DR. BLAIR KILPATRICK-TABAK (NPI# 1114060282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114060282 |
| Entity Type | Individual |
| Full Name | DR. BLAIR KILPATRICK-TABAK |
| Other Name | DR. BLAIR KILPATRICK |
| Credential | PHD |
| Practice Address |
3100 Mowry Ave Ste 410 Fremont CA 94538-1509 |
| Mailing Address |
1507 Ada St Berkeley CA 94703-1001 |
| Practice Telephone | 5107911036 |
| Practice Fax Number | 5107911036 |
| Mailing Telephone | 5105264848 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY15604 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3100 MOWRY AVE STE 410 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104884931 | Celeste Arroyo Paz | Optometrist | 3100 Mowry Ave, Suite #106, Fremont, CA 94538-1509 | 2006-05-02 |
| 1386909653 | Melanie Fang | Marriage & Family Therapist | 3100 Mowry Ave, Suite 303, Fremont, CA 94538-1509 | 2012-07-11 |
| 1679868632 | Elaine Kathryn Culverwell | Marriage & Family Therapist | 3100 Mowry Ave, Suite 410, Fremont, CA 94538-1509 | 2011-06-17 |
| 1205154259 | Holly Labarbera | Marriage & Family Therapist | 3100 Mowry Ave, Suite 410, Fremont, CA 94538-1509 | 2010-05-13 |
| 1508055005 | Ho Yin Cheh | Counselor | 3100 Mowry Ave, Suite 303, Fremont, CA 94538-1509 | 2007-10-19 |
| 1457549727 | Esther I Wei | Marriage & Family Therapist | 3100 Mowry Ave, Suite 303, Fremont, CA 94538-1509 | 2007-10-11 |
| 1215134036 | Celeste A. Paz, Od | Optometrist | 3100 Mowry Ave, Suite 106, Fremont, CA 94538-1509 | 2007-06-27 |
| 1306067749 | Karen Sandeen | Marriage & Family Therapist | 3100 Mowry Ave, Suite 402, Fremont, CA 94538-1509 | 2007-05-02 |
| 1457474439 | Alleta Birk | Social Worker | 3100 Mowry Ave, Fremont, CA 94538-1509 | 2007-04-06 |
| 1942324355 | Sally C. Reese | Marriage & Family Therapist | 3100 Mowry Ave, Suite 402, Fremont, CA 94538-1509 | 2007-03-19 |
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|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1083163653 | Terry Soohoo | Psychologist | 40844 Mission Blvd, Fremont, CA 94539-3800 | 2016-09-23 |
| 1255776274 | Monique Thayna Nogueira | Psychologist | 46890 Rancho Higuera Rd, Fremont, CA 94539-7308 | 2013-05-03 |
| 1669744173 | Mary Larenas | Psychologist | 39198 State St, Fremont, CA 94538-1436 | 2012-01-30 |
| 1164657086 | Tsuey-jing Fan | Psychologist | 4214 Providence Ter, Fremont, CA 94538-7004 | 2009-05-21 |
| 1790947380 | Dara Goosby | Psychologist | 3340 Walnut Ave Ste 140, Fremont, CA 94538-2215 | 2008-06-25 |
| 1134318108 | Bruce Wayne Elowyn Lowe | Psychologist | 4197 Corrigan Dr, Fremont, CA 94536-5904 | 2007-10-16 |
| 1255531034 | Maureen Theresa Gatt | Psychologist | 39350 Civic Center Dr, Fremont, CA 94538-2343 | 2007-07-20 |
| 1861619710 | Karen Yeh | Psychologist | 39785 Paseo Padre Pkwy, Fremont, CA 94538-2926 | 2007-04-20 |
| 1811024748 | Tomoe Shirakawa Naoi | Psychologist | 3775 Beacon Ave Ste 224, Fremont, CA 94538-1466 | 2007-02-27 |
| Find all providers in FREMONT | ||||
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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.