K&M NEUROPSYCHOLOGY, A PSYCHOLOGY CORPORATION (NPI# 1760900831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760900831 |
| Entity Type | Organization |
| Organization Name | K&M NEUROPSYCHOLOGY, A PSYCHOLOGY CORPORATION |
| Other Organization Name | CALIFORNIA BRAIN HEALTH CENTER |
| Practice Address |
100 Shoreline Hwy Ste 100 Mill Valley CA 94941-3645 |
| Mailing Address |
100 Shoreline Hwy Bldg B, Suite 100 Mill Valley CA 94941 |
| Practice Telephone | (415) 877-4408 |
| Mailing Telephone | 4158774408 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |
| Authorized Official Name | DR. THOMAS KIELY (NEUROPSYCHOLOGIST) |
| Authorized Official Telephone | 6504559514 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| California Brain Health Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | K&M NEUROPSYCHOLOGY, A PSYCHOLOGY CORPORATION | 100 Shoreline Hwy Ste 100, Mill Valley, CA 94941-3645 |
| Street Address |
100 SHORELINE HWY STE 100 |
| City | MILL VALLEY |
| State | CA |
| Zip Code | 94941-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700216082 | Caitlin S. Moore | Psychologist | 100 Shoreline Hwy Ste 100, Mill Valley, CA 94941-3645 | 2013-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707464 | Onward Cares, Inc. | Private Vehicle | 201 Morning Sun Ave, Mill Valley, CA 94941 | 2020-07-09 |
| 1255973848 | Cara Nicole Christie | Dietitian, Registered | 35 Miller Avenue Suite #273, Mill Valley, CA 94941 | 2019-10-15 |
| 1538698774 | Shari Lyn Coskey | Psychologist | 311 Miller Ave Ste A-1, Mill Valley, CA 94941 | 2017-06-10 |
| 1225572662 | Katelynn Allen | Physical Therapist | 421 Miller Ave, Mill Valley, CA 94941 | 2016-12-05 |
| 1134591340 | Sheree Lyn Reed | Pharmacist | 800 Redwood Hwy, Frontage Rd #10, Mill Valley, CA 94941 | 2015-10-27 |
| 1235527904 | Sheila Francis Lynch | Social Worker | 33 Millwood Street, Suite #3, Mill Valley, CA 94941 | 2015-01-05 |
| 1790197580 | Linden Farrar Berry | Marriage & Family Therapist | 275 Miller Avenue, Mill Valley, CA 94941 | 2014-05-28 |
| 1073930343 | Eman Elmi | Podiatrist | 7 North Knoll Road Suite 3, Mill Valley, CA 94941 | 2014-03-25 |
| 1053657726 | Susan Pauly-o'neill | Nurse Practitioner | 750 Redwood Hwy Frontage Rd, Mill Valley, CA 94941 | 2012-12-27 |
| 1598049652 | John Deri | Psychiatry & Neurology | 10 Millwood Street, Suite #4, Mill Valley, CA 94941 | 2011-10-06 |
| Find all providers in zip 94941 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548773286 | Zand Dermatology Inc | Clinic/Center | 655 Redwood Hwy Frontage Rd Ste 246, Mill Valley, CA 94941-3055 | 2017-11-15 |
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| 1538767082 | County of Los Angeles | Clinic/Center | 6902 Atlantic Ave, Bell, CA 90201-3647 | 2020-10-15 |
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| 1639786189 | Rams Ppe | Clinic/Center | 15329 Bonanza Rd Ste D, Victorville, CA 92392-2457 | 2020-09-29 |
| 1720695729 | Vila Facial Plastic Surgery | Clinic/Center | 1000 S Eliseo Dr Ste 203, Greenbrae, CA 94904-2151 | 2020-09-24 |
| 1902410442 | Hope Elementary School District | Clinic/Center | 3970 La Colina Rd Ste 14, Santa Barbara, CA 93110-1596 | 2020-09-02 |
| 1558974097 | Jiseki Health Inc | Clinic/Center | 1150 S King Rd Ste 40, San Jose, CA 95122-2140 | 2020-08-25 |
| 1902417678 | I-ma Acupuncture Inc | Clinic/Center | 2485 High School Ave Ste 123, Concord, CA 94520-1812 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | MILL VALLEY |
| Zip Code | 94941 |
Please comment or provide details below to improve the information on K&M NEUROPSYCHOLOGY, A PSYCHOLOGY CORPORATION.
| 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.