RICHARD BRIAN MAHAN (NPI# 1417121476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417121476 |
| Entity Type | Individual |
| Full Name | RICHARD BRIAN MAHAN |
| Credential | PH.D. |
| Practice Address |
110 N Santa Cruz Ave Suite B Los Gatos CA 95030-5919 |
| Practice Telephone | 4084090039 |
| Practice Fax Number | 4086201340 |
| Mailing Telephone | 4084090039 |
| Mailing Fax Number | 4086201340 |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2012-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY23768 | CA | Behavioral Health & Social Service Providers |
| Street Address |
110 N SANTA CRUZ AVE SUITE B |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95030-5919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629205224 | Judy Jackson | Marriage & Family Therapist | 110 N Santa Cruz Ave, Suite C, Los Gatos, CA 95030-5919 | 2009-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1942840046 | Juniper Psychology Group, PC | Psychologist | 15814 Winchester Blvd., Suite 105, Los Gatos, CA 95030 | 2020-01-07 |
| 1487169561 | Kimberly Gladysz | Counselor | 499 Loma Alta Ave Bldg 5, Los Gatos, CA 95030 | 2017-12-11 |
| 1104364546 | Holland Wrenn Pauselius | Case Manager/Care Coordinator | 449 Loma Alta Avenue, Los Gatos, CA 95030 | 2017-02-06 |
| 1679017974 | Gillian Sands | Marriage & Family Therapist | 330 N. Santa Cruz Avenue, Suite B, Los Gatos, SANTA CLARA COUNTY 95030 | 2016-12-06 |
| 1649628579 | Yun Chung Wang | Acupuncturist | 430 Monterey Ave. Ste 1b, Los Gatos, CA 95030 | 2016-06-01 |
| 1619308186 | Chia-tsen Chen | Audiologist | 15861 Winchester Blvd., Los Gatos, CA 95030 | 2013-12-09 |
| 1144592825 | Eric Alan Hansen | Pediatrics | 17611 Foster Road, Los Gatos, CA 95030 | 2012-01-27 |
| 1356628085 | Teresa C. Yang | Physical Therapist | 110 Wood Rd., Los Gatos, CA 95030 | 2011-11-09 |
| 1093025314 | Susan Greenberg-englander | Psychiatry & Neurology | 20 South Santa Cruz Ave., #315, Los Gatos, CA 95030 | 2010-10-20 |
| Find all providers in zip 95030 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770960403 | Robert Levit | Psychologist | 20 S Santa Cruz Ave Ste 315, 1, Los Gatos, CA 95030-6834 | 2015-05-01 |
| 1972937415 | Walter Edward Jessen | Psychologist | 436 San Benito Ave, Los Gatos, CA 95030-5305 | 2013-09-01 |
| 1023441607 | With Therapy Associates | Psychologist | 15951 Los Gatos Blvd Ste 14, Los Gatos, CA 95032-3488 | 2013-08-19 |
| 1164866497 | John Pina | Psychologist | 401 Alberto Way Ste D, Los Gatos, CA 95032-5404 | 2013-04-17 |
| 1235463969 | Alicia Lynn Danforth | Psychologist | 16575 Los Gatos Almaden Rd Ste B, Los Gatos, CA 95032-3582 | 2009-09-29 |
| 1003048968 | Matthew Metzger | Psychologist | 409 Alberto Way Ste 5, Los Gatos, CA 95032-5407 | 2009-08-11 |
| 1891920807 | Carrie M Talesfore | Psychologist | 700 W Parr Ave Ste K, Los Gatos, CA 95032-1444 | 2009-05-19 |
| 1710137617 | Paula Mychack | Psychologist | 16354 E La Chiquita Ave, Los Gatos, CA 95032-4608 | 2008-09-26 |
| 1821246885 | Barbara Rae Menoff | Psychologist | 211 Bean Ave, Los Gatos, CA 95030-5907 | 2008-09-03 |
| 1356536726 | Dajana Gajdos | Psychologist | 15951 Los Gatos Blvd Ste 6, Center for Developing Minds, Los Gatos, CA 95032-3428 | 2007-09-10 |
| Find all providers in LOS GATOS | ||||
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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.