JAMIE RODERICK PASCUAL


Address: 815 Tobin Dr, Vallejo, CA 94589-1676
Phone: 7072805734

JAMIE RODERICK PASCUAL (NPI# 1407295454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407295454
Entity Type Individual
Full Name JAMIE RODERICK PASCUAL
Credential PSYCH TECH
Practice Address 815 Tobin Dr
Vallejo
CA 94589-1676
Practice Telephone 7072805734
Practice Fax Number 7076483360
Mailing Telephone 7072805734
Mailing Fax Number 7076483360
Enumeration Date 2013-06-21
Last Update Date 2013-06-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
33560 CA Behavioral Health & Social Service Providers

Office Location

Street Address 815 TOBIN DR
City VALLEJO
State CA
Zip Code 94589-1676

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1366903478 Nabreea Dianna Moore Behavioral Analyst 1300 Donner Pass Rd, Vallejo, CA 94589 2019-03-29
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1821588948 Angela Ancheta Laco Behavioral Analyst 71 Los Cerritos Dr, Vallejo, CA 94589 2018-05-14
1851750764 Shauntell Hudson Counselor 112 Basalt Dr, Vallejo, CA 94589 2016-02-19
1982997680 Shuttle California Transit, LLC Private Vehicle 322 Lemon St, Vallejo, CA 94589 2011-05-27
1588813455 Shay Teresa Loftus Psychologist 1761 Broadway, Suite 100, Vallejo, CA 94589 2008-09-16
1063629236 Michael Francis Edziak Dentist 150 Hospital Dr., Vallejo, CA 94589 2007-05-17
1346454220 Diljit Bahuleyan Karayil Internal Medicine 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 2007-05-09
1174745525 Thomas Welch Gross Emergency Medicine Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 2007-05-03
1639207756 James D Prigmore Dentist 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 2007-03-01
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669072302 Imani Rivers Counselor 135 Gateway Ct, Vallejo, CA 94589-4339 2020-10-30
1942860267 Enkindled Minds Counseling and Wellness Counselor 2507 Springs Rd, Vallejo, CA 94591-5612 2019-06-18
1689164311 Karen Vanessa Alvarado Counselor 160 Glen Cove Marina Rd E, Vallejo, CA 94591-7290 2018-05-17
1154776052 Robben Stallworth Counselor 312 Starboard Dr, Vallejo, CA 94590-4024 2016-04-28
1093176273 Vincent Charles Counselor 236 Georgia St Ste 101, Vallejo, CA 94590-5962 2016-03-15
1528440096 Soren Perry Counselor 236 Georgia St., Vallejo, CA 94590 2015-06-22
1497132427 Sierra Voss Counselor 144 Harrier Ave, Vallejo, CA 94590-3710 2015-04-28
1376935452 Diana Harvey Counselor 1827 Alabama St, Vallejo, CA 94590-4739 2015-02-25
1518366327 Kimberly A Holland Counselor 631 Tennessee Street Suite 201, Vallejo, CA 94590 2014-08-18
1174959811 Chris William Cook Counselor 1243 Florida St, Vallejo, CA 94590-5540 2013-09-25
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Competitor

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City VALLEJO
Zip Code 94589

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Dataset Information

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.

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