DR. KENNETH RAY PHILIPP (NPI# 1578629390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578629390 |
| Entity Type | Individual |
| Full Name | DR. KENNETH RAY PHILIPP |
| Credential | PSYD |
| Practice Address |
1891 E Roseville Pkwy Ste 100 Roseville CA 95661 |
| Practice Telephone | 9167897082 |
| Practice Fax Number | 9167978840 |
| Mailing Telephone | 9167897082 |
| Mailing Fax Number | 9167978840 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY17630 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1891 E ROSEVILLE PKWY STE 100 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720011976 | Steve Mccready | Marriage & Family Therapist | 1891 E Roseville Pkwy, Suite 120, Roseville, CA 95661-7973 | 2006-07-09 |
| 1346840543 | Jessica Paige Harter | Psychologist | 1891 E Roseville Pkwy, Roseville, CA 95661-7973 | 2020-10-27 |
| 1437587615 | Kimberly Elizabeth Lanni | Clinical Neuropsychologist | 1891 E Roseville Pkwy, Suite 100, Roseville, CA 95661-7973 | 2013-10-24 |
| 1316294168 | Top Care Hospice, Inc. | Hospice Care, Community Based | 1891 E Roseville Pkwy, Suite 103c, Roseville, CA 95661-7973 | 2012-08-11 |
| 1598951469 | Thomas Roosevelt Mathews | Marriage & Family Therapist | 1891 E Roseville Pkwy, Suite #120, Roseville, CA 95661-7973 | 2007-09-24 |
| 1003013491 | Kenneth Alan Logan | Psychologist | 1891 E Roseville Pkwy, Suite 100, Roseville, CA 95661-7973 | 2007-06-28 |
| 1295931061 | Erin Marie Ambrose | Marriage & Family Therapist | 1891 E Roseville Pkwy, Suite 100, Roseville, CA 95661-7973 | 2007-06-26 |
| 1871707869 | Susan L. Cook | Marriage & Family Therapist | 1891 E Roseville Pkwy, Suite 100, Roseville, CA 95661-7974 | 2007-05-09 |
| 1063538254 | Kathi Jones-lorenz | Psychologist | 1891 E Roseville Pkwy, Suite 120, Roseville, CA 95661-7973 | 2007-03-21 |
| 1801926050 | Daniel Jorgensen | Marriage & Family Therapist | 1891 E Roseville Pkwy, Suite 140, Roseville, CA 95661-7973 | 2007-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| 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 |
|---|---|---|---|---|
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1477918654 | William Hayward Staso | Psychologist | 2137 Rhodes Ln, Roseville, CA 95747-9024 | 2015-12-15 |
| 1073773651 | John Honebrink | Psychologist | 1700 W Hwy 36, 210 Rosedale Towers, Roseville, MN 55113 | 2008-06-17 |
| 1063610004 | Chassity Angeny-showalter | Psychologist | 1741 E Roseville Pkwy, Suite 200, Roseville, CA 95661-6449 | 2007-07-10 |
| 1932321486 | Thanh Son Thi Nguyen-kelly | Psychologist | 1315 West Larpenteur Suite I, Roseville, MN 55113 | 2007-05-03 |
| 1073669313 | Albert and Associates | Psychologist | 1700 Highway 36 W, Suite 516, Roseville, MN 55113-4034 | 2007-01-27 |
| 1922151596 | Mardelle Brandt Pearson | Psychologist | 2172 Midland View Ct N, Roseville, MN 55113-5304 | 2007-01-18 |
| 1689737694 | Gloria S Simard | Psychologist | 406 Sunrise Ave Ste 220, Roseville, CA 95661-4100 | 2006-12-19 |
| 1568521524 | Margaret L Mcchesney | Psychologist | 3025 Simpson St, Roseville, MN 55113-1650 | 2006-12-06 |
| 1962580951 | John M. Kendra | Psychologist | 2130 Professional Dr Ste 220, Roseville, CA 95661-3780 | 2006-11-01 |
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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.