| 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.