DR. JULIE ANN DAGGETT (NPI# 1942447909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942447909 |
Entity Type | Individual |
Full Name | DR. JULIE ANN DAGGETT |
Credential | PH.D. |
Practice Address |
1411 Marsh St Ste. 104 San Luis Obispo CA 93401-2957 |
Practice Telephone | 8055471720 |
Practice Fax Number | 8055471720 |
Mailing Telephone | 8055471720 |
Mailing Fax Number | 8055471720 |
Enumeration Date | 2009-01-13 |
Last Update Date | 2009-01-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY18057 | CA | Behavioral Health & Social Service Providers |
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY18057 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023285749 | Julie Daggett | Case Manager/Care Coordinator | 1825 E Broadway St, Forrest City, AR 72335-3409 | 2008-05-12 |
Street Address |
1411 MARSH ST STE. 104 |
City | SAN LUIS OBISPO |
State | CA |
Zip Code | 93401-2957 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700951720 | Able Therapy Services | Specialist | 1411 Marsh St, Suite 107, San Luis Obispo, CA 93401-2957 | 2006-11-22 |
1831699560 | Michael Reynolds Harris | Marriage & Family Therapist | 1411 Marsh St, San Luis Obispo, CA 93401-2957 | 2018-02-19 |
1497280366 | Wellmind | Clinic/Center | 1411 Marsh St, Suite 108, San Luis Obispo, CA 93401-2957 | 2017-04-27 |
1134582299 | Taylor Foster Smith | Psychologist | 1411 Marsh St, Suite 106, San Luis Obispo, CA 93401-2957 | 2016-04-05 |
1407233869 | Kassandra Garcia | Marriage & Family Therapist | 1411 Marsh St, Suite 105, San Luis Obispo, CA 93401-2957 | 2015-05-05 |
1245629724 | Elise Marie Thompson | Counselor | 1411 Marsh St, Suite 105, San Luis Obispo, CA 93401-2957 | 2015-01-21 |
1225434913 | Anja B.c. Christie-johnson | Marriage & Family Therapist | 1411 Marsh St, Ste 103, San Luis Obispo, CA 93401 | 2014-11-07 |
1619209731 | Cindy Ann Stricklen | Marriage & Family Therapist | 1411 Marsh St, Suite 105, San Luis Obispo, CA 93401-2957 | 2010-02-01 |
1588838247 | Allen Doran | Psychiatry & Neurology | 1411 Marsh St, Suite 108, San Luis Obispo, CA 93401-2957 | 2008-04-14 |
1467623488 | Denan Yvonne Burke | Marriage & Family Therapist | 1411 Marsh St, #201, San Luis Obispo, CA 93401-2957 | 2008-03-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
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Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134582299 | Taylor Foster Smith | Psychologist | 1411 Marsh St, Suite 106, San Luis Obispo, CA 93401-2957 | 2016-04-05 |
1760510556 | Lisa Inez Sweatt | Psychologist | 1 Grand Ave, Cal Poly State Univ.,psychology & Child Dev. Department, San Luis Obispo, CA 93407-9000 | 2007-03-01 |
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City | SAN LUIS OBISPO |
Zip Code | 93401 |
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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.