MS. ANDREA BRONZO (NPI# 1255566337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255566337 |
| Entity Type | Individual |
| Full Name | MS. ANDREA BRONZO |
| Other Name | MS. ANDY BRONZO |
| Credential | B.A. |
| Practice Address |
5349 College Ave Oakland CA 94618-1416 |
| Mailing Address |
Po Box 1195 Woodacre CA 94973-1195 |
| Practice Telephone | 5104570071 |
| Mailing Telephone | 5105419321 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2017-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | PSY26664 | CA | Other Service Providers |
| Street Address |
5349 COLLEGE AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94618-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336106848 | Carol J Jessop | Internal Medicine | 5349 College Ave, Oakland, CA 94618-1416 | 2006-04-27 |
| 1518400746 | Elizabeth De Mahy | Psychologist | 5349 College Ave, Oakland, CA 94618-1416 | 2016-11-20 |
| 1396059663 | Natalie Nelson-blake | Counselor | 5349 College Ave, Oakland, CA 94618 | 2010-07-29 |
| 1023320090 | Robert Douglas Larson | Psychologist | 5349 College Ave, Oakland, CA 94618-1416 | 2010-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269031 | Philip A Tecau | Marriage & Family Therapist | 5120 Miles Ave, Oakland, CA 94618 | 2020-09-10 |
| 1881241362 | Mycal Moxley | Behavior Technician | 5330 College Avenue, Suite 240, Oakland, CA 94618 | 2019-08-20 |
| 1073174058 | Joyce Lindenbaum | Psychologist | 5435 College Ave., Ste 202, Oakland, CA 94618 | 2019-06-21 |
| 1740597806 | Alissa Warren Kimmell | Social Worker | 5297 College Ave Suite 106, Oakland, Ca., Oakland, CA 94618 | 2010-09-09 |
| 1811127749 | Edna Jeannene Bohannon | Marriage & Family Therapist | 5299 - College Ave., Suite 6, Oakland, CA 94618 | 2009-07-27 |
| 1942465141 | David Michael Poole | Counselor | 6295 Chabot Road, Oakland, CA 94618 | 2008-07-28 |
| 1598937161 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 5729 College Ave, Oakland, CA 94618 | 2008-03-24 |
| 1124201116 | Angela K. Shaiman | Marriage & Family Therapist | 5349 College Avenue, Oakland, CA 94618 | 2007-12-12 |
| 1639376965 | Catherine S Cassel | Social Worker | Suite 202-5, 5435 College Ave, Oakland, CA 94618 | 2007-06-29 |
| 1194936443 | Wendelin Leonard | Psychologist | 5309 College Avenue, Oakland, CA 94618 | 2007-05-25 |
| Find all providers in zip 94618 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871033522 | Mary Mcdonnell | Prevention Professional | 342 49th St, Oakland, CA 94609-2239 | 2017-02-28 |
| 1457841520 | Bay Area Diabetes Prevention Program | Prevention Professional | 2323 Broadway, Oakland, CA 94612-2414 | 2018-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023572641 | Eunhee Kim | Prevention Professional | 807 W Glenwood Cir, Fullerton, CA 92832-1017 | 2019-01-28 |
| 1467943647 | Bcdc Anger Management | Prevention Professional | 9901 Paramount Blvd Ste 114, Downey, CA 90240-3852 | 2018-05-23 |
| 1396248043 | Holly Hartley | Prevention Professional | 4325 S Higuera St, San Luis Obispo, CA 93401-7701 | 2018-03-08 |
| 1245740810 | Iu-mien Community Services | Prevention Professional | 5625 Stockton Blvd, Sacramento, CA 95824-1611 | 2017-10-09 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1548797806 | Alejandro Munoz | Prevention Professional | 3930 Fourth Ave Suite 200, San Diego, CA 92103 | 2017-05-17 |
| 1225564008 | Elizabeth Ann Silva Melo | Prevention Professional | 562 Northwood St, Escalon, CA 95320-9675 | 2017-05-11 |
| 1538695762 | Chinfu Chen | Prevention Professional | 1549 Stone Creek Dr, San Jose, CA 95132-1950 | 2017-05-09 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1740713452 | Jami Johnson | Prevention Professional | 74451 Hill Rd, Covelo, CA 95428-9615 | 2017-04-10 |
| Find all providers with the same taxonomy | ||||
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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.