DR. PETER TRASK DUNLAP (NPI# 1710151741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710151741 |
| Entity Type | Individual |
| Full Name | DR. PETER TRASK DUNLAP |
| Credential | PSYCHOLOGIST |
| Practice Address |
1 Bodega Ave Suite 1 Petaluma CA 94952-2666 |
| Practice Telephone | 7077820400 |
| Mailing Telephone | 7077820400 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 20120 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1 BODEGA AVE SUITE 1 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-2666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144387754 | Margaret Susan Dunlap | Marriage & Family Therapist | 1 Bodega Ave, Ste. 1, Petaluma, CA 94952-2666 | 2007-01-02 |
| 1336335652 | Karen B Nemrow | Marriage & Family Therapist | 1 Bodega Ave, Suite 2, Petaluma, CA 94952-2666 | 2007-09-20 |
| 1205036357 | Jimmy Lee Matto-shepard | Psychologist | 1 Bodega Ave, Suite #4, Petaluma, CA 94952-2666 | 2007-07-18 |
| 1972726826 | Judith Janet Barlas | Marriage & Family Therapist | 1 Bodega Ave, Suite #5, Petaluma, CA 94952-2666 | 2007-04-10 |
| 1134248347 | Sharon Anne Sterne | Psychologist | 1 Bodega Ave, Petaluma, CA 94952-2666 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| 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 |
|---|---|---|---|---|
| 1689138299 | Chanda Rankin | Psychologist | 7 4th St Ste 52, Petaluma, CA 94952-7410 | 2019-01-28 |
| 1891901914 | Anna Gray | Psychologist | 515 Greenbriar Cir, Petaluma, CA 94954-3538 | 2007-05-15 |
| 1568506319 | Barbara Finley Badham | Psychologist | 320 Western Ave, Petaluma, CA 94952 | 2007-02-16 |
| 1659418770 | Iverson M. Eicken | Psychologist | 720 Southpoint Blvd, Suite 202, Petaluma, CA 94954-7495 | 2007-01-30 |
| 1699861419 | Jennifer T. Seymour | Psychologist | 713 Mount Vernon Way, Petaluma, CA 94954-2511 | 2006-10-05 |
| 1558473538 | Hope Counseling Services | Psychologist | 941 B Street, Petaluma, CA 94952 | 2006-08-31 |
| 1760981732 | Grace Wakim | Psychologist | 3900 Lakeville Hwy, Mob 2, Petaluma, CA 94954-5968 | 2018-02-06 |
| 1053748632 | Natalie Conrad | Psychologist | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2013-09-27 |
| 1437586021 | Craig Goishi | Psychologist | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2013-09-27 |
| 1205036357 | Jimmy Lee Matto-shepard | Psychologist | 1 Bodega Ave, Suite #4, Petaluma, CA 94952-2666 | 2007-07-18 |
| Find all providers in PETALUMA | ||||
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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.