CARL NATHANIEL DAVIS (NPI# 1477019602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477019602 |
| Entity Type | Individual |
| Full Name | CARL NATHANIEL DAVIS |
| Practice Address |
2640 Industry Way Lynwood CA 90262-4284 |
| Practice Telephone | 3106274525 |
| Mailing Telephone | 3106274525 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | AMFT107439 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467583393 | Carl Spencer Davis | Family Medicine | 801 Ne Anderson Ln, Lees Summit, MO 64064-1244 | 2007-03-09 |
| 1629186770 | Carl Richard Davis | Emergency Medicine | 1102 Ne Parvin Road, #302, Kansas City, MO 64116 | 2006-08-28 |
| 1114951407 | Carl C Davis Jr. | Emergency Medicine | 4009 Tennyson St, Houston, TX 77005-2747 | 2006-07-10 |
| 1376594044 | Carl Alexander Davis | Family Medicine | 212 Russell Blvd, Nacogdoches, TX 75965-1237 | 2006-05-15 |
| 1760853527 | Carl Davis | Counselor | 4480 Gen Degaulle Dr, Suite 117, New Orleans, LA 70131-6941 | 2015-10-19 |
| 1992188338 | Carl Robert Davis | Nurse Anesthetist, Certified Registered | 2 Good Samaritan Way, Suite 205, Mount Vernon, IL 62864-2408 | 2015-07-02 |
| 1134476765 | Carl Davis | Counselor | 324 E Chestnut St, Coweta, OK 74429-2532 | 2012-08-14 |
| 1427385079 | Carl Gene Davis | Licensed Practical Nurse | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2009-11-03 |
| 1154522993 | Carl Webster Davis Jr. | Pharmacist | 209 4th Ave Ne, Cullman, AL 35055-1904 | 2007-05-30 |
| 1881764009 | Carl Derrick Davis | Counselor | 1605 Eastlake Ave, Los Angeles, CA 90033-1009 | 2006-11-08 |
| Street Address |
2640 INDUSTRY WAY |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-4284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831173970 | Russell F. Lim | Psychiatry & Neurology | 2640 Industry Way, Lynwood, CA 90262-4284 | 2005-12-02 |
| 1467053603 | Jaquenette Miller | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-11-04 |
| 1720685233 | Russell Smith | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-10-07 |
| 1629675343 | Destiny Williams-panell | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-10-06 |
| 1104438589 | Elizabeth Navarro | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-08-18 |
| 1265056162 | Debbie Diane Smith | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-06-05 |
| 1538782354 | Jason Douglas Delacuz | Licensed Vocational Nurse | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-05-27 |
| 1700418548 | Lidia Minerva Haefele | Counselor | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-02-10 |
| 1396377495 | Adam Castillo | Counselor | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-02-06 |
| 1073145355 | Aaron Sanderlin | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225589146 | Alison Guydan | Marriage & Family Therapist | 2620 Industry Way Ste E, Lynwood, CA 90262-4042 | 2016-10-14 |
| 1003296872 | Iris Romero | Marriage & Family Therapist | 11705 Deputy Yamamoto Pl Ste B, Lynwood, CA 90262-4031 | 2015-06-05 |
| 1649678087 | Ana Laura Ruiz | Marriage & Family Therapist | 3224 Virginia St, Lynwood, CA 90262-4225 | 2014-12-17 |
| 1154687705 | Keisha Anthony | Marriage & Family Therapist | 2620 Industry Way Ste F, Lynwood, CA 90262-4042 | 2012-04-09 |
| 1326341058 | Takaisha Renee Rush | Marriage & Family Therapist | 3737 Martin Luther King Jr Blvd Ste 500, Lynwood, CA 90262-3533 | 2010-12-20 |
| 1740410208 | Anton Yanagisawa | Marriage & Family Therapist | 2640 Industry Way Ste G, Lynwood, CA 90262-4000 | 2009-07-19 |
| 1588890040 | Char Lee Stewart | Marriage & Family Therapist | 3680 E Imperial Hwy Ste 220, Lynwood, CA 90262-2663 | 2009-06-10 |
| 1811014798 | Jermaine Strickland | Marriage & Family Therapist | 3584 Martin Luther King Jr Blvd, Lynwood, CA 90262-2050 | 2007-03-23 |
| 1285758243 | Barry Michael Backer | Marriage & Family Therapist | 3737 Martin Luther King Jr Blvd Ste 612, Lynwood, CA 90262-3537 | 2007-03-16 |
| 1316071707 | Harry Leroy Fletcher Jr. | Marriage & Family Therapist | 12124 Bullis Rd Bldg H, Lynwood, CA 90262-5106 | 2007-03-15 |
| Find all providers in LYNWOOD | ||||
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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.