PETRA ZDENKOVA (NPI# 1285034181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285034181 |
| Entity Type | Individual |
| Full Name | PETRA ZDENKOVA |
| Credential | PSYD |
| Practice Address |
1700 Geary St Se Ste 200 Albany OR 97322-6842 |
| Mailing Address |
Po Box 1188 Corvallis OR 97339-1188 |
| Practice Telephone | 5418125570 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2747 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | LICENSE NUMBER | 2747 | 01 |
| Street Address |
1700 GEARY ST SE STE 200 |
| City | ALBANY |
| State | OR |
| Zip Code | 97322-6842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982649588 | Jodee R. Rundall | Physician Assistant | 1700 Geary St Se Ste 200, Albany, OR 97322-6842 | 2006-06-18 |
| 1881209161 | Joanna Marie Elmquist | Psychologist | 1700 Geary St Se Ste 200, Albany, OR 97322-6842 | 2020-09-13 |
| 1124531926 | Alexandra Lee Koenig | Psychologist | 1700 Geary St Se Ste 200, Albany, OR 97322-6842 | 2017-11-15 |
| 1790211845 | Olivia Martine Danforth | Family Medicine | 1700 Geary St Se Ste 200, Albany, OR 97322-6842 | 2017-05-11 |
| 1326574617 | Alexandra Styke | Family Medicine | 1700 Geary St Se Ste 200, Albany, OR 97322-6842 | 2017-05-04 |
| 1659729986 | William Elias Morrow | Family Medicine | 1700 Geary St Se Ste 200, Albany, OR 97322-6842 | 2016-05-26 |
| 1568818581 | Bethany Jensen Miller | Family Medicine | 1700 Geary St Se Ste 200, Albany, OR 97322-6842 | 2016-05-09 |
| 1245693811 | Raymond Anthony Simon II | Family Medicine | 1700 Geary St Se Ste 200, Albany, OR 97322-6842 | 2016-03-31 |
| 1558755892 | Rachel Ann Elsasser | Family Medicine | 1700 Geary St Se Ste 200, Albany, OR 97322 | 2015-03-25 |
| 1225479595 | Rachael Christine Lawley | Physician Assistant | 1700 Geary St Se Ste 200, Albany, OR 97322-6842 | 2013-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083109748 | Benjamin Voth | Counselor | 1858 Grand Prairie Rd Se, Albany, OR 97322 | 2018-06-26 |
| 1033534748 | Willamette Orthotics & Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 1630 9th Ave Se, Albany, OR 97322 | 2014-03-04 |
| 1699035998 | Morgan William Brown | Behavioral Analyst | 1885 21 St Ave Se Apt 44, Albany, OR 97322 | 2012-05-21 |
| 1780986059 | Gene Vang | Pharmacist | 1330 Goldfish Farm Rd Se, Albany, OR 97322 | 2010-11-18 |
| 1427362912 | Kate Fredrickson | Speech-Language Pathologist | 5353 Columbus St. Se, Albany, OR 97322 | 2010-07-27 |
| 1689906455 | Sandy Janiszewski | Registered Nurse | 1970 4th Ave. Se, Ste 120, Albany, OR 97322 | 2010-02-04 |
| 1841527066 | Karina Leonore Towers | Speech-Language Pathologist | 5353 Columbus Street Se, Albany, OR 97322 | 2009-11-09 |
| 1548497951 | T.c.s. Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3012 Se Oakwood Avenue, Albany, OR 97322 | 2009-06-12 |
| 1790932952 | Ramel C Romero | Physical Therapist | 5353 Colombus St Se, Albany, OR 97322 | 2008-08-19 |
| 1023275492 | Michael James | Hearing Instrument Specialist | 1610 9th Av. Se, Albany, OR 97322 | 2008-05-21 |
| Find all providers in zip 97322 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867314 | Sheri Lynn Mainquist | Psychologist | 850 Stannage Ave Apt 5, Albany, CA 94706-1642 | 2020-06-25 |
| 1528687399 | Rachel Magin | Psychologist | 2 Clara Barton Dr # Mc164, Albany, NY 12208-3472 | 2020-04-13 |
| 1346707270 | Matthew Golley | Psychologist | Samuel S. Stratton Vamc, 113 Holland Avenue, Albany, NY 12208 | 2019-02-27 |
| 1346739950 | James Franklin Boswell | Psychologist | Social Science 399 1400 Washington Avenue, Albany, NY 12222-0001 | 2018-05-09 |
| 1013417286 | Linda Renee Bockheim | Psychologist | 425 2nd Ave Sw Ste 204, Albany, OR 97321-2485 | 2018-02-14 |
| 1700384468 | G.h. Wilber, Psy.d., Pllc | Psychologist | 5 Pine West Plz Ste 511, Albany, NY 12205-5587 | 2018-01-29 |
| 1447775200 | Heidi Rochelle Wright | Psychologist | 1365 Washington Ave Ste 102a, Albany, NY 12206-1098 | 2017-08-13 |
| 1366995508 | Supriya Blair | Psychologist | 1 Ten Broeck St Ste 1, Albany, NY 12210-2521 | 2016-07-24 |
| 1225411341 | Bradley Biggsphd Psychologist P.C. | Psychologist | 142 N Allen St, Suite C, Albany, NY 12206-1700 | 2015-07-07 |
| 1215339171 | Mary Kathleen O'neill | Psychologist | 314 South Manning Blvd., Albany, NY 12208 | 2014-09-23 |
| Find all providers in ALBANY | ||||
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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.