DR. SUSAN PEPPERWOOD (NPI# 1780740266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780740266 |
| Entity Type | Individual |
| Full Name | DR. SUSAN PEPPERWOOD |
| Practice Address |
518 S School St # 102 Ukiah CA 95482-5479 |
| Practice Telephone | 7074624369 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY13479 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA PSYCHOLOGIST LICENSE | PSY13479 | 01 |
| Street Address |
518 S SCHOOL ST # 102 |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-5479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699876920 | Terrance Harold Kennedy | Social Worker | 518 S School St, Ste. 203, Ukiah, CA 95482-5479 | 2006-09-26 |
| 1811388580 | Iris Padgett | Counselor | 518 S School St, Ukiah, CA 95482-5479 | 2015-02-16 |
| 1710195540 | Teresa Wells | Psychologist | 518 S School St, Ukiah, CA 95482-5479 | 2007-05-17 |
| 1942348362 | Deborah L Jaynes | Marriage & Family Therapist | 518 S School St, Suite 201, Ukiah, CA 95482-5479 | 2007-02-01 |
| 1386790764 | Tom Fuller | Marriage & Family Therapist | 518 S School St, Ukiah, CA 95482-5479 | 2007-01-26 |
| 1790842524 | Vickie J Dwyer | Psychologist | 518 S School St, Ste 205, Ukiah, CA 95482-5479 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710195540 | Teresa Wells | Psychologist | 518 S School St, Ukiah, CA 95482-5479 | 2007-05-17 |
| 1932316957 | Mark Mario Cerri | Psychologist | 205 W Clay St, Ukiah, CA 95482-5452 | 2007-05-17 |
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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.