DR. RONALD SPENCER TUCKER JR. (NPI# 1982921417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982921417 |
| Entity Type | Individual |
| Full Name | DR. RONALD SPENCER TUCKER JR. |
| Credential | PH.D. |
| Practice Address |
4119 Johnstonville Road #270503 Susanville CA 96130 |
| Practice Telephone | 9495144343 |
| Mailing Telephone | 9495144343 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2016-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers | |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY27901 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932501962 | Ronald Tucker | Case Manager/Care Coordinator | 7107 W 12th St Ste 201, Little Rock, AR 72204-2451 | 2014-09-22 |
| 1033158241 | Ronald Gene Tucker | Optometrist | 800 E Bay Dr, Suite G, Largo, FL 33770-2532 | 2006-06-05 |
| Street Address |
4119 JOHNSTONVILLE ROAD #270503 |
| City | SUSANVILLE |
| State | CA |
| Zip Code | 96130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
| 1871980847 | Katie Gaffney | Acupuncturist | 1850 Spring Ridge Dr., Susanville, CA 96130 | 2015-04-17 |
| 1952678435 | Linda Vixie | Dentist | 3020 Johnstonville Rd., Susanville, CA 96130 | 2011-11-28 |
| 1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
| 1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
| 1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
| 1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
| 1528243649 | Daniel Martin Bruce | Case Manager/Care Coordinator | 720-a Richmond Road, Susanville, CA 96130 | 2008-01-08 |
| 1679757785 | Michael Charles Giddings | Dentist | 475 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-26 |
| 1093999203 | Clifford G Lewis | Dentist | 475-750 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-24 |
| Find all providers in zip 96130 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
| 1295957546 | Florence Robin Thomas-riddle | Psychologist | 472-100 Richmond Rd N, Susanville, CA 96130-5115 | 2007-05-03 |
| 1538218904 | Todd Edward Murray | Psychologist | 691-550 Janet Way, Susanville, CA 96130-9598 | 2007-01-09 |
| 1093701419 | Eric P Trevizu | Psychologist | 705 West St, Susanville, CA 96130-4834 | 2005-09-21 |
| 1780019786 | Pak Yan Ngai | Psychologist | 475-750 Rice Canyon Road, Susanville, CA 96130 | 2013-09-09 |
| 1396030557 | Robert Scott Cull | Psychologist | 830 Main St, Susanville, CA 96130-4405 | 2011-06-16 |
| 1023319498 | Linda Mosley | Psychologist | 200 Carroll St, 14, Susanville, CA 96130-4301 | 2010-11-16 |
| 1164635249 | Richard Elbert Riddle | Psychologist | 472-100 Richmond Rd N, Susanville, CA 96130 | 2007-05-07 |
| 1083826200 | Integrative Counseling Services | Psychologist | 472-100 Richmond Rd N, Susanville, CA 96130 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | SUSANVILLE |
| Zip Code | 96130 |
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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.