DR. RICHARD CAROLAN (NPI# 1760637607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760637607 |
| Entity Type | Individual |
| Full Name | DR. RICHARD CAROLAN |
| Credential | EDD./ PSYCHOLOGIST |
| Practice Address |
7 4th Street Suite 29 Petaluma CA 94952 |
| Practice Telephone | 7079710212 |
| Mailing Telephone | 7079710212 |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 14289 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
PSY 14289 | CA | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PSY 14289 | CA | Behavioral Health & Social Service Providers |
| Street Address |
7 4TH STREET SUITE 29 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555210 | Brenda Mckinley, Psyd, Psychological Services Incorporated | Psychologist | 7 4th St Ste 19, Petaluma, CA 94952-3072 | 2019-02-21 |
| 1043651722 | Kaitlin Marie Venema | Psychologist | 1900 S Mcdowell Blvd, Petaluma, CA 94954-5473 | 2013-07-10 |
| 1003993239 | Annette A Strack | Psychologist | 318 Western Ave, Petaluma, CA 94952-2919 | 2006-11-01 |
| 1144265851 | Julia Winston Melody | Psychologist | 523 Hayes Ln, Petaluma, CA 94952-4011 | 2006-06-17 |
| 1649210691 | Richard Steven Lesch | Psychologist | 222 Weller St, Petaluma, CA 94952-3183 | 2006-06-07 |
| 1316476328 | Christopher John Barr | Psychologist | 11207 Valley Ford Rd, Petaluma, CA 94952-3700 | 2017-06-05 |
| 1164805784 | Amanda Bernice Eyges Spencer | Psychologist | 1900 S Mcdowell Blvd, Petaluma, CA 94954-5473 | 2015-07-01 |
| 1023307766 | Tracy D Thiem | Psychologist | 7 4th St, Suite 7, Petaluma, CA 94952-3043 | 2011-04-04 |
| 1154628634 | Laura Kellison, Psy,.d. | Psychologist | 115 Liberty St, Suite 4, Petaluma, CA 94952-2326 | 2011-02-18 |
| 1881897049 | Henry Stuart Bacon | Psychologist | 101 Monroe St, Petaluma, CA 94954-2328 | 2007-06-06 |
| 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.