DR. KATHIE SWEETEN (NPI# 1629216940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629216940 |
| Entity Type | Individual |
| Full Name | DR. KATHIE SWEETEN |
| Credential | PSY.D., BCBA-D |
| Practice Address |
11770 Bernardo Plaza Ct 104 San Diego CA 92128-2422 |
| Practice Telephone | 8586735300 |
| Practice Fax Number | 8442481549 |
| Mailing Telephone | 8586735300 |
| Mailing Fax Number | 8442481549 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2015-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY 16494 | CA | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | BCBA# 1-08-4657 | CA | Behavioral Health & Social Service Providers |
| Street Address |
11770 BERNARDO PLAZA CT 104 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457351439 | Eloise R. Johnston & Associates | Speech-Language Pathologist | 11770 Bernardo Plaza Ct, Suite 208, San Diego, CA 92128-2422 | 2005-07-29 |
| 1679189278 | Tianna M Duquette | Behavioral Analyst | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2020-09-18 |
| 1538793294 | Juzenne Cruz | Behavior Technician | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2020-03-02 |
| 1205489887 | Sydney Selecky | Behavior Technician | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2019-07-22 |
| 1184187478 | Arianna Spata | Behavior Technician | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2019-04-12 |
| 1588127880 | Myshayla Fryer | Behavior Technician | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2019-04-12 |
| 1427511211 | Denae Padilla | Behavior Technician | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2019-04-09 |
| 1700348612 | Sonja Sunny Cash | Behavior Technician | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2019-04-01 |
| 1336600691 | Guadalupe Ramirez | Behavior Technician | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2019-03-28 |
| 1770044026 | Shauna Davis | Behavior Technician | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730711375 | Benjamin Alpert, Psyd, A Psychological Corporation | Psychologist | 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 | 2020-02-11 |
| 1134787815 | Kyline Sky Bellotti | Psychologist | 5025 Collwood Blvd # 3316, San Diego, CA 92115-2126 | 2019-05-29 |
| 1376007815 | San Diego Kids First | Psychologist | 12625 High Bluff Dr Ste 111, San Diego, CA 92130-2053 | 2019-01-29 |
| 1346628179 | Orchid Healthcare Inc | Psychologist | 15373 Innovation Drive, Ste 395, San Diego, CA 92128-3429 | 2015-05-13 |
| 1417394669 | Eliana Hurwich-reiss | Psychologist | 3665 Kearny Villa Rd Ste 200, San Diego, CA 92123-1954 | 2013-05-29 |
| 1548517287 | Jamie Lynn Young | Psychologist | 11665 Avena Pl Ste 204, San Diego, CA 92128-2428 | 2012-08-13 |
| 1063733707 | Kristen J Peairs | Psychologist | 1224 Bush St, San Diego, CA 92103-2809 | 2010-06-16 |
| 1265661714 | Lauren Brookman-frazee | Psychologist | 3020 Children's Way (mc 5033), San Diego, CA 92123 | 2009-07-06 |
| 1083879506 | Mary Lou Macilvaine | Psychologist | 4313 Ridgeway Dr, San Diego, CA 92116-2052 | 2008-07-24 |
| 1144330382 | Mary J Baker-ericzen | Psychologist | 3990 Old Town Ave Ste A207, San Diego, CA 92110-2967 | 2006-08-30 |
| Find all providers in SAN DIEGO | ||||
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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.