DR. DONALD WAYNE FENNELL (NPI# 1770652828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770652828 |
| Entity Type | Individual |
| Full Name | DR. DONALD WAYNE FENNELL |
| Credential | M.D. |
| Practice Address |
716 Lighthouse Ave Suite D-1 Pacific Grove CA 93950-2565 |
| Practice Telephone | 8316553392 |
| Practice Fax Number | 8316477940 |
| Mailing Telephone | 8316553392 |
| Mailing Fax Number | 8316477940 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G55422 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
716 LIGHTHOUSE AVE SUITE D-1 |
| City | PACIFIC GROVE |
| State | CA |
| Zip Code | 93950-2565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659403624 | Charlotte A. Sky | Psychologist | 716 Lighthouse Ave, Ste D, Pacific Grove, CA 93950-2567 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588167878 | Joseph C. Hutchinson Jr. | Massage Therapist | 505 Lighthouse Ave. (#104) Ca, Suite # 104, Pacific Grove, CA 93950 | 2018-03-13 |
| 1306274956 | Katherine Hoops | Speech-Language Pathologist | 170 17th St Ste B, Pacific Grove, CA 93950 | 2013-10-17 |
| 1568896918 | Dr Li Liu Acupuncture & Herbal Medicine | Acupuncturist | 311 Forest Ave., Suite B-2, Pacific Grove, CA 93950 | 2013-08-21 |
| 1417298811 | Sibyl Knight | Neuromusculoskeletal Medicine & OMM | 199 17th St Ste J, Pacific Grove, CA 93950 | 2013-03-09 |
| 1417224395 | David J Banks | Pharmacist | 1212 Forest Avenue, Pacific Grove, CA 93950 | 2011-11-21 |
| 1558643346 | Carolyn Bloye | Counselor | 207 16th St Ste 314, Pacific Grove, CA 93950 | 2011-09-16 |
| 1821327248 | David Craig Wright | Internal Medicine | 510 Lighthouse Ave Ste 6, Pacific Grove, CA 93950 | 2009-12-14 |
| 1558512350 | Rachel Evelyn Amerault | Counselor | 951 Blanco Cr Ste B, Salinas, CA 93950 | 2008-10-10 |
| 1629237664 | David Randall Simonds | Marriage & Family Therapist | 621 Forest Avenue, Pacific Grove, CA 93950 | 2008-06-05 |
| 1942410311 | Barbara Carroll Robinson | Marriage & Family Therapist | 311c Forest Ave, Pacific Grove, CA 93950 | 2007-05-23 |
| Find all providers in zip 93950 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588868012 | Nicole Asselborn | Psychiatry & Neurology | 621 Forest Ave, Pacific Grove, CA 93950-4264 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982054 | Joseph Ashimedua Modestus | Psychiatry & Neurology | 22433 South Vermont Ave, Apt 412, Torrance, CA 90502-9050 | 2020-11-03 |
| 1659970333 | Flatow Medical Corporation | Psychiatry & Neurology | 4840 Mindora Dr, Torrance, CA 90505-2140 | 2020-10-22 |
| 1053910158 | Open Mind Mental Health Inc | Psychiatry & Neurology | 5241 Alzeda Dr, La Mesa, CA 91941-5726 | 2020-10-20 |
| 1831705383 | Joel A Badeaux, Md, A Professional Corp | Psychiatry & Neurology | 2135 Park Dr, Los Angeles, CA 90026-1919 | 2020-09-21 |
| 1730794223 | Margarita Alonso Md LLC | Psychiatry & Neurology | 4401 Manchester Ave Ste 101, Encinitas, CA 92024-4938 | 2020-09-10 |
| 1760095673 | Dana Np: Advanced Practice Psychiatric Nursing, Inc. | Psychiatry & Neurology | 9801 Olympic Dr, Huntington Beach, CA 92646-4848 | 2020-08-29 |
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1326658204 | Michael Martyna | Psychiatry & Neurology | 401 Quarry Road, Room 2208, Stanford Neuropsychiatry Fellowship Program Department, Stanford, CA 94305-5723 | 2020-08-05 |
| 1568072767 | Capitol City Psychiatry | Psychiatry & Neurology | 300 Harding Blvd Ste 118, Roseville, CA 95678-2472 | 2020-08-03 |
| 1164031530 | Katherine Ann Valdivia | Psychiatry & Neurology | 710 Madison St # A, Watsonville, CA 95076-2702 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | PACIFIC GROVE |
| Zip Code | 93950 |
Please comment or provide details below to improve the information on DR. DONALD WAYNE FENNELL.
| 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.