DR. R. DAVID WHEELER (NPI# 1619147444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619147444 |
| Entity Type | Individual |
| Full Name | DR. R. DAVID WHEELER |
| Credential | PSYD |
| Practice Address |
California State Prison - Sacramento 100 Prison Road Represa CA 95671-3000 |
| Mailing Address |
100 Prison Road California State Prison - Sacramento Represa CA 95671-3000 |
| Practice Telephone | 9162943175 |
| Practice Fax Number | 9162943122 |
| Mailing Telephone | 9162943175 |
| Mailing Fax Number | 9162943122 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 17303 | CA | Behavioral Health & Social Service Providers |
| Street Address |
CALIFORNIA STATE PRISON - SACRAMENTO 100 PRISON ROAD |
| City | REPRESA |
| State | CA |
| Zip Code | 95671-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811207426 | Nicole Calma | Counselor | 100 Prison Road Sacramento State Prison, Represa, CA 95671 | 2010-10-15 |
| 1578737359 | Laura Beebe | Registered Nurse | 1 Prison Road, Csp Sacramento, Folsom, CA 95671 | 2008-04-14 |
| 1588661730 | Gregory Carl Tinloy | Dentist | 100 Prison Rd., Represa, CA 95671 | 2005-07-01 |
| 1174768972 | Timothea Greer Mcginley | Psychologist | 100 Prison Road, Csp Sacramento, Represa, CA 95671 | 2008-12-08 |
| 1275717340 | Harry Moran Singh Dhesi | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-24 |
| 1235312463 | John Maciel Jr. | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-11 |
| 1730362930 | Dennis Rulon Fairbourn | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-11 |
| 1194070219 | Regina White | Social Worker | Csp Sacramento Mhsds Regina White, 100 Prison Road, Represa, CA 95671-0001 | 2012-07-14 |
| 1306174933 | Dudley Atkinson | Social Worker | Csp Sacramento, 100 Prison Road P.o., Represa, CA 95671-0001 | 2009-11-19 |
| 1932344280 | Amy Louise Holliday | Case Manager/Care Coordinator | California State Prison At Sacramento, 100 Prison Rd, Represa, CA 95671-0001 | 2008-12-15 |
| Find all providers in zip 95671 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053847665 | Jacqueline Daasch Caoile | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2017-05-03 |
| 1053749556 | Ruben Valencia | Psychologist | 100 Prison Rd, Csp-sac, Eop-b, Represa, CA 95671-3000 | 2013-10-18 |
| 1972843142 | Robert Charles Mcmahon | Psychologist | 300 Prison Rd, Folsom State Prison, Represa, CA 95671-3001 | 2013-02-25 |
| 1710246616 | Adielle Carrington | Psychologist | 100 Prison Rd, Represa, CA 95671-0012 | 2012-05-11 |
| 1023388774 | James Dennis Scott | Psychologist | 300 Prison Rd, Attn: Mental Health, Represa, CA 95671-3001 | 2012-01-11 |
| 1598087967 | Ellie I Johnson | Psychologist | 300 Prison Rd, Represa, CA 95671-0002 | 2010-02-25 |
| 1821320839 | Parker Douglas Houston | Psychologist | Prison Rd, Represa, CA 95671-0001 | 2010-02-02 |
| 1619111226 | Alvin Benjamin Ardales Gaerlan | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2009-04-27 |
| 1174768972 | Timothea Greer Mcginley | Psychologist | 100 Prison Road, Csp Sacramento, Represa, CA 95671 | 2008-12-08 |
| 1548414576 | Sarah E. Hewette | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2008-11-04 |
| Find all providers in REPRESA | ||||
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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.