STEPHANIE NICOLE WISE (NPI# 1205460953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205460953 |
| Entity Type | Individual |
| Full Name | STEPHANIE NICOLE WISE |
| Credential | M.S.C.P. |
| Practice Address |
2828 Ford St Oakland CA 94601-2114 |
| Practice Telephone | 5102683770 |
| Mailing Telephone | 5102683770 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 117908 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811439581 | Stephanie Anne Wise | Occupational Therapist | 3727 Wilder Rd, Bay City, MI 48706-2367 | 2016-11-13 |
| 1851614606 | Stephanie L Wise | Specialist/Technologist | 100 Gore St., Huntland, TN 37345 | 2010-03-09 |
| 1821505728 | Stephanie Wise | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2018-01-02 |
| 1881053148 | Stephanie Wise | Occupational Therapist | 119 W H Ave, North Little Rock, AR 72116-8733 | 2016-02-15 |
| 1992170724 | Stephanie Wise | Speech-Language Pathologist | 1202 Lakeway Dr Ste 6a, Lakeway, TX 78734-4481 | 2015-12-04 |
| 1669865911 | Stephanie Poling Wise | Nurse Anesthetist, Certified Registered | 20 Medical Village Dr, Suite 258, Edgewood, KY 41017-5401 | 2015-03-11 |
| 1508149048 | Stephanie M Wise | Nurse Practitioner | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2011-09-21 |
| 1932406964 | Stephanie Graham Wise | Pharmacist | 423 W Main St, Lexington, SC 29072-2637 | 2011-02-28 |
| Street Address |
2828 FORD ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861691750 | East Bay Agency for Children | Community/Behavioral Health | 2828 Ford St, Oakland, CA 94601-2114 | 2007-07-12 |
| 1578174348 | Jessica Suzanne Hernandez | Student in an Organized Health Care Education/Training Program | 2828 Ford St, Oakland, CA 94601-2114 | 2020-08-13 |
| 1083232235 | Julia A Saravia- Sorto | Counselor | 2828 Ford St, Oakland, CA 94601-2114 | 2020-07-13 |
| 1760008536 | Maria Emmanuelle Guggisberg | Marriage & Family Therapist | 2828 Ford St, Oakland, CA 94601-2114 | 2020-06-17 |
| 1306475454 | Stephanie Slapik | Social Worker | 2828 Ford St, Oakland, CA 94601-2114 | 2020-04-01 |
| 1790318616 | Nicole Bryant Daniels | Mechanotherapist | 2828 Ford St, Oakland, CA 94601 | 2020-02-19 |
| 1619500527 | Nataly Del Rio Barron | Case Manager/Care Coordinator | 2828 Ford St, Oakland, CA 94601-2114 | 2020-02-19 |
| 1720610330 | Keiko Kubo | Marriage & Family Therapist | 2828 Ford St, Oakland, CA 94601-2114 | 2020-02-11 |
| 1326536004 | East Bay Agency for Children | Community/Behavioral Health | 2828 Ford St, Oakland, CA 94601-2114 | 2018-04-27 |
| 1780183038 | Jennifer Kim Quan | Student in an Organized Health Care Education/Training Program | 2828 Ford St, Oakland, CA 94601-2114 | 2018-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008328 | Kathleen Day | Marriage & Family Therapist | 490 Lake Park Ave Unit 16027, Oakland, CA 94610-8039 | 2020-09-21 |
| 1487269031 | Philip A Tecau | Marriage & Family Therapist | 5120 Miles Ave, Oakland, CA 94618 | 2020-09-10 |
| 1619587219 | Katharine Cruz | Marriage & Family Therapist | 6408 Irwin Ct Apt 1, Oakland, CA 94609-1169 | 2020-08-07 |
| 1831708544 | Jennifer Sara Diamond | Marriage & Family Therapist | 5297 College Ave Ste 102, Oakland, CA 94618-1462 | 2020-07-28 |
| 1891312252 | Maya Ilana Attia | Marriage & Family Therapist | 6926 Chambers Dr, Oakland, CA 94611-1304 | 2020-07-01 |
| 1649894239 | Diana Christine Coleman | Marriage & Family Therapist | 6101 Broadway Ter, Oakland, CA 94618-2015 | 2020-05-30 |
| 1730701301 | Dot Center - Marriage and Family Therapy Inc. | Marriage & Family Therapist | 1624 Franklin St Ste 911, Oakland, CA 94612-2824 | 2020-05-17 |
| 1477173029 | Danielle Saunders | Marriage & Family Therapist | 3345 Grand Ave Ste 1, Oakland, CA 94610-2772 | 2020-04-23 |
| 1912534371 | Naomi Kimmelman | Marriage & Family Therapist | 3085 Capp St, Oakland, CA 94602-2703 | 2020-03-25 |
| 1346875200 | Jenner Bishop | Marriage & Family Therapist | 2938 Webster St # 200, Oakland, CA 94609-3407 | 2020-03-11 |
| 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.