DR. REBECCA MELODY LEIB (NPI# 1770659906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770659906 |
Entity Type | Individual |
Full Name | DR. REBECCA MELODY LEIB |
Credential | PH.D. |
Practice Address |
6216a Highway 9 Felton CA 95018-9713 |
Practice Telephone | 8314195699 |
Mailing Telephone | 8314195699 |
Enumeration Date | 2006-11-28 |
Last Update Date | 2009-01-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
22164 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | UNICARE ID | 41816 | 01 |
Street Address |
6216A HIGHWAY 9 |
City | FELTON |
State | CA |
Zip Code | 95018-9713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205947116 | Erin Oshaughnessy | Marriage & Family Therapist | 386 River Rd, Felton, CA 95018 | 2006-08-31 |
1134207210 | Dale C. Dallas | Psychiatry & Neurology | 6265 Highway 9, Felton, CA 95018-3909 | 2006-11-02 |
1659427920 | Carolyn Ann Farrell | Marriage & Family Therapist | 6216 B Highway, Suite G, Felton, CA 95018-4058 | 2007-01-26 |
1699782532 | Viki Markham | Marriage & Family Therapist | 59 Woodmill Ln, Felton, CA 95018-8711 | 2006-08-02 |
1043406945 | Alison Jane Mccabe | Marriage & Family Therapist | 59 Woodmill Ln, Felton, CA 95018-8711 | 2007-09-25 |
1083848428 | Linda Ann Wintrode | Registered Nurse | 382 West Dr, Felton, CA 95018-8925 | 2009-05-13 |
1003345984 | Elisabeth Powell | Psychologist | 10985 Sequoia Ave, Felton, CA 95018-8930 | 2017-06-05 |
1740693126 | Melissa L Schrum | Marriage & Family Therapist | 620 Knoll Way, Felton, CA 95018-8990 | 2014-06-03 |
1992355911 | Evolution Support Services, LLC | Community/Behavioral Health | 9344 E Zayante Rd, Felton, CA 95018-9017 | 2019-09-12 |
1811193261 | Gwen Colleen Westphal Chiaramonte | Social Worker | 10065 E Zayante Rd, Felton, CA 95018-9032 | 2007-06-22 |
Find all providers in zip 95018 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
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1003478405 | Melissa Berrenge-browde | Psychologist | 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 | 2019-07-05 |
1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
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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.