MRS. THERESA WAGNER KENNEDY (NPI# 1952431678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952431678 |
| Entity Type | Individual |
| Full Name | MRS. THERESA WAGNER KENNEDY |
| Credential | LCSW |
| Practice Address |
40459 Hwy 41 Ste 5 Oakhurst CA 93644 |
| Mailing Address |
Po Box 1667 Oakhurst CA 93644 |
| Practice Telephone | 5596833657 |
| Practice Fax Number | 5596420673 |
| Mailing Telephone | 5596833657 |
| Mailing Fax Number | 5596420673 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LCS10602 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073718334 | Theresa Ann Redondo Kennedy | Social Worker | 2425 Enborg Ln, San Jose, CA 95128-2648 | 2007-06-18 |
| 1134335243 | Theresa Kennedy | Counselor | 300 Centerville Rd, Suite 301-s, Warwick, RI 02886-0200 | 2007-05-15 |
| 1316016892 | Theresa Ann Kennedy | Nurse Practitioner | 75 Francis St, Boston, MA 02115-6110 | 2006-11-07 |
| 1285728550 | Theresa Ann Kennedy | Social Worker | 1115 Ironwood Drive, Coeur D Alene, ID 83814-4936 | 2006-10-03 |
| 1568571115 | Theresa Paige Kennedy | Optometrist | 8089 Highway 72 W, Suite A, Madison, AL 35758-9530 | 2006-08-29 |
| Street Address |
40459 HWY 41 STE 5 |
| City | OAKHURST |
| State | CA |
| Zip Code | 93644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306466917 | Kalyani Pande | Speech-Language Pathologist | 40131 Ca-49, Oakhurst, CA 93644 | 2020-04-23 |
| 1669876645 | Tammy Frost | Physician Assistant | 49169 Rd 426, Oakhurst, CA 93644 | 2014-10-20 |
| 1215281811 | Cherie Nash-smith | Pharmacist | 40044 Ca-49, Oakhurst, CA 93644 | 2012-11-04 |
| 1821362930 | Jeffrey J Barigian Md Inc | Family Medicine | 40108 Hwy 49, Suite C, Oakhurst, CA 93644 | 2012-03-07 |
| 1992923312 | Sherry Lynn Lewis | Social Worker | 49774 Road 426, Suite D, Oakhurst, CA 93644 | 2007-04-23 |
| 1316162043 | Gloria Jean Garland | Acupuncturist | 49722 Crane Valley Road #101, Oakhurst, CA 93644 | 2007-04-16 |
| 1487770087 | Mary Viola Herrmann | Marriage & Family Therapist | 40459 Highway 41, Ste 7, Oakhurst, CA 93644 | 2007-03-22 |
| 1205950839 | Robert J Brosi, Dds | Dentist | 49414 Road 426, Oakhurst, CA 93644 | 2007-03-19 |
| 1629151063 | Lori Denise Mclean | Physical Therapist | 39930 Sierra Way, Suite A, Oakhurst, CA 93644 | 2006-10-21 |
| 1508872623 | Kelly Renee Fine | Physical Therapist | 48677 Victoria Lane, Ste 101, Oakhurst, CA 93644 | 2006-07-31 |
| Find all providers in zip 93644 | ||||
| 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 |
|---|---|---|---|---|
| 1154445344 | Sharon R Kamm | Psychologist | 257 Monmouth Rd Ste 5a, Oakhurst, NJ 07755-1501 | 2007-03-16 |
| 1487958229 | Bradley Norlander | Psychologist | 49370 Road 426 Ste B, Oakhurst, CA 93644-9052 | 2011-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306690 | Eileen Kay Laughman | Psychologist | 24545 Town Center Dr Apt 5406, Valencia, CA 91355-1397 | 2020-11-08 |
| 1194324954 | Rachel Charman | Psychologist | 1001 Dove St Ste 110, Newport Beach, CA 92660-2845 | 2020-10-22 |
| 1700485760 | Melissa Ernestine Munoz | Psychologist | 353 H St # 1517, Chula Vista, CA 91910-5501 | 2020-10-21 |
| 1235737669 | Maha Nasrallah-babenko | Psychologist | 33442 Valley View Ct, Dana Point, CA 92629-1515 | 2020-10-16 |
| 1689272544 | Kaleidoscope Solutions Family Therapy | Psychologist | 25876 The Old Road, #85, Stevenson Ranch, CA 91381 | 2020-10-13 |
| 1992302814 | Sheena Gill | Psychologist | 2501 E Chapman Ave Ste 265, Fullerton, CA 92831-3108 | 2020-10-04 |
| 1255948600 | Kesha Patrice | Psychologist | 939 Ellis St, San Francisco, CA 94109-7714 | 2020-09-29 |
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1376159541 | Jill Caryn Campbell | Psychologist | 342 Ocho Rios Way, Oak Park, CA 91377-5541 | 2020-09-22 |
| 1225644487 | Brock Louis Pistel | Psychologist | 939 Ellis St Fl 67, San Francisco, CA 94109-7714 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
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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.