MRS. KIMBERLY JEANNE LEICESTER (NPI# 1659506301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659506301 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY JEANNE LEICESTER |
| Credential | PHD |
| Practice Address |
820 Las Gallinas Ave San Rafael CA 94903-3410 |
| Practice Telephone | 4154443522 |
| Practice Fax Number | 4154443019 |
| Mailing Telephone | 4154443522 |
| Mailing Fax Number | 4154443019 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY22058 | CA | Behavioral Health & Social Service Providers |
| Street Address |
820 LAS GALLINAS AVE |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813351 | David Leh-sheng Huang | Psychiatry & Neurology | 820 Las Gallinas Ave, San Rafael, CA 94903-3410 | 2005-10-03 |
| 1447663133 | Elissa Woodruff | Health Maintenance Organization | 820 Las Gallinas Ave, San Rafael, CA 94903-3410 | 2014-06-10 |
| 1477877785 | Elizabeth Manning | Psychologist | 820 Las Gallinas Ave, San Rafael, CA 94903-3410 | 2010-03-16 |
| 1184957664 | Joel Peter Greenberg | Psychologist | 820 Las Gallinas Ave, San Rafael, CA 94903-3410 | 2009-09-15 |
| 1316157456 | Susan Ann Dyer | Psychologist | 820 Las Gallinas Ave, San Rafael, CA 94903-3410 | 2007-05-23 |
| 1518008630 | Johanna Wolfson | Psychologist | 820 Las Gallinas Ave, San Rafael, CA 94903 | 2007-02-09 |
| 1285770172 | Ralph James Lamson | Psychologist | 820 Las Gallinas Ave, San Rafael, CA 94903-3452 | 2007-01-29 |
| 1104972165 | Margaret Leventer | Social Worker | 820 Las Gallinas Ave, San Rafael, CA 94903-3410 | 2007-01-25 |
| 1366595985 | Christine Hom | Psychologist | 820 Las Gallinas Ave, San Rafael, CA 94903-3410 | 2007-01-18 |
| 1346393923 | Michael Fred Hoyt | Psychologist | 820 Las Gallinas Ave, San Rafael, CA 94903-3410 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871135665 | Tina M Galordi | Psychologist | 1414 4th St Ste 201, San Rafael, CA 94901-2857 | 2019-10-13 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1134581986 | Stephen Willis | Psychologist | 4460 Redwood Hwy # 16-320, San Rafael, CA 94903-1951 | 2016-03-22 |
| 1720367956 | Albert Wong | Psychologist | 1 H Street, Suite 203, San Rafael, CA 94901 | 2011-08-05 |
| 1932497377 | Jessica Erin Pullins | Psychologist | 1299 4th St Ste 401, San Rafael, CA 94901-3030 | 2011-07-19 |
| 1194031872 | Duy D. Vu | Psychologist | 4460 Redwood Hwy Ste 16-303, San Rafael, CA 94903-1951 | 2010-08-19 |
| 1871826487 | Aninha Esperanza Livingstone | Psychologist | 700 E St San Rafael Ca 94901, Suite 201, San Rafael, CA 94901 | 2009-09-14 |
| 1609012574 | Ruud Vanwijnen | Psychologist | 15 North Ave, 2-a, San Rafael, CA 94903-4823 | 2008-12-26 |
| 1033386768 | Boukje Elisabeth Eerkens | Psychologist | 101 Lucas Valley Rd Ste 269, San Rafael, CA 94903-1761 | 2008-05-12 |
| 1255547154 | Geraldine Alpert | Psychologist | 33 Bungalow Ave, San Rafael, CA 94901-5140 | 2007-05-15 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on MRS. KIMBERLY JEANNE LEICESTER.
| 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.