DR. RAHA GHASEMI (NPI# 1083962336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083962336 |
| Entity Type | Individual |
| Full Name | DR. RAHA GHASEMI |
| Credential | PSYD |
| Practice Address |
111 Smith Ranch Rd. San Rafael CA 94903 |
| Practice Telephone | 4156685955 |
| Mailing Telephone | 4156685955 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY30857 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
111 SMITH RANCH RD. |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| 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 |
|---|---|---|---|---|
| 1083132310 | Wellspring Psychotherapy Center | Psychologist | 30 N San Pedro Rd Ste 290, San Rafael, CA 94903-4133 | 2017-09-07 |
| 1902296197 | Phyllis Ring | Psychologist | 24 Marin Bay Park Ct, San Rafael, CA 94901-8304 | 2015-01-27 |
| 1275887903 | Tracy O'connor Schmidt | Psychologist | 1346 4th St, Suite 205, San Rafael, CA 94901-2860 | 2012-11-02 |
| 1659633923 | Douglas P. Peter-frank | Psychologist | 1330 Lincoln Ave Ste 110b, San Rafael, CA 94901-2120 | 2012-06-13 |
| 1306158910 | Irene Mcloughlin | Psychologist | 104 Maywood Way, San Rafael, CA 94901-1132 | 2010-07-12 |
| 1881929768 | Karen Lee Motan | Psychologist | 1634 5th Street, San Rafael, CA 94901-1809 | 2009-10-09 |
| 1962633263 | Eric Norman Nadler | Psychologist | 99 Montecillo Rd., Mob 2, San Rafael, CA 94903 | 2009-08-04 |
| 1609013952 | Andrew T. Gootnick | Psychologist | 1000 5th Ave Ste 5, San Rafael, CA 94901-6103 | 2009-01-08 |
| 1568611085 | William John Hanna | Psychologist | 123 N San Pedro Rd, San Rafael, CA 94903-4271 | 2008-09-09 |
| 1932392701 | Louise Gaston | Psychologist | 9 Mount Palomar Ct, San Rafael, CA 94903-1115 | 2007-08-24 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
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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.