ENLOE MEDICAL CENTER (NPI# 1861814089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861814089 |
| Entity Type | Organization |
| Organization Name | ENLOE MEDICAL CENTER |
| Other Organization Name | ENLOE PALLIATIVE CARE |
| Practice Address |
1531 Esplanade Chico CA 95926-3310 |
| Mailing Address |
1531 Esplanade Attn: Finance Chico CA 95926-3310 |
| Practice Telephone | 5303327300 |
| Practice Fax Number | 5308936843 |
| Mailing Telephone | 5303327479 |
| Mailing Fax Number | 5308936853 |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | KEVIN WOODWARD (VP/CFO) |
| Authorized Official Telephone | 5303326733 |
| Is Organization Subpart | Y |
| Parent Organization Name | ENLOE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 230000027 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Enloe Behavioral Health | Doing Business As Name - Organization |
| Enloe Behavioral Health & Palliative Care | Doing Business As Name - Organization |
| Enloe Palliative Care | Doing Business As Name - Organization |
| Enloe Supportive and Palliative Care Service | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1390 E Lassen Ave, Chico, CA 959737823 | 5303325540 | |
| 560 Cohasset Rd, Chico, CA 959262281 | 5303325250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932750957 | Enloe Medical Center | Internal Medicine | 1430 Esplanade Ste 6, Chico, CA 95926-3366 | 2019-09-20 |
| 1255812780 | Enloe Medical Center | Obstetrics & Gynecology | 1425 Magnolia Ave, Chico, CA 95926-3226 | 2018-08-23 |
| 1073696100 | Enloe Medical Center | Psychiatric Unit | 560 Cohasset Rd, Chico, CA 95926-2212 | 2006-10-23 |
| 1225125602 | Enloe Medical Center | General Acute Care Hospital | 1390 E Lassen Ave, Chico, CA 95973-7823 | 2006-10-06 |
| 1720099328 | Enloe Medical Center | Internal Medicine | 185 E 7th Ave Ste A, Chico, CA 95926-3356 | 2006-08-10 |
| 1245240654 | Enloe Medical Center | General Acute Care Hospital | 7883 State Highway 99e, Los Molinos, CA 96055-9782 | 2006-08-08 |
| 1902459829 | Enloe Medical Center | Skilled Nursing Facility | 340 W East Ave, Chico, CA 95926-7238 | 2019-07-19 |
| 1164885604 | Enloe Medical Center | Surgery | 1026 Mangrove Ave Ste 10, Chico, CA 95926-3556 | 2016-04-01 |
| 1366830507 | Enloe Medical Center | Psychiatry & Neurology | 1421 Magnolia Ave, Chico, CA 95926-3226 | 2014-12-22 |
| 1972905503 | Enloe Medical Center | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2014-09-26 |
| Street Address |
1531 ESPLANADE |
| City | CHICO |
| State | CA |
| Zip Code | 95926-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982696571 | Edgar Otto Vyhmeister | Orthopaedic Surgery | 1531 Esplanade, Chico, CA 95926-3310 | 2005-08-19 |
| 1174120836 | Alexandra Lynn Watts | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926-3310 | 2020-10-06 |
| 1336785096 | Jeannette Marian Mutch Teesdale | Physician Assistant | 1531 Esplanade, Chico, CA 95926-3310 | 2019-11-18 |
| 1205480639 | Shannon Marie Haller-baker | Physician Assistant | 1531 Esplanade, Chico, CA 95926-3310 | 2019-07-24 |
| 1386297331 | Andrew Adam Lee | Clinical Nurse Specialist | 1531 Esplanade, Chico, CA 95926-3310 | 2019-07-18 |
| 1710539333 | Elizabeth Joanne Seaman | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926-3310 | 2019-07-13 |
| 1265094684 | Patricia Carol Paddock | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926-3310 | 2019-07-05 |
| 1518439553 | Kelsey Lynn Micone | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926-3310 | 2018-12-31 |
| 1417448838 | Richelle Candace Wildey | Physician Assistant | 1531 Esplanade, Chico, CA 95926-3310 | 2018-05-21 |
| 1972022465 | Amber Rose Keenan | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926 | 2017-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952655631 | Kay Ellen Gallegos | Psychologist | 2260 Saint George Ln Ste 2, Chico, CA 95926-1311 | 2012-11-02 |
| 1255471264 | James Howard Farmer IIi | Psychologist | 20 Sweetbriar Dr, Chico, CA 95973-9732 | 2007-02-07 |
| 1700988540 | Leonard Neil Matheson | Psychologist | 48 Hanover Ln, Chico, CA 95973-7224 | 2006-09-02 |
| 1942219910 | Jennifer Joy Kennelly | Psychologist | 2571 California Park Dr, Suite 210, Chico, CA 95928 | 2006-08-07 |
| 1053925057 | Gabrielle Banathy | Psychologist | 572 Rio Lindo Ave, Chico, CA 95926-1851 | 2020-09-07 |
| 1831550227 | Chico Center for Cognitive Behavior Therapy | Psychologist | 341 Broadway St, Ste 414, Chico, CA 95928-5342 | 2016-03-11 |
| 1134543127 | Georgina E Maltby | Psychologist | 48 Hanover Ln, Suite 2, Chico, CA 95973-7224 | 2014-02-11 |
| 1932452984 | Alicia Rueda | Psychologist | 280 Cohasset Rd, Chico, CA 95926-2210 | 2012-10-16 |
| 1528323359 | Lauri Green | Psychologist | 3255 Esplanade, Chico, CA 95973-0255 | 2012-07-09 |
| 1285931857 | Sesha Elaina Zinn | Psychologist | 109 Parmac Rd, Suite 1, Chico, CA 95926-2294 | 2011-02-17 |
| Find all providers in CHICO | ||||
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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.