DR. DAVID JOHN ANDERSON (NPI# 1548338551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548338551 |
| Entity Type | Individual |
| Full Name | DR. DAVID JOHN ANDERSON |
| Credential | M.D. |
| Practice Address |
30 5th St Suite 150 Petaluma CA 94952-3042 |
| Practice Telephone | 7077639122 |
| Practice Fax Number | 7077829074 |
| Mailing Telephone | 7077639122 |
| Mailing Fax Number | 7077829074 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G36949 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA REGISTRATION | BA6709008 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819875 | David Melville Anderson | Technician | 2558 S Anaheim St Apt 102, Aurora, CO 80014-1482 | 2020-07-27 |
| 1023645447 | David Allen Anderson | Nursing Care | 7746 Orchard Village Dr, Indianapolis, IN 46217-2907 | 2020-03-25 |
| 1467956615 | David Edward Anderson | Counselor | 4747 Arapahoe Ave Dept Case, Boulder, CO 80303-1131 | 2018-03-22 |
| 1548672702 | David Anderson | Dentist | 4207 W Electra Ln, Glendale, AZ 85310-5571 | 2014-05-22 |
| 1518390020 | David Anderson | Pharmacist | 3615 Gibraltar Dr, Reno, NV 89509-5617 | 2013-08-20 |
| 1518301217 | David Allen Anderson | Counselor | 13568 Sw 61st Ave, Suite 315, Portland, OR 97219-8132 | 2013-04-24 |
| 1316272636 | David Paul Anderson | Chiropractor | 10585 Scripps Poway Parkway, #c, San Diego, CA 92131 | 2009-10-05 |
| 1568695435 | David Robert Anderson II | Pharmacist | 202 Market St Ste J, Cramerton, NC 28032-1148 | 2009-08-26 |
| 1093946469 | David John Anderson | Dentist | 5192 Dawes Avenue, Alexandria, VA 22311 | 2009-08-04 |
| 1396995247 | David Marshall Anderson | Psychologist | 101 E 56th St, New York, NY 10022 | 2008-09-29 |
| Street Address |
30 5TH ST SUITE 150 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-3042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437486719 | Megan Suzanne Thurmond | Psychiatry & Neurology | 9 Kingswood Dr, Petaluma, CA 94952-4700 | 2009-11-07 |
| 1780848325 | Rebecca Saben Timme | Psychiatry & Neurology | 1150 N Mcdowell Blvd Unit 750724, Petaluma, CA 94975-8808 | 2008-07-14 |
| 1386866531 | Leon Siegel | Psychiatry & Neurology | 24 Western Ave, Ste 309, Petaluma, CA 94952-2907 | 2007-05-03 |
| 1386778348 | Alan Leslie Dubin | Psychiatry & Neurology | 14 Keller St, Petaluma, CA 94952-2939 | 2007-03-14 |
| 1023125226 | David Arthur Browne | Psychiatry & Neurology | 111 Liberty Street, Petaluma, CA 94952-2902 | 2006-08-24 |
| 1578570016 | Orren Z Perlman | Psychiatry & Neurology | 101 H St, Suite N, Petaluma, CA 94952-5152 | 2006-08-01 |
| 1215921184 | Paul Richard Mascovich | Psychiatry & Neurology | 322 Jacquelyn Ln, Petaluma, CA 94952-5300 | 2005-09-07 |
| 1316007156 | Sophie Aneson-macleon | Psychiatry & Neurology | 1360 N Mcdowell Blvd, Petaluma, CA 94954-1115 | 2006-12-11 |
| 1184796922 | Edna S. Rivera | Psychiatry & Neurology | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2006-11-15 |
| 1265406268 | Ken Weinstock | Psychiatry & Neurology | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2006-02-15 |
| Find all providers in PETALUMA | ||||
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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.