DR. STEPHANIE SHREVE (NPI# 1750891321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750891321 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE SHREVE |
| Credential | PSY.D. |
| Practice Address |
13500 Airport Rd Boonville CA 95415-9133 |
| Mailing Address |
Po Box 338 Boonville CA 95415-0338 |
| Practice Telephone | 7078953477 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
29428 | CA | Behavioral Health & Social Service Providers |
| Street Address |
13500 AIRPORT RD |
| City | BOONVILLE |
| State | CA |
| Zip Code | 95415-9133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881771889 | Carole Ann Murphy | Dentist | 13500 Airport Rd, Boonville, CA 95415-9133 | 2006-11-01 |
| 1982123170 | Luiza M Savin | Nurse Practitioner | 13500 Airport Rd, Boonville, CA 95415-9133 | 2017-09-19 |
| 1225260623 | Pon T Tath | Dentist | 13500 Airport Rd, Boonville, CA 95415-9133 | 2009-08-18 |
| 1780723981 | Toni Marie Mann | Dentist | 13500 Airport Rd, Boonville, CA 95415-9133 | 2007-02-05 |
| 1326194317 | Anderson Valley Ambulance Service | Ambulance | 13500 Airport Rd, Boonville, CA 95415-9133 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881132843 | Anderson Valley Community Services District | Ambulance | 14281 Hwy 128, Boonville, CA 95415 | 2017-02-09 |
| 1255471595 | Susan J Bridge-mount | Marriage & Family Therapist | 18151 Mountain View Road, Boonville, CA 95415 | 2007-02-07 |
| 1568449304 | Anderson Valley Health Center | Family Medicine | 13500 Airport Road, Boonville, CA 95415 | 2005-12-22 |
| 1871039479 | Vintage Vinetours LLC | Non-emergency Medical Transport (VAN) | 14361 Hwy 128, Box 236, Boonville, CA 95415 | 2017-01-06 |
| 1316130792 | Cynthia S Arbanovella | Clinical Nurse Specialist | 13500 Airport Road, Boonville, CA 95415 | 2007-08-20 |
| 1538219779 | Mark Justin Apfel | Family Medicine | 13500 Airport Road, Boonville, CA 95415 | 2007-01-11 |
| 1689724007 | Peter H. Barg | Family Medicine | 13500 Airport Road, Boonville, CA 95415 | 2007-01-10 |
| 1841734373 | William Housley | Driver | 14361 Hwy 128, 236, Boonville, CA 95415-0236 | 2016-12-19 |
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
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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.