RICHARD BRIAN MAHAN


Address: 110 N Santa Cruz Ave, Suite B, Los Gatos, CA 95030-5919
Phone: 4084090039

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY23768 CA Behavioral Health & Social Service Providers

Office Location

Street Address 110 N SANTA CRUZ AVE
SUITE B
City LOS GATOS
State CA
Zip Code 95030-5919

Providers in the same location

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

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811517667 John K Colwell Surgery 222 Hollywood Ave, Los Gatos, CA 95030 2020-04-22
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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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City LOS GATOS
Zip Code 95030

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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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