KANIKA LYNN SHELLY (NPI# 1447661277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447661277 |
| Entity Type | Individual |
| Full Name | KANIKA LYNN SHELLY |
| Practice Address |
4175 Lakeside Dr Ste 110 Richmond CA 94806-1950 |
| Mailing Address |
4175 Lakeside Dr Richmond CA 94806-5774 |
| Practice Telephone | 5102626551 |
| Mailing Telephone | 5102626551 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2015-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4175 LAKESIDE DR STE 110 |
| City | RICHMOND |
| State | CA |
| Zip Code | 94806-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700934890 | Levy Jiao-jue Sheng | Counselor | 4175 Lakeside Dr Ste 110, Richmond, CA 94806-1950 | 2007-01-08 |
| 1922553650 | Marisa Swain | Student in an Organized Health Care Education/Training Program | 4175 Lakeside Dr Ste 110, Richmond, CA 94806-1950 | 2016-08-23 |
| 1558765586 | Maria Turner-lloveras | Counselor | 4175 Lakeside Dr Ste 110, Richmond, CA 94806-1950 | 2014-10-20 |
| 1215338769 | Lakeyssia Brown | Counselor | 4175 Lakeside Dr Ste 110, Richmond, CA 94806-1950 | 2014-09-15 |
| 1538570908 | Zuhey Coria Lopez | Counselor | 4175 Lakeside Dr Ste 110, Richmond, CA 94806-1950 | 2014-05-19 |
| 1487903506 | Kiraa Lillard | Counselor | 4175 Lakeside Dr Ste 110, Richmond, CA 94806-1950 | 2012-09-05 |
| 1255612552 | Arla Bowles | Counselor | 4175 Lakeside Dr Ste 110, Richmond, CA 94806-1950 | 2011-08-31 |
| 1548563372 | Madeline Stephanie Ofina | Counselor | 4175 Lakeside Dr Ste 110, Richmond, CA 94806-1950 | 2010-12-16 |
| 1639487416 | Maya Diamond | Counselor | 4175 Lakeside Dr Ste 110, Richmond, CA 94806-1950 | 2010-09-15 |
| 1629229083 | Bobbie J Thompson | Counselor | 4175 Lakeside Dr Ste 110, Richmond, CA 94806-1950 | 2008-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
| 1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
| 1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
| 1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
| 1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
| 1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
| 1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
| 1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
| 1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
| 1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
| Find all providers in zip 94806 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
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| Find all providers in RICHMOND | ||||
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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.