CHARLES KODIMER PHD AND ASSOCIATES (NPI# 1891749727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891749727 |
| Entity Type | Organization |
| Organization Name | CHARLES KODIMER PHD AND ASSOCIATES |
| Practice Address |
10927 Downey Ave Ste C Downey CA 90241-3739 |
| Mailing Address |
41934 Main St Ste 203 Temecula CA 92590-2714 |
| Practice Telephone | 5628616180 |
| Mailing Telephone | 5628616180 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHARLES KODIMER (OWNER) |
| Authorized Official Telephone | 5628616180 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 6629 | CA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | MFC 6318 | CA | Behavioral Health & Social Service Providers |
| X | 103G00000X | Clinical Neuropsychologist | PSY 6629 | CA | Behavioral Health & Social Service Providers |
| Street Address |
10927 DOWNEY AVE STE C |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-3739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669029559 | Stacelyn Nicole Cervantes | Marriage & Family Therapist | 10927 Downey Ave Ste C, Downey, CA 90241-3739 | 2019-08-24 |
| 1023040599 | Charles Kodimer | Clinical Neuropsychologist | 10927 Downey Ave Ste C, Downey, CA 90241-3739 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| Find all providers in zip 90241 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033399225 | Rosa Maria Villalpando | Psychologist | 9911 Paramount Blvd # 190, Downey, CA 90240-3856 | 2007-11-06 |
| 1902001126 | Elvira C. Walker | Psychologist | 8141 2nd St, Suite #525, Downey, CA 90241-3629 | 2007-06-18 |
| 1598889230 | Alan A. Modarressi | Psychologist | 10800 Paramount Blvd Ste 202, Downey, CA 90241-3317 | 2007-03-19 |
| 1215019393 | Gerald Fred Barba | Psychologist | 9449 E. Imperial Highway, Suite 206, Downey, CA 90242 | 2006-10-19 |
| 1891785721 | Joel Robert Sunkin | Psychologist | 8301 Florence Ave, Downey, CA 90240-3936 | 2005-10-22 |
| 1497023428 | Virginia Zuverza-chavarria | Psychologist | 7601 Imperial Hwy, Hb Room 226, Downey, CA 90242-3456 | 2011-12-05 |
| 1396073052 | Lisa P Dow | Psychologist | 9353 Imperial Hwy, Downey, CA 90242-2812 | 2009-11-18 |
| 1619024239 | Kary Vuonglan To | Psychologist | 7285 Quill Dr, Downey, CA 90242-2001 | 2007-01-04 |
| 1376613778 | April Iuli | Psychologist | 7285 Quill Dr, Downey, CA 90242-2001 | 2006-11-09 |
| 1346311792 | Linda Mae Richardson | Psychologist | 7285 Quill Dr, Downey, CA 90242-2001 | 2006-11-09 |
| Find all providers in DOWNEY | ||||
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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.