Sequoia Behavioral Health

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY23692 Issued in CA

Legal business name

SEQUOIA BEHAVIORAL HEALTH

Practice address

10 Jackson CT
Novato, CA 94947-5532

Phone

(415) 317-2343

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Ann Gauntlett, PSY.D.NPI 1154638740

Title

Executive Director

Phone

(415) 317-2343

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly A Gauntlett, PSY.D.

  • Clinical Psychologist
  • Santa Rosa, CA
  • NPI 1154638740
  NPD (past) Authorized official

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1467701649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JACKSON CT",
            "address_2": "NOVATO",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949475532",
            "telephone_number": "415-317-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JACKSON CT",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949475532",
            "telephone_number": "415-317-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "GAUNTLETT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-317-2343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "1154638740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Norman Seidman, R.P.H
• Select Cal Physical Therapy PC
• Lori Z. Selleck, MD
• Corinne Welder Senechal, LAC
• Senior Access
• Winnie Seto, NP
• Deepa Setty, PHARM.D.
• Judah Gabriel Sexton
• Natalie Shamash
• Marina Shamoun

• Clinical Psychologist in Novato, CA
• Providers in Novato, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.