DR. LAURA MAGDALEN TULLY (NPI# 1912332107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912332107 |
| Entity Type | Individual |
| Full Name | DR. LAURA MAGDALEN TULLY |
| Credential | PHD |
| Practice Address |
4701 X St Uc Davis Imaging Research Center Sacramento CA 95817-2219 |
| Practice Telephone | 9167347927 |
| Mailing Telephone | 9167347927 |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 10300000X | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710272687 | Laura Dyann Tully | Psychiatry & Neurology | 490 Post St Ste 1043, San Francisco, CA 94102-1301 | 2011-06-18 |
| 1871883066 | Laura Jill Tully | Otolaryngology | 31 S Stanfield Rd Ste 304, Troy, OH 45373-2334 | 2011-04-09 |
| Street Address |
4701 X ST UC DAVIS IMAGING RESEARCH CENTER |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609330612 | Rachel Sunah Suk | Case Manager/Care Coordinator | 4701 X St, Sacramento, CA 95817-2219 | 2019-01-23 |
| 1073023057 | Sarah Gobrial | Case Manager/Care Coordinator | 4701 X St, Sacramento, CA 95817-2219 | 2017-10-04 |
| 1881137487 | Adi Rosenthal | Case Manager/Care Coordinator | 4701 X St, Sacramento, CA 95817-2219 | 2016-11-30 |
| 1912389883 | Katherine M Pierce | Case Manager/Care Coordinator | 4701 X St, Sacramento, CA 95817-2219 | 2015-06-26 |
| 1225443971 | Kathleen Burch | Case Manager/Care Coordinator | 4701 X St, Sacramento, CA 95817-2219 | 2014-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| 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 |
|---|---|---|---|---|
| 1669098885 | Alexander Laszlo Peterkin | Psychologist | 4500 Truxel Rd Apt 834, Sacramento, CA 95834-3739 | 2020-06-23 |
| 1548881667 | Jene Edwards | Psychologist | 3090 Fite Cir Ste 102, Sacramento, CA 95827-1810 | 2020-04-29 |
| 1215597968 | Kaitlyn Hoitomt | Psychologist | 3331 Power Inn Rd # 140, Sacramento, CA 95826-3889 | 2019-06-15 |
| 1215452925 | Tiffany Chang | Psychologist | 1500 W El Camino Ave # 420, Sacramento, CA 95833-1945 | 2017-08-03 |
| 1699220046 | Kira Christensen | Psychologist | 3630 Winding Creek Rd, Sacramento, CA 95864-1531 | 2016-08-15 |
| 1932565769 | First Love Yourself Inc. | Psychologist | 3425 1st Ave, Apartment 4, Sacramento, CA 95817-2034 | 2016-01-09 |
| 1649682469 | Walter (rusty) Wallace Otto | Psychologist | 1970 University Park Drive, Sacramento, CA 95825 | 2014-05-28 |
| 1154763936 | Jonathan Preiss | Psychologist | 801 Alhambra Blvd Ste 2b, Sacramento, CA 95816-4432 | 2013-07-22 |
| 1700165016 | Donald Lawrence Salz | Psychologist | 2540 Land Park Dr, Sacramento, CA 95818-2244 | 2011-08-04 |
| 1417249269 | Clary Tepper | Psychologist | 2509 Capitol Avenue, Sacramento, CA 95816 | 2011-05-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.