DR. SYBIL ROSE KLINE (NPI# 1679705297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679705297 |
| Entity Type | Individual |
| Full Name | DR. SYBIL ROSE KLINE |
| Credential | PHD, LEP |
| Practice Address |
820 Bay Ave Suite 204c Capitola CA 95010-2140 |
| Mailing Address |
6308 Imperial Ct Aptos CA 95003-3131 |
| Practice Telephone | 8316078858 |
| Mailing Telephone | 8316078858 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2014-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
LEP#1832 | CA | Behavioral Health & Social Service Providers |
| Street Address |
820 BAY AVE SUITE 204C |
| City | CAPITOLA |
| State | CA |
| Zip Code | 95010-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518992270 | John William Visher | Psychologist | 820 Bay Ave, #208 B, Capitola, CA 95010 | 2006-07-11 |
| 1548699853 | Licia Ginne | Marriage & Family Therapist | 820 Bay Ave, Suite 205, Capitola, CA 95010-2140 | 2013-11-06 |
| 1740510809 | Medical Psychology Services, Inc. | Psychologist | 820 Bay Ave, Suite 248, Capitola, CA 95010-2140 | 2010-01-12 |
| 1811136252 | Gitty Katie Dashtban | Psychologist | 820 Bay Ave, Ste 248, Capitola, CA 95010-2140 | 2009-02-09 |
| 1942463823 | Speechrighter, Inc. | Occupational Therapist | 820 Bay Ave, Suite 212, Capitola, CA 95010 | 2008-07-09 |
| 1053587907 | Patrice Mullen Keet | Counselor | 820 Bay Ave, Suite 205, Capitola, CA 95010-2140 | 2008-05-01 |
| 1043496458 | Bette Kaiser | Marriage & Family Therapist | 820 Bay Ave, Suite 205, Capitola, CA 95010-2140 | 2008-01-15 |
| 1043495294 | Raymond Louis Ledoux | Counselor | 820 Bay Ave, Suite 203b, Capitola, CA 95010-2140 | 2008-01-07 |
| 1780864694 | Michael Arthur Siegel | Physical Therapist | 820 Bay Ave, Suite 204-c, Capitola, CA 95010-2172 | 2007-11-08 |
| 1689891533 | Elizabeth A. Bennett | Marriage & Family Therapist | 820 Bay Ave, Suite 208, Capitola, CA 95010-2140 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609436641 | Suzanne Lerner | Psychologist | 720a Capitola Ave, Capitola, CA 95010 | 2019-06-20 |
| 1801351317 | Michael Stephen Quinn | Chiropractor | 720 A- Capitola Ave, Capitola, CA 95010 | 2019-02-08 |
| 1053885194 | Health In Mind P.C. | Psychiatry & Neurology | 610 Capitola Ave, Capitola, CA 95010 | 2019-01-11 |
| 1427547355 | Jerry Wallace Fulford | Massage Therapist | 4170 Gross Rd. Extension, Suite 6, Capitola, CA 95010 | 2018-05-07 |
| 1457730293 | Cpap Experts LLC | Durable Medical Equipment & Medical Supplies | 820 Bay Ave #203a, Capitola, CA 95010 | 2015-05-26 |
| 1972904241 | Molly Chaudoir | Acupuncturist | 4170 Gross Rd. Ext., Suite 6, Santa Cruz, CA 95010 | 2014-09-05 |
| 1245598374 | Stan C Wolken | Dentist | 4770 Capitola Rd, Capitola, CA 95010 | 2012-04-26 |
| 1104103399 | Jacinda Ann Maurer | Registered Nurse | 4725 Grace Street, Apt. 1, Capitola, CA 95010 | 2011-11-16 |
| 1508043225 | Brian J. Schabel, Dds, Ms & Vivian H. Chan, Dds, Ms, Inc. | Dentist | 1830 41st Ave., Capitola, CA 95010 | 2008-01-24 |
| 1609066679 | Sandra Polakoff | Marriage & Family Therapist | 519 Capitola Avenue, Suite B, Capitola, CA 95010 | 2007-07-26 |
| Find all providers in zip 95010 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
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| 1871104307 | Erania Marie Martin-lang | Psychologist | 13329 Arbor Park Ln, Moreno Valley, CA 92553-6916 | 2020-08-10 |
| 1366051070 | Shellie Renae Higuera | Psychologist | 5059 Day Dr, Fairfield, CA 94533-6597 | 2020-07-28 |
| 1730706979 | Oak Forest Recovery Center, Inc. | Psychologist | 5655 Lindero Canyon Rd Ste 425, Westlake Village, CA 91362-4046 | 2020-07-04 |
| 1861016842 | Valley Harvest Church of Merced | Psychologist | 557 W 26th St, Merced, CA 95340-2825 | 2020-06-04 |
| 1629691993 | Franklin Clifford Wimberly | Psychologist | 10 Pleasant Walk, Aliso Viejo, CA 92656-4266 | 2020-05-21 |
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1386282762 | Danielle Wischenka | Psychologist | 155 E Campbell Ave Ste 219, Campbell, CA 95008-2062 | 2019-12-16 |
| 1528525326 | Sylvia Cary | Psychologist | 4650 Sepulveda Blvd Apt 201, Sherman Oaks, CA 91403-2462 | 2019-02-28 |
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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.