GRACE JEBARA MARRIAGE THERAPY INC (NPI# 1063044535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063044535 |
| Entity Type | Organization |
| Organization Name | GRACE JEBARA MARRIAGE THERAPY INC |
| Practice Address |
2169 Union St # 3 San Francisco CA 94123-4003 |
| Mailing Address |
6 Snowden Ln Fairfax CA 94930-1029 |
| Practice Telephone | 4158919562 |
| Mailing Telephone | 4158919562 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | DR. MANUEL A MANOTAS (SECRETARY) |
| Authorized Official Telephone | 4158919562 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Goodness with Dr. manu | Doing Business As Name - Organization |
| Street Address |
2169 UNION ST # 3 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94123-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437611357 | Sarah Wenton Alexander | Occupational Therapist | 3007 Fillmore Street #3, San Francisco, CA 94123 | 2019-04-01 |
| 1306203138 | Cora Ann Keene | Marriage & Family Therapist | 1795 Union St, San Francisco, CA 94123 | 2016-01-25 |
| 1437556818 | Haley Alexander | Behavioral Analyst | 3750 Scott St Apt 205, San Francisco, CA 94123 | 2014-12-01 |
| 1992055040 | Robert J Buonfiglio | Psychologist | 1738 Union Street # 302, San Francisco, CA 94123 | 2012-09-17 |
| 1750656732 | Jane C Freston | Occupational Therapist | 1849 Chestnut Street, Apartment 4, San Francisco, CA 94123 | 2012-03-09 |
| 1700114212 | Marlene Ellen Kushner | Marriage & Family Therapist | 2918 Webster Street, San Francisco, CA 94123 | 2009-11-20 |
| 1487980447 | Acupuncture for Athletics | Acupuncturist | 1996 Union Street, 3rd Floor, San Francisco, CA 94123 | 2009-10-27 |
| 1104054436 | Sarah Elizabeth Bothe | Psychologist | 1738 Union Street, Suite 200, San Francisco, CA 94123 | 2009-06-25 |
| 1407099609 | Erika Cardamone | Speech-Language Pathologist | 2941 Gough St, 2, San Francisco, CA 94123 | 2009-04-17 |
| 1528216009 | Melissa Jeans Maglaque | Physical Therapist | 2065 Vallejo St Apt 3, San Francisco, CA 94123 | 2008-09-09 |
| Find all providers in zip 94123 | ||||
| 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 |
|---|---|---|---|---|
| 1255948600 | Kesha Patrice | Psychologist | 939 Ellis St, San Francisco, CA 94109-7714 | 2020-09-29 |
| 1225644487 | Brock Louis Pistel | Psychologist | 939 Ellis St Fl 67, San Francisco, CA 94109-7714 | 2020-09-22 |
| 1336758291 | Kelsey Thompson Laird | Psychologist | 1875 Church St, San Francisco, CA 94131-2712 | 2020-07-27 |
| 1265050595 | Vida Family Therapy PC | Psychologist | 100 Montgomery St Ste 750, San Francisco, CA 94104-4302 | 2020-07-13 |
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1427686831 | Laura Straus | Psychologist | 4150 Clement St # 116p, San Francisco, CA 94121-1563 | 2020-03-31 |
| 1962036111 | Mary Brady | Psychologist | 3159 Sacramento St, San Francisco, CA 94115-2005 | 2020-02-26 |
| 1477190577 | Brittany Linton | Psychologist | 930 Sutter St Apt 402, San Francisco, CA 94109-6095 | 2019-12-08 |
| 1417508748 | Julian Samuel Farzan-kashani | Psychologist | 625 Market St Ste 510, San Francisco, CA 94105-3302 | 2019-09-27 |
| 1447808357 | Sarah E Steinmetz | Psychologist | 625 Market St, San Francisco, CA 94105-3302 | 2019-09-04 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94123 |
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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.