KATIE MARIE RUSSELL (NPI# 1881903383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881903383 |
| Entity Type | Individual |
| Full Name | KATIE MARIE RUSSELL |
| Practice Address |
3333 Chanate Rd Santa Rosa CA 95404-1707 |
| Practice Telephone | 7075654900 |
| Mailing Telephone | 7075654900 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2014-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | D8083452 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178705 | Katie Natale Russell | Social Worker | 6200 Rockside Woods Blvd N Ste 305, Independence, OH 44131-2343 | 2018-09-17 |
| 1710488390 | Katie Russell | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2018-02-28 |
| 1144423658 | Katie Sue Russell | Nurse Practitioner | 1028 Country Ln, Castroville, TX 78009-5027 | 2007-06-11 |
| 1588683064 | Katie Russell | Optometrist | 295 Buck Rd, Suite 114, Holland, PA 18966-1733 | 2006-07-18 |
| Street Address |
3333 CHANATE RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982678280 | Susan Milam Miller | Psychiatry & Neurology | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2006-02-14 |
| 1891207650 | Antonina Elizabeth Cutrufelli Selfridge | Counselor | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2017-11-01 |
| 1861942484 | Paul Tepper | Registered Nurse | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2016-10-06 |
| 1073061990 | Rachel Nicole Tretiakow | Licensed Vocational Nurse | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2016-09-20 |
| 1700237260 | Aysha Bhumbla | Counselor | 3333 Chanate Rd, Santa Rosa, CA 95404 | 2016-06-27 |
| 1750745808 | Linda Kaye Matteson | Counselor | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2016-04-05 |
| 1134587769 | Katrin Kelly | Counselor | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2016-02-10 |
| 1518345511 | Santa Rosa Community Health Centers | Clinic/Center | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2015-05-11 |
| 1497145882 | Rishi Chopra Nijhon | Marriage & Family Therapist | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2015-01-23 |
| 1841610086 | Michael Edward Taylor | Counselor | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2014-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093340440 | Sujey Arzeta | Behavioral Analyst | 1965 Zinfandel Ave Apt 201, Santa Rosa, CA 95403-7247 | 2020-03-05 |
| 1912564808 | Ceci Yazmin Godoy Barragan | Behavioral Analyst | 1316 Edwards Ave Apt A, Santa Rosa, CA 95401-4260 | 2019-05-25 |
| 1609432681 | Sarah Renee Briggs | Behavioral Analyst | 1721 Mesa Way, Santa Rosa, CA 95407-7141 | 2019-05-15 |
| 1619532439 | Marisol Aguirre | Behavioral Analyst | 737 Hewett St, Santa Rosa, CA 95401-5364 | 2019-05-07 |
| 1962066142 | Helen Gebretensai Gubsa | Behavioral Analyst | 8 Woodwardia Sq, Santa Rosa, CA 95409-5328 | 2019-04-23 |
| 1689133076 | Lattice Educational Services | Behavioral Analyst | 3273 Airway Dr Ste A, Santa Rosa, CA 95403-2080 | 2019-03-15 |
| 1033681267 | Ilany Prieto Altamirano | Behavioral Analyst | 2603 Northcoast St, Santa Rosa, CA 95403-3305 | 2018-12-28 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1063997856 | Taralyn Marie Kolster | Behavioral Analyst | 2001 Piner Rd Apt 148, Santa Rosa, CA 95403-6962 | 2018-09-27 |
| 1578047940 | Jenifer Catherine Hamilton | Behavioral Analyst | 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776 | 2018-09-20 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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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.