KIM ANN CORNISH (NPI# 1922176551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922176551 |
| Entity Type | Individual |
| Full Name | KIM ANN CORNISH |
| Credential | PH.D. |
| Practice Address |
8788 Elk Grove Blvd. Bldg. 2, Ste F Elk Grove CA 95624 |
| Mailing Address |
8698 Elk Grove Blvd. Suite 1, Pmb 170 Elk Grove CA 95624 |
| Practice Telephone | 5305141066 |
| Practice Fax Number | 9166873140 |
| Mailing Telephone | 5305141066 |
| Mailing Fax Number | 9166873140 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY18648 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8920 Emerald Park Dr, Suite I, Elk Grove, CA 956242380 | 5305141066 | 9165099502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631961 | Kim Yevette Cornish | Nurse's Aide | 909 New Jersey Ave Se Apt 315, Washington, DC 20003-5304 | 2019-10-22 |
| Street Address |
8788 ELK GROVE BLVD. BLDG. 2, STE F |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750815916 | Denise Maria Sanchez | Counselor | 8788 Elk Grove Blvd., Elk Grove, CA 95624-1768 | 2017-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1134686041 | Hannah Marie Hamm | Behavior Technician | 9701 Dino Drive, Suite 170, Elk Grove, CA 95624 | 2019-02-27 |
| 1538624259 | Amnah Sattar | Assistant Behavior Analyst | 9701 Dino Dr, Elk Grove, CA 95624 | 2019-02-06 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1598285595 | Jessica Russo | Behavior Technician | 8672 Cycladic Ct, Elk Grove, CA 95624 | 2017-06-21 |
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1154878742 | Dorian Elaine Buckner | Counselor | 9355 E. Stockton Blvd., Elk Grove, CA 95624 | 2016-09-01 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
| 1942698253 | Noah Shapiro | Social Worker | 9140 Bradshaw Rd, Elf Grove, CA 95624 | 2015-01-08 |
| Find all providers in zip 95624 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316346489 | Deana Rogers | Psychologist | 9272 Laguna Springs Dr Ste 301, Elk Grove, CA 95758-7947 | 2014-08-14 |
| 1396168936 | Amber Carda | Psychologist | 9621 Graphite Way, Elk Grove, CA 95624-4451 | 2014-02-03 |
| 1215099163 | Kenneth Emerson Rogers | Psychologist | 9324 W Stockton Blvd, Elk Grove, CA 95758-8012 | 2006-12-15 |
| 1326125014 | Pritam K. Babrah | Psychologist | 8841 Williamson Dr, Suite 20, Elk Grove, CA 95624-1800 | 2006-11-01 |
| 1730640194 | Xiaolong Li | Psychologist | 9324 W Stockton Blvd, Elk Grove, CA 95758-8012 | 2019-03-28 |
| 1932532884 | David Leidner | Psychologist | 9272 Laguna Springs Dr, Elk Grove, CA 95758-7947 | 2013-08-14 |
| 1588905335 | Corey M Scheidegger | Psychologist | 9272 Laguna Springs Dr, Elk Grove, CA 95758-7947 | 2013-03-04 |
| 1861710675 | David Lawrence Fontes | Psychologist | 8841 Williamson Dr, Suite 40, Elk Grove, CA 95624-1800 | 2010-05-04 |
| 1770704223 | Katrina L Cady | Psychologist | 9201 Big Horn Blvd, Psychiatry, Elk Grove, CA 95758-1240 | 2007-05-01 |
| 1578609293 | Dennis Baird Mccracken | Psychologist | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 | 2007-01-29 |
| Find all providers in ELK GROVE | ||||
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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.