BRYANT MEDHUS (NPI# 1356760326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356760326 |
| Entity Type | Individual |
| Full Name | BRYANT MEDHUS |
| Practice Address |
40950 Chapel Way Fremont CA 94538-4236 |
| Mailing Address |
2275 Arlington Dr San Leandro CA 94578-1132 |
| Practice Telephone | 5102266180 |
| Mailing Telephone | 5103171114 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
40950 CHAPEL WAY |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-4236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215007901 | Tisa Grumm | Social Worker | 40950 Chapel Way, Fremont, CA 94538-4236 | 2006-11-09 |
| 1053741405 | Reginald Breland | Counselor | 40950 Chapel Way, Fremont, CA 94538 | 2013-11-22 |
| 1609200500 | Andrea Raquel Lopez | Counselor | 40950 Chapel Way, Fremont, CA 94538-4236 | 2013-08-27 |
| 1861825838 | Ana Cecilia Martinez | Counselor | 40950 Chapel Way, Fremont, CA 94538-4236 | 2013-08-14 |
| 1760734180 | Courtney Nicole Killion | Counselor | 40950 Chapel Way, Fremont, CA 94538-4236 | 2012-10-09 |
| 1477803377 | Ashley Shirk | Counselor | 40950 Chapel Way, Fremont, CA 94538-4236 | 2012-09-18 |
| 1932459831 | Adrienne Bocci | Counselor | 40950 Chapel Way, Fremont, CA 94538-4236 | 2012-09-18 |
| 1295085454 | Jonathan Francisco Borca | Counselor | 40950 Chapel Way, Fremont, CA 94538 | 2012-09-14 |
| 1184971327 | Sabeena Shah | Counselor | 40950 Chapel Way, Fremont, CA 94538-4236 | 2012-08-07 |
| 1659627610 | Christopher Edward Thornton | Counselor | 40950 Chapel Way, Fremont, CA 94538 | 2012-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342135 | Lima Karim | Counselor | 4109 Broadmoor Cmn Apt 207, Fremont, CA 94538-7013 | 2020-10-05 |
| 1104462449 | Shamika Guidry | Counselor | 38721 Cherry Ln, Fremont, CA 94536-4223 | 2019-11-21 |
| 1457634479 | Brenda Ortiz | Counselor | 3607 Main Street, Suite A, Fremont, CA 94538 | 2011-09-26 |
| 1750601159 | April Clark | Counselor | 555 Mowry Ave Ste A, Fremont, CA 94536-4101 | 2010-06-08 |
| 1649508722 | James A Jaksha | Counselor | 1731 N C St, Fremont, NE 68025-3401 | 2009-11-30 |
| 1730318643 | Jennifer Agis | Counselor | 39275 Liberty St # D-12, Fremont, CA 94538-1519 | 2009-07-13 |
| 1063677615 | Alberto Axayacatl Guerrero | Counselor | 39275 Liberty St Ste D12, Fremont, CA 94538-1519 | 2008-07-23 |
| 1275714487 | April A Desmarais | Counselor | 12 Tibbetts Rd, Fremont, NH 03044-3573 | 2007-11-15 |
| 1780878520 | Kimberly Mae Curtis | Counselor | 39275 Liberty St Ste D-12, Fremont, CA 94538-1519 | 2007-09-05 |
| 1033303219 | Kara Carnahan | Counselor | 4360 Central Ave, Fremont, CA 94536-5802 | 2007-08-30 |
| Find all providers in FREMONT | ||||
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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.