DR. KIMBERLY A FITZGERALD (NPI# 1750525267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750525267 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY A FITZGERALD |
| Credential | M.D. |
| Practice Address |
3420 Kenyon St Building B, First Floor San Diego CA 92110-5001 |
| Practice Telephone | 6192216050 |
| Mailing Telephone | 6192216050 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2014-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
A132788 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558765974 | Kimberly Fitzgerald | Nurse Practitioner | 382 Summer Glen Ct, Stone Mountain, GA 30087-5500 | 2014-10-14 |
| 1841321221 | Kimberly Ann Fitzgerald | Dentist | 270 Buffalo Plaza, Sarver, PA 16055 | 2007-03-08 |
| 1750809885 | Kimberly Ann Fitzgerald | Speech-Language Pathologist | 305 E Oak St, Apopka, FL 32703-4352 | 2017-09-09 |
| 1326564402 | Kimberly Fitzgerald | Counselor | 18003 Woodsfield Rd, Caldwell, OH 43724-9709 | 2017-08-21 |
| 1033568209 | Kimberly Fitzgerald | Psychologist | 9040 Friars Rd, Suite 400, San Diego, CA 92108-5859 | 2016-06-08 |
| 1336553247 | Kimberly Fitzgerald | Registered Nurse | 307 Glenwood Ave, Easton, MD 21601-4104 | 2014-06-18 |
| 1508283102 | Kimberly Fitzgerald | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2014-03-21 |
| 1700101482 | Kimberly J Fitzgerald | Counselor | 109 N Fairland St Ste 101, Pryor, OK 74361-4225 | 2010-04-06 |
| 1114240025 | Kimberly Anne Fitzgerald | Physical Therapist | 451 N High St, East Haven, CT 06512-1555 | 2010-03-05 |
| 1972717460 | Kimberly Ann Fitzgerald | Occupational Therapist | 845 S Main St Ste 120, Fond Du Lac, WI 54935-6116 | 2007-05-10 |
| Street Address |
3420 KENYON ST BUILDING B, FIRST FLOOR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194803130 | Lana Charlene Lee | Psychiatry & Neurology | 3420 Kenyon St, San Diego, CA 92110-5001 | 2006-11-01 |
| 1437669637 | Tina Tsou | Psychologist | 3420 Kenyon St, San Diego, CA 92110-5001 | 2017-10-03 |
| 1407196413 | Khadijah Hinna Bhutto Ramirez | Marriage & Family Therapist | 3420 Kenyon St, Building B, San Diego, CA 92110-5001 | 2013-02-28 |
| 1063788719 | Melissa Hawthorne-campos | Social Worker | 3420 Kenyon St, San Diego, CA 92110-5001 | 2012-03-27 |
| 1770878977 | Douglas Wayne Skelly-brown IIi | Marriage & Family Therapist | 3420 Kenyon St, San Diego, CA 92110-5001 | 2011-06-15 |
| 1003113622 | Channing Gredvig | Social Worker | 3420 Kenyon St, San Diego, CA 92110-5001 | 2011-02-16 |
| 1033424817 | Martha Kemper Batchelder | Social Worker | 3420 Kenyon St, San Diego, CA 92110-5001 | 2010-08-17 |
| 1316250285 | Cherie Lee Traylor | Social Worker | 3420 Kenyon St, Bldg B, 2nd Floor, San Diego, CA 92110-5001 | 2010-07-21 |
| 1053549998 | Shahida Parveen | Psychiatric Hospital | 3420 Kenyon St, San Diego, CA 92110-5001 | 2009-06-30 |
| 1134356264 | Jane Agnes Sinclair | Counselor | 3420 Kenyon St, San Diego, CA 92110-5001 | 2009-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871669374 | Allan H. Rabin | Psychiatry & Neurology | 4540 Kearny Villa Rd #117, Allan H. Rabin, M.d., Inc., San Diego, CA 92123 | 2006-11-27 |
| 1902813157 | Eric M Chavez | Psychiatry & Neurology | 770 Washington St Ste 200, Artemis Medical Group, San Diego, CA 92103-2209 | 2006-08-01 |
| 1285941401 | Ronald Edward Cann | Psychiatry & Neurology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2010-09-09 |
| 1528094968 | Melodie K Isgro | Psychiatry & Neurology | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319560 | Blossoming Wellbeing Telepsychiatry | Psychiatry & Neurology | 5455 8th St Unit 81, Carpinteria, CA 93013-2433 | 2020-09-01 |
| 1962028936 | Sal Psychiatry Services | Psychiatry & Neurology | 13132 Studebaker Rd Ste 7, Norwalk, CA 90650-2562 | 2020-06-24 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1609431014 | Vaya Addiction Services | Psychiatry & Neurology | 945 University Ave Ste 101, Sacramento, CA 95825-6712 | 2019-05-01 |
| 1174081327 | Bacchus, Moghaddam, Musngi, Shwayder Medical Corp. | Psychiatry & Neurology | 6801 Park Ter # 530b, Los Angeles, CA 90045-1543 | 2019-03-06 |
| 1104330570 | Integrated Psychiatry, Inc. | Psychiatry & Neurology | 25000 Avenue Stanford Ste 173, Valencia, CA 91355-4596 | 2017-11-21 |
| 1740689694 | Mind & Body Treatment and Research Institute, PC | Psychiatry & Neurology | 5700 Division St, 200, Riverside, CA 92506-3257 | 2014-08-16 |
| 1619311206 | Margaret Barnett Yates | Psychiatry & Neurology | 13847 W Sunset Blvd, Pacific Palisades, CA 90272-4023 | 2013-04-25 |
| 1750645743 | Stefani Lafrenierre | Psychiatry & Neurology | 215 S Hickory St Ste 114, Escondido, CA 92025-4360 | 2012-06-25 |
| 1083977201 | Archangel De Leon | Psychiatry & Neurology | 7466 Sun Castle Ln, Sacramento, CA 95823-6734 | 2012-06-21 |
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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.