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DR. CYNTHIA L KOHLES PHD NPI 1417910316


NPI Information

NPI: 1417910316
Provider Name: DR. CYNTHIA L KOHLES, PHD
Classification: Psychologist - 103TA0700X
Entity Type: Individual

Specialization: Adult Development & Aging

PECOS Registration: Yes

Address:
2455 BENNETT VALLEY RD
SUITE B208
SANTA ROSA, CA
ZIP 95404
Phone: (707) 529-5942
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DR. Cynthia L Kohles, PHD is an adult development and aging psychologist in Santa Rosa, CA with 29 years of experience. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. DR. Cynthia L Kohles, PHD NPI is 1417910316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2455 BENNETT VALLEY RD
SUITE B208
SANTA ROSA, CA
ZIP 95404-663
Phone: (707) 529-5942
Fax: (707) 942-5062

The NPI 1417910316 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0700XPsychologistAdult Development & AgingPSY17462CALIFORNIAYes
2103TC0700XPsychologistClinicalPSY17462CALIFORNIAX
3103TC2200XPsychologistClinical Child & AdolescentPSY17462CALIFORNIAX
4103TF0000XPsychologistFamilyPSY17462CALIFORNIAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OPL17462MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE
2S01896MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.