DR. JACQUELINE GREY ETEMAD (NPI# 1396032363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396032363 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE GREY ETEMAD |
| Credential | M.D. |
| Practice Address |
15 Venado Dr Tiburon CA 94920-1634 |
| Practice Telephone | 4154352776 |
| Practice Fax Number | 4154359415 |
| Mailing Telephone | 4154352776 |
| Mailing Fax Number | 4154359415 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A21746 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
15 VENADO DR |
| City | TIBURON |
| State | CA |
| Zip Code | 94920-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427514116 | Cassie Merrier | Physical Therapist | 0 Alcatraz Ave, Tiburon, CA 94920 | 2019-02-18 |
| 1295123701 | Geoffrey Collins | Family Medicine | 14 Leeward Rd, Belvedere, CA 94920 | 2015-01-06 |
| 1154758548 | James Lynne Bennington | Pathology | 55 Beach Road, Belvedere, CA 94920 | 2013-10-01 |
| 1922442532 | Olav Nicholas Norman | Anesthesiology | 42 Norman Way, Tiburon, CA 94920 | 2013-04-25 |
| 1619162864 | Sarah Dihmes | Psychologist | 17 Captain's Landing, Tiburon, CA 94920 | 2007-09-11 |
| 1578632279 | James Patrick Hardy | Anesthesiology | 18 Salt Lnd, Bel Tiburon, CA 94920 | 2006-11-07 |
| 1215015847 | Jay I. La Bourene | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1550-g Tiburon Blvd, Tiburon, CA 94920 | 2006-11-01 |
| 1780767103 | Gretchen K Andreis | Chiropractor | 1640 Tiburon Blvd, Tiburon, CA 94920 | 2006-10-21 |
| 1215573324 | Eileeen Grace Mckenzie | Marriage & Family Therapist | 4850 Paradise Dr, Tiburon, CA 94920-1001 | 2019-11-24 |
| 1972546695 | Harvey A Gilbert | Radiology | 159 Saint Thomas Way, Tiburon, CA 94920-1031 | 2006-06-13 |
| Find all providers in zip 94920 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1043848872 | Nelson Md and Lochhead Md, A Professional Medical Corporation | Psychiatry & Neurology | 28202 Cabot Rd Ste 635, Laguna Niguel, CA 92677-1222 | 2020-03-28 |
| 1003455460 | Ranvinder Kaur Rai Md | Psychiatry & Neurology | 39676 Mission Blvd, Fremont, CA 94539-3000 | 2020-01-03 |
| 1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
| 1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
| 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.