DR. MARK HAMILTON HENIGAN (NPI# 1689897365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689897365 |
| Entity Type | Individual |
| Full Name | DR. MARK HAMILTON HENIGAN |
| Credential | D.O. |
| Practice Address |
1729 Tully Rd Suite Eight Modesto CA 95350-4082 |
| Practice Telephone | 2095448363 |
| Practice Fax Number | 2097580995 |
| Mailing Telephone | 2095448363 |
| Mailing Fax Number | 2097580995 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
20A6351 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
20A6351 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 9519325 | 05 |
| Street Address |
1729 TULLY RD SUITE EIGHT |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881098606 | Wahid Medical | Family Medicine | 1729 Tully Rd, Number 3, Modesto, CA 95350-4082 | 2014-10-22 |
| 1891974952 | Evelyn I Schaffer | Marriage & Family Therapist | 1729 Tully Rd, Suite 8, Modesto, CA 95350-4082 | 2007-10-25 |
| 1093903890 | Lloyd D. Smith Jr., M.d., Inc. | Pathology | 1729 Tully Rd, #7, Modesto, CA 95350-4082 | 2007-10-05 |
| 1649480302 | Judith Martha Sheppard | Marriage & Family Therapist | 1729 Tully Rd, Suite 8, Modesto, CA 95350-4082 | 2007-05-23 |
| 1285844944 | Peter Loren Sheppard | Marriage & Family Therapist | 1729 Tully Rd, Suite 8, Modesto, CA 95350-4082 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538405865 | David Michael Hirchak Jr. | Psychiatry & Neurology | 1505 Claus Road, Modesto, CA 95355-4701 | 2012-12-13 |
| 1104071885 | Jaaneali Mehdi | Psychiatry & Neurology | 1501 Claus Rd Ste F, Modesto, CA 95355-9711 | 2008-11-23 |
| 1164673455 | Juan Antonio Galvez-buccollini Abanto | Psychiatry & Neurology | 3501 Coffee Rd Ste 201, Modesto, CA 95355-1343 | 2008-10-05 |
| 1194974295 | Omer Liran | Psychiatry & Neurology | 1551 Claus Road, Modesto, CA 95355 | 2008-09-12 |
| 1104986165 | Vinita Wadhwani | Psychiatry & Neurology | 1400 Celeste Drive, Crestwood Mannor, Modesto, CA 95355 | 2006-12-11 |
| 1710050158 | Dao Xuanthi Tran | Psychiatry & Neurology | 1100 Kansas Ave, Suite A, Modesto, CA 95351-1596 | 2006-11-15 |
| 1588742498 | Gilbert Eggen | Psychiatry & Neurology | 3509 Coffee Rd, Ste D18, Modesto, CA 95355-1358 | 2006-11-01 |
| 1790868834 | Bernardo Joven Mora | Psychiatry & Neurology | 421 E Morris Ave, Modesto, CA 95354-0437 | 2006-10-23 |
| 1306931522 | Sukhnandan Sidhu | Psychiatry & Neurology | 2937 Veneman Ave, Suite A110, Modesto, CA 95356 | 2006-10-04 |
| 1538278205 | Soo Christine Chun | Psychiatry & Neurology | 1878 E Hatch Rd, Modesto, CA 95351-5002 | 2006-08-29 |
| Find all providers in MODESTO | ||||
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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.