Keisha Andrea Molden

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

248 Redwood Ave
Redwood City, CA 94061-3074

Phone

(650) 363-4435

Fax

(650) 361-1620

NPI assigned

Apr 30, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Dr. Keisha Anndrea Dixon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caminar

  • Mental Illness Community Based Residential Treatment Facility
  • Redwood City, CA
  • NPI 1205974524
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1043486061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 REDWOOD AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613074",
            "telephone_number": "650-363-4435",
            "fax_number": "650-361-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 REDWOOD AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613074",
            "telephone_number": "650-363-4435",
            "fax_number": "650-361-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDEN",
        "first_name": "KEISHA",
        "middle_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEISHA",
            "last_name": "DIXON",
            "middle_name": "ANNDREA",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christophe Xavier Moderie, MD
• Kelly Moff
• Farhad Mofidi, MSW
• Andrew M Moiseff
• Mojdeh Talebian, M.D., Inc.
• Gabriel Enrique Molina, MD
• Hetty Molina
• Kimberly Ruby Molina
• Marc Christian Callejo Molina
• Frederic H Moll, M.D.

• Counselor in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.