DR. KARMEL PENGILLY (NPI# 1649200593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649200593 |
| Entity Type | Individual |
| Full Name | DR. KARMEL PENGILLY |
| Credential | PH.D. |
| Practice Address |
1330 Q St Sacramento CA 95814-5805 |
| Mailing Address |
7610 Rush River Dr #115 Sacramento CA 95831-5516 |
| Practice Telephone | 9164435707 |
| Practice Fax Number | 9164435707 |
| Mailing Telephone | 9164290284 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | LP0188 | MN | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | PSY 18449 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1330 Q ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95814-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366478596 | Melissa Lea Holland | Psychologist | 1330 Q St, Sacramento, CA 95814-5805 | 2006-06-22 |
| 1659815694 | Kristina Antonson Md Inc | Psychiatry & Neurology | 1330 Q St, Sacramento, CA 95811-5705 | 2016-12-09 |
| 1619293719 | Bonnie Kay Noyes | Psychologist | 1330 Q St, Sacramento, CA 95811-5705 | 2010-04-14 |
| 1881821270 | Kristina Antonson | Psychiatry & Neurology | 1330 Q St, Sacramento, CA 95811-5705 | 2009-06-12 |
| 1659396182 | Mark Alan Foster | Marriage & Family Therapist | 1330 Q St, Sacramento, CA 95814-5805 | 2006-07-13 |
| 1992730865 | Carolee Giaouyen Tran | Psychologist | 1330 Q St, Sacramento, CA 95814-5805 | 2006-07-11 |
| 1790716868 | Nichole C. Wofford | Marriage & Family Therapist | 1330 Q St, Sacramento, CA 95811-5705 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435631 | County of Sacramento | Clinic/Center | 651 I Street, Sacramento, CA 95814 | 2019-12-26 |
| 1376033746 | Jenna Pettus | Nurse Practitioner | 711 14th St, Apt 11, Sacramento, CA 95814 | 2018-05-11 |
| 1306269667 | First Advocate Home Care | In Home Supportive Care | 1215 K Street, 17th Floor, Sacramento, CA 95814 | 2014-01-22 |
| 1063752350 | Brian C. Steele Dds A Professional Corporation | Dentist | 1105 E Street, Sacramento, CA 95814 | 2013-02-22 |
| 1265777692 | Wellspace Health | Clinic/Center | 631 H St, Sacramento, CA 95814 | 2012-12-12 |
| 1407117823 | Richard Lee Bauer | Internal Medicine | 651 I St., Sacramento, CA 95814 | 2012-06-01 |
| 1851669949 | Heaaring Healthcare Provider of California | Audiologist | One Capitol Mall, Suite 320, Sacramento, CA 95814 | 2011-12-05 |
| 1114254935 | Robert D Canning | Psychologist | 501 J Street, Suite 530, California Department of Corrections & Rehabilitation, Sacramento, CA 95814 | 2009-11-16 |
| 1407035488 | Donald Herbert Hodges | Case Manager/Care Coordinator | 1420 E Street Apt # B, Sacramento, CA 95814 | 2007-10-26 |
| 1255537536 | River Oak Center for Children | Clinic/Center | 1238 S Street, Sacramento, CA 95814 | 2007-06-25 |
| Find all providers in zip 95814 | ||||
| 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 |
|---|---|---|---|---|
| 1669098885 | Alexander Laszlo Peterkin | Psychologist | 4500 Truxel Rd Apt 834, Sacramento, CA 95834-3739 | 2020-06-23 |
| 1548881667 | Jene Edwards | Psychologist | 3090 Fite Cir Ste 102, Sacramento, CA 95827-1810 | 2020-04-29 |
| 1215597968 | Kaitlyn Hoitomt | Psychologist | 3331 Power Inn Rd # 140, Sacramento, CA 95826-3889 | 2019-06-15 |
| 1215452925 | Tiffany Chang | Psychologist | 1500 W El Camino Ave # 420, Sacramento, CA 95833-1945 | 2017-08-03 |
| 1699220046 | Kira Christensen | Psychologist | 3630 Winding Creek Rd, Sacramento, CA 95864-1531 | 2016-08-15 |
| 1932565769 | First Love Yourself Inc. | Psychologist | 3425 1st Ave, Apartment 4, Sacramento, CA 95817-2034 | 2016-01-09 |
| 1649682469 | Walter (rusty) Wallace Otto | Psychologist | 1970 University Park Drive, Sacramento, CA 95825 | 2014-05-28 |
| 1912332107 | Laura Magdalen Tully | Psychologist | 4701 X St, Uc Davis Imaging Research Center, Sacramento, CA 95817-2219 | 2013-09-06 |
| 1154763936 | Jonathan Preiss | Psychologist | 801 Alhambra Blvd Ste 2b, Sacramento, CA 95816-4432 | 2013-07-22 |
| 1700165016 | Donald Lawrence Salz | Psychologist | 2540 Land Park Dr, Sacramento, CA 95818-2244 | 2011-08-04 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95814 |
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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.