DR. CYNTHIA MEDINA (NPI# 1417019530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417019530 |
| Entity Type | Individual |
| Full Name | DR. CYNTHIA MEDINA |
| Credential | PH.D. |
| Practice Address |
650 Clark Way Palo Alto CA 94304-2300 |
| Practice Telephone | 6506173822 |
| Practice Fax Number | 6506883669 |
| Mailing Telephone | 6506173822 |
| Mailing Fax Number | 6506883669 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | RPS2006171 | CA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
RPS2006171 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
| 1184232084 | Cynthia Medina | Chore Provider | 1325 Airmotive Way, Reno, NV 89502-3201 | 2020-07-16 |
| 1770138257 | Cynthia Medina | Behavioral Analyst | 9002 Culebra Rd Ste 105, San Antonio, TX 78251-2875 | 2019-08-02 |
| 1245703735 | Cynthia Medina | Behavioral Analyst | 17203 Ventura Blvd Ste 3, Encino, CA 91316-4055 | 2019-01-07 |
| 1588048334 | Cynthia Medina | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2015-07-10 |
| 1265819056 | Cynthia Nicole Medina | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2015-04-30 |
| 1720473796 | Cynthia Vanessa Medina | Internal Medicine | 11480 Brookshire Ave Ste 309, Downey, CA 90241-5025 | 2015-04-06 |
| 1407245590 | Cynthia Y Medina | Occupational Therapist | 1831 Camino Del Llano, Belen, NM 87002-2619 | 2015-01-13 |
| 1710064183 | Cynthia Lynn Medina | Family Medicine | 14678 N Del Webb Blvd, Sun City, AZ 85351-2137 | 2006-11-01 |
| Street Address |
650 CLARK WAY |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104939503 | Glen R. Elliott | Psychiatry & Neurology | 650 Clark Way, Palo Alto, CA 94304-2300 | 2006-08-17 |
| 1124631197 | Sarah Newman | Marriage & Family Therapist | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-08-28 |
| 1992318679 | Nicole Wdowiak | Speech-Language Pathologist | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-08-24 |
| 1003436023 | Holly Weldon | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-04-20 |
| 1548889629 | Cara Marie Diclemente | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-04-09 |
| 1568091791 | Lauren Adelyn Cohen | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-04-08 |
| 1053942862 | Eric Loughhead | Counselor | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-01-30 |
| 1558902502 | Moran Shoham | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2019-10-01 |
| 1235797705 | Dariah Simone Brown | Counselor | 650 Clark Way, Palo Alto, CA 94304-2300 | 2019-05-30 |
| 1174187934 | Virginia Diane Peisch | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2019-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306300876 | Jen Aronowitz | Clinical Neuropsychologist | 350 Cambridge Ave Ste 125, Palo Alto, CA 94306-1550 | 2019-01-29 |
| 1376638692 | Tonita Emily Wroolie | Clinical Neuropsychologist | 220 S California Ave, Suite 115a, Palo Alto, CA 94306-1641 | 2006-10-03 |
| 1245340496 | John H Poole | Clinical Neuropsychologist | 3801 Miranda Ave # 117, Palo Alto, CA 94304-1207 | 2006-08-30 |
| 1215952759 | Nancy Elizabeth Sullivan | Clinical Neuropsychologist | 2555 Park Blvd, Suite 20, Palo Alto, CA 94306-1924 | 2006-07-13 |
| 1972139186 | Kacey M Marton | Clinical Neuropsychologist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-03-19 |
| 1922555275 | Gladys Marina Veltkamp | Clinical Neuropsychologist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2016-09-03 |
| 1174974125 | Kristina Agbayani | Clinical Neuropsychologist | 3801 Miranda Ave, Psc 117, Palo Alto, CA 94304-1207 | 2016-06-30 |
| 1306214259 | Michelle R. Madore | Clinical Neuropsychologist | 3801 Miranda Ave, Mail Code 151-y, Palo Alto, CA 94304-1207 | 2015-09-09 |
| 1740669852 | Timothy Craig Durazzo | Clinical Neuropsychologist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2015-05-21 |
| 1073926093 | Jennifer Loughlin | Clinical Neuropsychologist | 3801 Miranda Ave, Palo Alto, CA 94304 | 2014-06-06 |
| Find all providers in PALO ALTO | ||||
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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.