DR. SUSAN M. FAIR (NPI# 1396760708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396760708 |
| Entity Type | Individual |
| Full Name | DR. SUSAN M. FAIR |
| Credential | PH.D. |
| Practice Address |
445 Bellevue Ave Suite 203 Oakland CA 94610-4923 |
| Practice Telephone | 5104525636 |
| Mailing Telephone | 5104525636 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 11410 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174523328 | Susan R Fair | Nurse Practitioner | 6998 Crider Rd Ste 120, Mars, PA 16046-2390 | 2005-07-29 |
| 1457351223 | Susan Carole Fair | Family Medicine | 595 N Courtenay Pkwy, Suite 102, Merritt Island, FL 32953-4851 | 2005-07-22 |
| 1366701294 | Susan Fair | Physical Therapy Assistant | 6020 Indiana Ave, New Port Richey, FL 34653-3214 | 2012-05-13 |
| 1235272576 | Susan Lowery Fair | Physical Therapist | 3300 Poinsett Hwy, Furman University Sports Medicine Center, Greenville, SC 29613-0002 | 2007-02-15 |
| 1104868256 | Susan Fair | Physician Assistant | 175 Sherman Ave, Fifth Floor, New Haven, CT 06511-4301 | 2006-06-12 |
| Street Address |
445 BELLEVUE AVE SUITE 203 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94610-4923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699767582 | Jan A Vitek | Psychologist | 445 Bellevue Ave, Suite 203, Oakland, CA 94610-4923 | 2005-08-17 |
| 1982069423 | Meraki Holistic Healing | Community/Behavioral Health | 445 Bellevue Ave, Oakland, CA 94610-4923 | 2015-12-29 |
| 1255691077 | Shannon Rogers | Marriage & Family Therapist | 445 Bellevue Ave, Suite 201b, Oakland, CA 94610-4923 | 2012-05-26 |
| 1023397148 | Marielle Berg | Marriage & Family Therapist | 445 Bellevue Ave, Suite 104, Oakland, CA 94610-4923 | 2011-08-07 |
| 1427363035 | Jennifer Michelle Meltz | Dietitian, Registered | 445 Bellevue Ave, Oakland, CA 94610-4923 | 2010-08-09 |
| 1154635571 | David Gage Cushman | Counselor | 445 Bellevue Ave, Suite 202, Oakland, CA 94610-4923 | 2010-07-27 |
| 1407171580 | Charles Meyers | Psychologist | 445 Bellevue Ave, Suite 201, Oakland, CA 94610-4923 | 2010-04-01 |
| 1902138811 | Penny Reed | Social Worker | 445 Bellevue Ave, Suite 101 Rm. B, Oakland, CA 94610-4923 | 2010-02-02 |
| 1295066603 | Deborah Lynn Webb | Dietitian, Registered | 445 Bellevue Ave, Suite 101, Oakland, CA 94610-4923 | 2010-01-25 |
| 1235464926 | Ellen Pompa | Marriage & Family Therapist | 445 Bellevue Ave, #101, Oakland, CA 94610-4923 | 2009-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467944033 | Danielle Elissa Comerford | Marriage & Family Therapist | 370 Grand Ave Ste 4, Oakland, CA 94610 | 2018-05-30 |
| 1073042628 | Thien Lake Acupuncture | Clinic/Center | 3654 Grand Aveune, Oakland, CA 94610 | 2017-06-07 |
| 1508239302 | Montserrat Corsino | Acupuncturist | 493 Prince St, Oakland, CA 94610 | 2015-11-03 |
| 1376978593 | Mazen Abudllah Basidiq | Registered Nurse | 271 Jayne Ave. Suite # 11, Oakland, CA 94610 | 2013-09-06 |
| 1740523026 | Katiah Llerena | Psychologist | 414 Lake Park Ave, #595, Oakland, CA 94610 | 2013-04-04 |
| 1033459409 | Shelly Lynn Henderson-hansen | Speech-Language Pathologist | 3756 Grand Ave, Suite 401, Oakland, CA 94610 | 2013-02-22 |
| 1013267806 | Sara-jean Lizabeth Bartky | Speech-Language Pathologist | 55 Santa Clara Ave #203, Oakland, CA 94610 | 2012-09-19 |
| 1053667139 | Juanita Lerma Hernandez-morin | Counselor | 1375 55th Street, Emeryville, CA 94610 | 2012-07-26 |
| 1396030672 | Catherine Maness | Marriage & Family Therapist | 123 Bay Place, Ste 6, Oakland, CA 94610 | 2011-06-14 |
| 1871807529 | Jaime Beth Levy | Marriage & Family Therapist | 1001 Warfield Ave Apt 103, Oakland, CA 94610 | 2010-08-04 |
| Find all providers in zip 94610 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661430 | Gina M Arias | Psychologist | 3287 Madera Ave, Oakland, CA 94619-3412 | 2020-05-22 |
| 1871127464 | Karena Berghold Passaro | Psychologist | 5665 College Ave Ste 230d, Oakland, CA 94618-1639 | 2020-02-24 |
| 1053883025 | Lindsey Brooke Hopkins | Psychologist | 287 17th St Ste A, Oakland, CA 94612-4191 | 2018-12-31 |
| 1164903563 | Mindhealth, A Professional Psychology Corporation | Psychologist | 585 Mandana Blvd Ste 1, Oakland, CA 94610-2265 | 2018-08-23 |
| 1306338892 | Mark Fromm | Psychologist | 3296 Jordan Rd, Oakland, CA 94602-3535 | 2018-05-31 |
| 1205363199 | Holly Lynn Buckman | Psychologist | 1440 Broadway Ste 314, Oakland, CA 94612-2023 | 2017-05-22 |
| 1871942904 | Terri Marie Rech | Psychologist | 5835 College Ave Ste C, Oakland, CA 94618-1653 | 2016-06-09 |
| 1760867329 | William Barone | Psychologist | 360 Monte Vista Ave Apt 309, Oakland, CA 94611-4559 | 2015-07-24 |
| 1568853067 | Jason Carpenter | Psychologist | 715 62nd St, Oakland, CA 94609-1213 | 2015-02-05 |
| 1235535568 | Monique Thompson | Psychologist | 5297 College Ave # 206, Oakland, CA 94618-1462 | 2014-11-13 |
| Find all providers in OAKLAND | ||||
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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.