MR. STEPHEN HAYNES CARLSON (NPI# 1174758569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174758569 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN HAYNES CARLSON |
| Credential | PSYD |
| Practice Address |
298 Grand Ave #100 Oakland CA 94610-4724 |
| Mailing Address |
2446 24th Ave Oakland CA 94601-1267 |
| Practice Telephone | 5105661076 |
| Mailing Telephone | 5105661076 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2016-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 27819 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699743518 | Stephen James Carlson | Internal Medicine | 7950 N Shadeland Avenue, Suite 350, Indianapolis, IN 46250 | 2006-03-08 |
| 1245669688 | Stephen Carlson | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-11-06 |
| 1346473451 | Stephen Bradfield Carlson | Pharmacist | 226 Se 8th Ave, Hillsboro, OR 97123-4218 | 2009-08-24 |
| 1528181245 | Stephen John Carlson | Family Medicine | 819 Ash St, Spooner, WI 54801-1201 | 2007-04-09 |
| 1033229612 | Stephen Carlson | Family Medicine | 2655 Cty Hwy I, Chippewa Fls, WI 54729 | 2006-08-30 |
| 1689680530 | Stephen Carlson | Anesthesiology | 911 W 5th Ave, Spokane, WA 99204-2901 | 2006-07-31 |
| 1902824923 | Stephen R Carlson | Pathology | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2006-07-17 |
| 1972531291 | Stephen Ray Carlson | Family Medicine | 4212 Grand Ave, Duluth, MN 55807-2737 | 2006-06-28 |
| 1144211608 | Stephen E Carlson | Internal Medicine | 1011 Reed Ave, Suite 300, Wyomissing, PA 19610-2002 | 2005-11-03 |
| 1023009883 | Stephen Douglas Carlson | Anesthesiology | 515 Main St, Olean, NY 14760-1513 | 2005-11-02 |
| Street Address |
298 GRAND AVE #100 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94610-4724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417986415 | Donald Kipp Ruddell | Dentist | 298 Grand Ave, Suite 200, Oakland, CA 94610 | 2006-07-02 |
| 1427495373 | Thomas Matthew Kaiser | Dentist | 298 Grand Ave, Suite 200, Oakland, CA 94610-4724 | 2013-06-02 |
| 1841384708 | Feriel El Ghaoui | Dentist | 298 Grand Ave, Oakland, CA 94610-4724 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467944033 | Danielle Elissa Comerford | Marriage & Family Therapist | 370 Grand Ave Ste 4, Oakland, CA 94610 | 2018-05-30 |
| 1073042628 | Thien Lake Acupuncture | Clinic/Center | 3654 Grand Aveune, Oakland, CA 94610 | 2017-06-07 |
| 1508239302 | Montserrat Corsino | Acupuncturist | 493 Prince St, Oakland, CA 94610 | 2015-11-03 |
| 1376978593 | Mazen Abudllah Basidiq | Registered Nurse | 271 Jayne Ave. Suite # 11, Oakland, CA 94610 | 2013-09-06 |
| 1740523026 | Katiah Llerena | Psychologist | 414 Lake Park Ave, #595, Oakland, CA 94610 | 2013-04-04 |
| 1033459409 | Shelly Lynn Henderson-hansen | Speech-Language Pathologist | 3756 Grand Ave, Suite 401, Oakland, CA 94610 | 2013-02-22 |
| 1013267806 | Sara-jean Lizabeth Bartky | Speech-Language Pathologist | 55 Santa Clara Ave #203, Oakland, CA 94610 | 2012-09-19 |
| 1053667139 | Juanita Lerma Hernandez-morin | Counselor | 1375 55th Street, Emeryville, CA 94610 | 2012-07-26 |
| 1396030672 | Catherine Maness | Marriage & Family Therapist | 123 Bay Place, Ste 6, Oakland, CA 94610 | 2011-06-14 |
| 1871807529 | Jaime Beth Levy | Marriage & Family Therapist | 1001 Warfield Ave Apt 103, Oakland, CA 94610 | 2010-08-04 |
| Find all providers in zip 94610 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727906 | Carolina Bacchi Psychotherapy and Psychoanalysis, LLC | Psychologist | 5665 College Ave Ste 340c, Oakland, CA 94618-1658 | 2020-07-07 |
| 1558990770 | Laurie Jean Patraitis | Psychologist | 419 30th St Ste 3, Oakland, CA 94609-3374 | 2020-04-08 |
| 1194354001 | Lyndsay Dell | Psychologist | 4420 Penniman Ave Apt C, Oakland, CA 94619-2659 | 2020-04-02 |
| 1619513223 | Lesley A Parke | Psychologist | 445 Bellevue Ave Ste 302, Oakland, CA 94610-4923 | 2019-11-19 |
| 1700437233 | Laurette Schiff Gennis | Psychologist | 5655 College Ave Ste 315b, Oakland, CA 94618-1669 | 2019-09-25 |
| 1477112522 | Paul A Jackson | Psychologist | 459 W Macarthur Blvd, Oakland, CA 94609-2808 | 2019-06-12 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1689173759 | Bay Psychology Group Inc | Psychologist | 5297 College Ave Ste 103, Oakland, CA 94618-1462 | 2018-02-05 |
| 1861925034 | Sarah Carroll | Psychologist | 5757 Morse Dr, Oakland, CA 94605-1137 | 2017-04-05 |
| 1679026991 | Jessica Bol | Psychologist | 5327 College Ave Ste 1, Oakland, CA 94618-1416 | 2016-08-03 |
| Find all providers in OAKLAND | ||||
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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.