PAMELA NICHOLSON (NPI# 1639376940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639376940 |
| Entity Type | Individual |
| Full Name | PAMELA NICHOLSON |
| Practice Address |
490 Chadbourne Rd Suite A Fairfield CA 94534-9613 |
| Mailing Address |
Po Box 304 Fairfield CA 94533-0030 |
| Practice Telephone | 7074220464 |
| Practice Fax Number | 7074220465 |
| Mailing Telephone | 7074220464 |
| Mailing Fax Number | 7074220465 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2010-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033574967 | Pamela J Nicholson | Dietitian, Registered | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2015-12-18 |
| 1457510125 | Pamela M Nicholson | Nurse Practitioner | 7440 Frontage Rd, Merriam, KS 66203-4670 | 2008-06-06 |
| Street Address |
490 CHADBOURNE RD SUITE A |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-9613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043279201 | Myrha Ohayon | Social Worker | 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 | 2006-03-17 |
| 1366847626 | Kelli Forrester | Counselor | 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 | 2014-10-29 |
| 1700217908 | Tiffany Lopez Solis | Counselor | 490 Chadbourne Rd, Fairfield, CA 94534-9613 | 2013-12-12 |
| 1972930485 | Tessa Searles | Social Worker | 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 | 2013-09-28 |
| 1245665561 | Carol Louise Breiling | Counselor | 490 Chadbourne Rd, Suite C, Fairfield, CA 94534-9613 | 2013-09-05 |
| 1174956692 | Katherine Andrea Morales | Community Health Worker | 490 Chadbourne Rd, Fairfield, CA 94534-9613 | 2013-08-20 |
| 1720424351 | Children's Nurturing Project | Community/Behavioral Health | 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 | 2013-05-22 |
| 1801175237 | Karen Lynn Cunningham | Counselor | 490 Chadbourne Rd, Fairfield, CA 94534-9613 | 2011-08-16 |
| 1588942163 | Rosana M Aguilar | Counselor | 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 | 2011-07-29 |
| 1083902480 | Rita Mccampbell | Counselor | 490 Chadbourne Rd, Fairfield, CA 94534-9613 | 2011-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689971129 | Cheryl Lynn Savage | Developmental Therapist | Rr 2 Box 608, Fairfield, IL 62837-9149 | 2011-02-18 |
| 1306002621 | Janie Tibbs | Developmental Therapist | Rr 3 Box 154, Fairfield, IL 62837-9537 | 2008-08-06 |
| 1407981491 | Kimberly Gaye Tennyson | Developmental Therapist | Rr 3 Box 792, Fairfield, IL 62837-9598 | 2007-02-22 |
| 1053896787 | Nanci Hernandez | Developmental Therapist | 744 Empire St Ste 160, Fairfield, CA 94533-5562 | 2018-09-27 |
| 1528285053 | Sheila A Walker | Developmental Therapist | Rr 1 Box 556, Fairfield, IL 62837-9778 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971745 | Natalie M Maddison | Developmental Therapist | 4397 Tujunga Ave, Studio City, CA 91604 | 2019-09-16 |
| 1962055426 | Bryan C Dunn | Developmental Therapist | 12180 Ridgecrest Rd Ste 508, Victorville, CA 92395-5903 | 2019-07-23 |
| 1124532676 | Martha Maxim | Developmental Therapist | 3424 Rodney St, Rosamond, CA 93560-7607 | 2017-11-20 |
| 1013463363 | Waheeda Waheed | Developmental Therapist | 501 W Broadway, Suit 800, San Diego, CA 92101 | 2016-08-28 |
| 1629427935 | Keelan Tobia | Developmental Therapist | 501 W Broadway, Suite 800, San Diego, CA 92101 | 2016-06-07 |
| 1942655386 | Lisa Annette Friddle | Developmental Therapist | 45198 Wiki Cir, Temecula, CA 92592-1348 | 2016-05-03 |
| 1790145316 | Jessica Vigil | Developmental Therapist | 414 Oxford St, Hayward, CA 94541-2225 | 2016-02-24 |
| 1497110142 | Vedrana Dujic-carew | Developmental Therapist | 560 Haight St., #104, San Francisco, CA 94117-3459 | 2015-12-23 |
| 1275907750 | Raveen Kallash | Developmental Therapist | 560 Haight St Apt 104, San Francisco, CA 94117-3444 | 2015-11-19 |
| 1104203520 | Megan Alders | Developmental Therapist | 21 Salinger Ct, Coto De Caza, CA 92679-5153 | 2015-05-06 |
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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.