LUCINDA ANN FABRY (NPI# 1982759239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982759239 |
| Entity Type | Individual |
| Full Name | LUCINDA ANN FABRY |
| Other Name | LUCINDA BENNETT |
| Credential | PSY 20776 |
| Practice Address |
104 Walnut Ave Ste 208 Santa Cruz CA 95060-3929 |
| Mailing Address |
3054 Arlington Dr Aptos CA 95003 |
| Practice Telephone | 8314231532 |
| Practice Fax Number | 8314231532 |
| Mailing Telephone | 8314239444 |
| Mailing Fax Number | 8314231532 |
| Enumeration Date | 2007-01-25 |
| 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 | PSY20776 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSYCHOLOGIST LICENCE NUMB | PSY20776 | 01 |
| Street Address |
104 WALNUT AVE STE 208 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730255860 | Rina Weingold | Counselor | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2006-11-28 |
| 1649803214 | Micah Hammond | Counselor | 104 Walnut Ave, Santa Cruz, CA 95060-3900 | 2020-02-21 |
| 1780196147 | Sue Shotland | Social Worker | 104 Walnut Ave, Santa Cruz, CA 95060-3900 | 2017-10-25 |
| 1457804502 | Ariel Thiermann Stahl | Marriage & Family Therapist | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2016-07-25 |
| 1780067124 | Christiane Hanna Hammerli | Student in an Organized Health Care Education/Training Program | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2015-07-02 |
| 1831572387 | Anudeva Stevens | Student in an Organized Health Care Education/Training Program | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2015-07-01 |
| 1467830588 | Nereida Rodriguez | Counselor | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2015-05-08 |
| 1215327697 | Stephen Otto | Marriage & Family Therapist | 104 Walnut Ave, 208, Santa Cruz, CA 95060-3900 | 2015-01-23 |
| 1558765545 | Maggie Wilson | Marriage & Family Therapist | 104 Walnut Ave, #208, Santa Cruz, CA 95060-3900 | 2014-10-20 |
| 1184027096 | Shannon Swanston | Counselor | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2014-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| 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 |
|---|---|---|---|---|
| 1588291520 | Charlotte Nolan-reyes | Psychologist | 306 Chestnut St # B, Santa Cruz, CA 95060-4918 | 2020-03-26 |
| 1033752712 | Thomas Butz | Psychologist | 111 Montclair Dr, Santa Cruz, CA 95060-1301 | 2019-10-24 |
| 1669779617 | Donald Joseph Seldeen | Psychologist | 701 Happy Valley Rd, Santa Cruz, CA 95065-9789 | 2011-02-25 |
| 1669659132 | Jeff Howlin | Psychologist | 455 Baker St, Santa Cruz, CA 95062-5324 | 2008-01-28 |
| 1689890881 | Lucie D Hemmen | Psychologist | 555 Soquel Ave Ste 280, Santa Cruz, CA 95062-2341 | 2007-04-17 |
| 1073639092 | Paula Jean Holtz | Psychologist | University of California Santa Cruz Student Health, 1156 High St., Santa Cruz, CA 95064 | 2007-03-21 |
| 1134296403 | Sheila M Coonerty | Psychologist | 313 Cedar St # A, Santa Cruz, CA 95060-4302 | 2006-11-29 |
| 1144330994 | Carmen Louise Berteaux | Psychologist | 147 River Street South, Ste 211, Santa Cruz, CA 95060 | 2006-08-30 |
| 1851406268 | Dan Mayclin | Psychologist | 101 Moss Ln, Santa Cruz, CA 95060-1449 | 2006-08-19 |
| 1720097009 | David A. 'tony' Hoffman | Psychologist | 303 Potrero St Ste 55, Santa Cruz, CA 95060-2760 | 2006-08-05 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
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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.