MINDY PENZIAS DIRKS (NPI# 1255941753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255941753 |
Entity Type | Individual |
Full Name | MINDY PENZIAS DIRKS |
Credential | PH.D. |
Practice Address |
635 Bryant St # 7 Palo Alto CA 94301-2502 |
Practice Telephone | 4088935601 |
Mailing Telephone | 4088935601 |
Enumeration Date | 2020-08-09 |
Last Update Date | 2020-08-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY29627 | CA | Behavioral Health & Social Service Providers |
Street Address |
635 BRYANT ST # 7 |
City | PALO ALTO |
State | CA |
Zip Code | 94301-2502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184256430 | Stephen H Smith | Marriage & Family Therapist | 636 Middlefield Road, Palo Alto, CA 94301 | 2020-02-05 |
1992367072 | Thomas Mccavitt | Interpreter | Feinberg Medical Clinic, 825 El Camino Real, Palo Alto, CA 94301 | 2019-06-28 |
1598321861 | Priyanka Kim Wali, M.d., P.C. | Psychiatry & Neurology | 470 Ramona Street, Palo Alto, CA 94301 | 2019-05-13 |
1942716196 | Nancy L Wong | Dermatology | 970 Palo Alto Ave, Palo Alto, CA 94301 | 2017-12-26 |
1245751221 | Kurbo Health | Health Educator | 640 Waverley St, Palo Alto, CA 94301 | 2017-06-29 |
1023559085 | Michelle Di Montagna | Acupuncturist | 200 California Avenue, Suite 100, Palo Alto, CA 94301 | 2017-03-10 |
1265978175 | April Rowe Holman | Psychologist | 667 Lytton Ave. Ste. 5, Palo Alto, CA 94301 | 2017-01-17 |
1174975056 | Jeanmarie Barry Cahill | Marriage & Family Therapist | 555 Middle Field Road, Suite 103 B, Palo Alto, CA 94301 | 2016-07-05 |
1700247897 | Marie A. Di Pasquale | Allergy & Immunology | 705 Lincoln Avenue, Palo Alto, CA 94301 | 2016-03-16 |
1750780128 | Ronces Reyes-pugay | Nurse Practitioner | 795 Elcamino Real, Level 3 Lee Building, Palo Alto, CA 94301 | 2014-08-21 |
Find all providers in zip 94301 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306492236 | Johnna Leigh Medina | Psychologist | 401 Quarry Rd # Mc5718, Palo Alto, CA 94304-1419 | 2019-08-15 |
1962973321 | Hannah Leslie Weisman | Psychologist | 248 Homer Ave, Palo Alto, CA 94301-2722 | 2018-12-11 |
1235606401 | Karen E Otte | Psychologist | 550 Hamilton Ave Ste 240, Palo Alto, CA 94301-2044 | 2018-10-25 |
1124594114 | John Paul Rettger | Psychologist | 407 California Ave Ste 10, Palo Alto, CA 94306-1861 | 2018-10-17 |
1801361068 | Teresa Yeong-yi Pan | Psychologist | 3801 Miranda Avenue (116b), Palo Alto, CA 93404 | 2018-10-03 |
1992294920 | Kile Malcolm Ortigo | Psychologist | 415 Cambridge Ave Ste 8, Palo Alto, CA 94306-1608 | 2018-05-04 |
1003335936 | Yelena Blank | Psychologist | 3801 Miranda Ave # 116f, Palo Alto, CA 94304-1207 | 2017-09-12 |
1043735970 | Megan Elizabeth Kelly | Psychologist | 401 Quarry Rd # Mc5722, Palo Alto, CA 94304-1419 | 2017-08-11 |
1790145092 | Eval Gal-oz | Psychologist | 415 Cambridge Ave Ste 3, Palo Alto, CA 94306-1608 | 2016-02-29 |
1417314774 | Joan L Mendelson, Ph.d. | Psychologist | 560 Oxford Ave Ste 6b, Palo Alto, CA 94306-1139 | 2016-01-18 |
Find all providers in PALO ALTO |
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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.