MS. LISA FESSENMEYER (NPI# 1205167004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205167004 |
| Entity Type | Individual |
| Full Name | MS. LISA FESSENMEYER |
| Practice Address |
855 Veterans Blvd Redwood City CA 94063-1712 |
| Mailing Address |
215 Silvera St Milpitas CA 95035-4101 |
| Practice Telephone | 6508179070 |
| Practice Fax Number | 6502463838 |
| Mailing Telephone | 6508179070 |
| Mailing Fax Number | 6502463838 |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT31061 | CA | Nursing Service Providers |
| Street Address |
855 VETERANS BLVD |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679676654 | Karen Aileen Quinn | Marriage & Family Therapist | 855 Veterans Blvd, Redwood City, CA 94063-1712 | 2006-09-06 |
| 1821404674 | Seth Stern | Specialist | 855 Veterans Blvd, Redwood City, CA 94063-1712 | 2014-07-01 |
| 1912329418 | Melissa Morales | Case Manager/Care Coordinator | 855 Veterans Blvd, Redwood City, CA 94063 | 2014-01-17 |
| 1205274891 | Commodore William | Specialist | 855 Veterans Blvd, Redwood City, CA 94063-1712 | 2013-06-05 |
| 1609128552 | Nicolas Der | Registered Nurse | 855 Veterans Blvd, Redwood City, CA 94063-1712 | 2012-10-02 |
| 1326325424 | Brittany Hoffman | Specialist | 855 Veterans Blvd, Redwood City, CA 94063-1712 | 2011-11-03 |
| 1083918791 | Kevin Guess | Specialist | 855 Veterans Blvd, Redwood City, CA 94063-1712 | 2011-01-10 |
| 1922300433 | Blair Allison Fingerhut | Specialist | 855 Veterans Blvd, Redwood City, CA 94063-1712 | 2010-12-03 |
| 1891026837 | Victor Patrick Ramos | Specialist | 855 Veterans Blvd, Redwood City, CA 94063-1712 | 2010-01-14 |
| 1366671844 | Monte Williams | Specialist | 855 Veterans Blvd, Redwood City, CA 94063-1712 | 2009-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518146174 | Henry Lo | Licensed Psychiatric Technician | 541 Jefferson Ave, Suite 202, Redwood City, CA 94063-1739 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
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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.