DR. KALA ANNAMBHOTLA (NPI# 1790840510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790840510 |
| Entity Type | Individual |
| Full Name | DR. KALA ANNAMBHOTLA |
| Credential | PH.D. |
| Practice Address |
430 N Tucson Blvd Tucson AZ 85716-4745 |
| Mailing Address |
3938 E Grant Rd # 212 Tucson AZ 85712-2559 |
| Practice Telephone | 5203254837 |
| Practice Fax Number | 5203233739 |
| Mailing Telephone | 5203345960 |
| Mailing Fax Number | 5203233739 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2014-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3452 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
430 N TUCSON BLVD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85716-4745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902911373 | Damian R Parkinson | Psychiatry & Neurology | 430 N Tucson Blvd, Tucson, AZ 85716-4745 | 2006-08-19 |
| 1629461421 | J. Michael Morgan, Ph.d., P.C. | Psychologist | 430 N Tucson Blvd, Tucson, AZ 85716-4745 | 2015-03-18 |
| 1598029589 | Violet Heise | Psychologist | 430 N Tucson Blvd, Tucson, AZ 85716-4745 | 2012-06-25 |
| 1821350927 | L. Ann Farnsworth | Psychologist | 430 N Tucson Blvd, Tucson, AZ 85716-4745 | 2012-06-13 |
| 1992945455 | Damian Parkinson Md | Psychiatry & Neurology | 430 N Tucson Blvd, Tucson, AZ 85716-4745 | 2009-02-24 |
| 1013195528 | Shawnee Inez | Social Worker | 430 N Tucson Blvd, Tucson, AZ 85716-4745 | 2008-02-06 |
| 1255539078 | J. Michael Morgan | Psychologist | 430 N Tucson Blvd, Tucson, AZ 85716-4745 | 2007-07-03 |
| 1871670075 | Denise Winsky | Psychologist | 430 N Tucson Blvd, Tucson, AZ 85716-4745 | 2006-11-01 |
| 1588752125 | Herschel David Rosenzweig | Psychiatry & Neurology | 430 N Tucson Blvd, Tucson, AZ 85716 | 2006-10-10 |
| 1538260419 | Ronald Sigmund David | Psychiatry & Neurology | 430 N Tucson Blvd, Tucson, AZ 85716-4745 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
| 1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
| 1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
| 1063923787 | Intermountain Health Center, Inc. | Clinic/Center | 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 | 2017-10-20 |
| 1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
| 1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
| 1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
| 1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
| Find all providers in zip 85716 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173447 | Antonia Marie Garcia | Psychologist | 6262 N Swan Rd Ste 160, Tucson, AZ 85718-3636 | 2020-10-29 |
| 1164031100 | Karina Fleming | Psychologist | 1173 S Coyote Summit Pl, Tucson, AZ 85745-0003 | 2020-07-27 |
| 1063043776 | John R. Corbett | Psychologist | 4421 E Havasu Rd, Tucson, AZ 85718-2519 | 2020-01-31 |
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1992262984 | Joel Gaffney | Psychologist | Campus Health Service 1224 E Lowell St Bldg 95, Tucson, AZ 85721-0095 | 2019-02-26 |
| 1326541905 | Anne Markey Bowen | Psychologist | 3956 W Bar Ranch Dr, Tucson, AZ 85745-9260 | 2018-03-09 |
| 1629595210 | Caroline Pyevich | Psychologist | 7743 E Cleary Way, Tucson, AZ 85715-3734 | 2017-08-24 |
| 1023460235 | Emily Tudor Strang | Psychologist | 2525 E Broadway Blvd, Tucson, AZ 85716-5398 | 2016-07-12 |
| 1730563115 | Joseph Benach | Psychologist | 4625 E Broadway Blvd Ste 108, Tucson, AZ 85711-3575 | 2015-07-15 |
| 1114306917 | Tucson Concussion Center LLC | Psychologist | 5199 E Farness Dr, Suite 101, Tucson, AZ 85712-2134 | 2015-05-26 |
| Find all providers in TUCSON | ||||
Please comment or provide details below to improve the information on DR. KALA ANNAMBHOTLA.
| 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.