BETHANY KLIM (NPI# 1770754277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770754277 |
Entity Type | Individual |
Full Name | BETHANY KLIM |
Practice Address |
4330 Auburn Blvd Ste 2200 Sacramento CA 95841-4167 |
Mailing Address |
1554 Oneida St Appleton WI 54915-7025 |
Practice Telephone | 9164735764 |
Mailing Telephone | 9206360278 |
Enumeration Date | 2008-03-12 |
Last Update Date | 2018-01-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
1631 | AL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 14176331 | 05 |
Street Address |
4330 AUBURN BLVD STE 2200 |
City | SACRAMENTO |
State | CA |
Zip Code | 95841-4167 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972708642 | Melanie Nicole Hale | Counselor | 4330 Auburn Blvd, Suite 2200, Sacramento, CA 95841-4167 | 2007-06-20 |
1780837658 | Merille Campbell Glover | Marriage & Family Therapist | 4330 Auburn Blvd, Ste. 2200, Sacramento, CA 95841-4167 | 2008-10-23 |
1750533451 | Angela Marie Corrigan | Counselor | 4330 Auburn Blvd, Sacramento, CA 95841-4167 | 2008-10-14 |
1669622924 | Steven Scott Macgregor | Counselor | 4330 Auburn Blvd, Sacramento, CA 95841-4167 | 2008-09-23 |
1396907671 | Daniel Ferron Wilsey | Counselor | 4330 Auburn Blvd, Suite 2200, Sacramento, CA 95841-4167 | 2008-06-27 |
1720254253 | Christina Marie Grimm | Counselor | 4330 Auburn Blvd, 2220, Sacramento, CA 95841-4167 | 2008-05-05 |
1326230400 | Jennifer Nicole Whited | Counselor | 4330 Auburn Blvd, Suite 2200, Sacramento, CA 95841-4167 | 2007-08-13 |
1285831941 | Naticia Marie Bryson | Counselor | 4330 Auburn Blvd, Suite 2200, Sacramento, CA 95841-4167 | 2007-06-27 |
1265638761 | Cheryl Anne Robertson | Counselor | 4330 Auburn Blvd, St. 2200, Sacramento, CA 95841-4167 | 2007-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942794359 | Paris D Oceguera Torres | Behavior Technician | 5000 Auburn Blvd, Sacramento Maxim Healthcare, CA 95841 | 2018-06-19 |
1386196228 | Always Connected Incorporated | Community/Behavioral Health | 4738 Auburn Boulevard Suite 100, Sacramento, CA 95841 | 2016-10-26 |
1538619077 | Hashim Alhaidari | Pharmacist | 5002 Greenberry Drive, Sacramento, CA 95841 | 2016-10-08 |
1346588480 | Ucp of Sacramento and Northern California | Community/Behavioral Health | 4350 Auburn Blvd., Sacramento, CA 95841 | 2013-01-24 |
1962778639 | Mandi Elizabeth Mcbride | Counselor | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2012-03-28 |
1144595976 | Jesse John Echavarria | Counselor | 4441auburn Bvld, Suite E, Sacramento, CA 95841 | 2012-03-13 |
1780994269 | Jessica Hernandez | Behavioral Analyst | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2010-10-18 |
1386958262 | Altha Marie Gray-wilson | Counselor | 4141 Auburn Blvd, Sacramento, CA 95841 | 2010-08-03 |
1780900795 | Cynthia Jeanette Keeth | Counselor | 4441 Auburn Blvd., Suite E, Sacramento, CA 95841 | 2010-04-15 |
1104073121 | Ellen Mark | Dentist | 6399 Garfield Ave, Suite 150, Sacramento, CA 95841 | 2008-08-20 |
Find all providers in zip 95841 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821608613 | Emily Fortney | Psychologist | 5960 S Land Park Dr # 1194, Sacramento, CA 95822-3313 | 2020-08-06 |
1750916177 | Assessment and Development Center of Sacramento | Psychologist | 1555 River Park Dr Ste 103, Sacramento, CA 95815-4603 | 2020-03-05 |
1376009068 | Alexis Piciucco | Psychologist | 9700 Business Park Dr Ste 207, Sacramento, CA 95827-1717 | 2019-02-18 |
1235625765 | John Alan Foster | Psychologist | 8943 Twin Falls Dr, Sacramento, CA 95826-2136 | 2018-07-09 |
1447609995 | Susan Mendez | Psychologist | 1453 45th St, Sacramento, CA 95819-4137 | 2016-06-06 |
1881065993 | Tara Cryderman | Psychologist | 2801 57th St, Sacramento, CA 95817-2403 | 2015-10-14 |
1194122069 | Satinder Gill | Psychologist | 4701 X St Ste E, Sacramento, CA 95817-2219 | 2014-11-20 |
1093119489 | Robert Alexander Prentice | Psychologist | 2228 Murieta Way, Sacramento, CA 95822-2851 | 2014-10-14 |
1407284516 | Christina Nicole Spragg | Psychologist | 2109 J St, Suite # 201, Sacramento, CA 95816-4709 | 2013-10-29 |
1891128062 | Sarvenaz Sepehri | Psychologist | 601 University Ave Ste 144, Sacramento, CA 95825-6706 | 2013-08-12 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95841 |
Please comment or provide details below to improve the information on BETHANY KLIM.
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.