DR. REBECCA SABEN TIMME (NPI# 1780848325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780848325 |
Entity Type | Individual |
Full Name | DR. REBECCA SABEN TIMME |
Credential | D.O. |
Practice Address |
1150 N Mcdowell Blvd Unit 750724 Petaluma CA 94975-8808 |
Practice Telephone | 5103171444 |
Mailing Telephone | 5103171444 |
Enumeration Date | 2008-07-14 |
Last Update Date | 2018-11-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
12195 | CA | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
12195 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 30615058 | 05 |
Street Address |
1150 N MCDOWELL BLVD UNIT 750724 |
City | PETALUMA |
State | CA |
Zip Code | 94975-8808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083961932 | Susie Michelle King | Counselor | 1150 N Mcdowell Blvd, #751600, Petaluma, CA 94975-8800 | 2012-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144821752 | Pacific Advanced Surgical Services | Pain Medicine | 191 Lynch Creek Way Ste 101, Petaluma, CA 94954-2389 | 2020-11-02 |
1811596737 | Counseling Connections LLC | Counselor | 1301 Redwood Way Ste 223, Petaluma, CA 94954-1136 | 2020-10-21 |
1780282988 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 2891 I Street Ext, Petaluma, CA 94952-9521 | 2020-10-12 |
1427662584 | Sharmaine Marie Collier | Registered Nurse | 104 8th St Apt 1, Petaluma, CA 94952-4086 | 2020-09-04 |
1477167948 | Kate Kaliska Oliver | Massage Therapist | 238 Petaluma Way, Petaluma, CA 94954-1310 | 2020-09-02 |
1831703651 | Janese Smith | Massage Therapist | 506 Greenwich St, Petaluma, CA 94954-8541 | 2020-08-31 |
1720692577 | Muir Wood, LLC. | Substance Abuse Rehabilitation Facility | 1743 Skillman Lane, Petaluma, CA 94952-9495 | 2020-08-31 |
1992315451 | Michelle Patino | Registered Nurse | 615b 2nd St, Petaluma, CA 94952-5123 | 2020-08-08 |
1205445376 | Jing Cai | Technician | 616 Armida Dr, Petaluma, CA 94954-3710 | 2020-07-24 |
1669080446 | Meredith Elise Fore | Behavior Technician | 1301 Redwood Way Ste 120, Petaluma, CA 94954-1136 | 2020-07-17 |
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Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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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.