MICHAEL HORST FEDDERSEN (NPI# 1871710160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871710160 |
| Entity Type | Individual |
| Full Name | MICHAEL HORST FEDDERSEN |
| Credential | D.O. |
| Practice Address |
3433 Broadway St Suite B5 American Canyon CA 94503-1229 |
| Practice Telephone | 7075619005 |
| Mailing Telephone | 7075619005 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2017-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
20A9585 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MB07893600 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
3433 BROADWAY ST SUITE B5 |
| City | AMERICAN CANYON |
| State | CA |
| Zip Code | 94503-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477960466 | Derek Mcclure | Prosthetist | 3433 Broadway St, Ste. # B3, American Canyon, CA 94503-1229 | 2014-07-22 |
| 1831468057 | Sencare Inc | In Home Supportive Care | 3433 Broadway St, Suite B-1, American Canyon, CA 94503-1229 | 2011-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134540073 | Zhz-zhz Li Vasquz-z | Acupuncturist | 126 Tapestry Lane, American Canyon, CA 94503 | 2013-12-19 |
| 1649611781 | Barbara Perry | Social Worker | 101 W American Canyon Rd Ste 508-171, American Canyon, CA 94503 | 2013-07-16 |
| 1053694554 | Lucia J Mijares | Pharmacist | 127 Summerwood Drive, American Canyon, CA 94503 | 2011-09-21 |
| 1285771725 | Marichelle Montano Othman | Internal Medicine | 3431 Napa-vallejo Hwy, Suite A2, American Canyon, CA 94503 | 2007-02-01 |
| 1316091309 | Joanne P. Rivera | Dentist | 120 W. American Canyon Rd., Suite M-8, American Canyon, CA 94503 | 2007-01-23 |
| 1710075387 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 7011 Main St., American Canyon, CA 94503 | 2006-10-10 |
| 1225514870 | Faris Gheith | Behavior Technician | 120 Theresa Ave, American Canyon, CA 94503 | 2018-07-17 |
| 1922524693 | Melissa Lai | Physical Therapist | 3975 Old Redwood Hwy, Medical Office Building 5, Suite 152, Santa Rosa, CA 94503 | 2017-08-15 |
| 1598089013 | Stephen Gregory Rasmussen | Chiropractor | 100 West American Canyon Rd Ste - K6, American Canyon, CA 94503-1083 | 2010-03-26 |
| 1144693664 | Melissa Ann Dingler | Registered Nurse | 2 Melvin Rd, American Canyon, CA 94503-1102 | 2015-11-05 |
| Find all providers in zip 94503 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841420502 | Diane Joyce Sutton | Psychiatry & Neurology | 101 W American Canyon Rd # 508-396, American Canyon, CA 94503-1162 | 2009-07-15 |
| 1215195813 | Gerardo Baluyut Manansala | Psychiatry & Neurology | 30 Marsala Pl, American Canyon, CA 94503-3137 | 2008-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982054 | Joseph Ashimedua Modestus | Psychiatry & Neurology | 22433 South Vermont Ave, Apt 412, Torrance, CA 90502-9050 | 2020-11-03 |
| 1659970333 | Flatow Medical Corporation | Psychiatry & Neurology | 4840 Mindora Dr, Torrance, CA 90505-2140 | 2020-10-22 |
| 1053910158 | Open Mind Mental Health Inc | Psychiatry & Neurology | 5241 Alzeda Dr, La Mesa, CA 91941-5726 | 2020-10-20 |
| 1831705383 | Joel A Badeaux, Md, A Professional Corp | Psychiatry & Neurology | 2135 Park Dr, Los Angeles, CA 90026-1919 | 2020-09-21 |
| 1730794223 | Margarita Alonso Md LLC | Psychiatry & Neurology | 4401 Manchester Ave Ste 101, Encinitas, CA 92024-4938 | 2020-09-10 |
| 1760095673 | Dana Np: Advanced Practice Psychiatric Nursing, Inc. | Psychiatry & Neurology | 9801 Olympic Dr, Huntington Beach, CA 92646-4848 | 2020-08-29 |
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1326658204 | Michael Martyna | Psychiatry & Neurology | 401 Quarry Road, Room 2208, Stanford Neuropsychiatry Fellowship Program Department, Stanford, CA 94305-5723 | 2020-08-05 |
| 1568072767 | Capitol City Psychiatry | Psychiatry & Neurology | 300 Harding Blvd Ste 118, Roseville, CA 95678-2472 | 2020-08-03 |
| 1164031530 | Katherine Ann Valdivia | Psychiatry & Neurology | 710 Madison St # A, Watsonville, CA 95076-2702 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | AMERICAN CANYON |
| Zip Code | 94503 |
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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.