DR. LISA JUANITA NELSON (NPI# 1457519183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457519183 |
| Entity Type | Individual |
| Full Name | DR. LISA JUANITA NELSON |
| Credential | M.D. |
| Practice Address |
802 Brewster Ave South County Mental Health Redwood City CA 94063-1510 |
| Practice Telephone | 6503634111 |
| Practice Fax Number | 6503646927 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
G84794 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164954939 | Lisa Renee Nelson | Social Worker | 5353 W Dartmouth Ave Ste 203, Denver, CO 80227-5516 | 2017-03-31 |
| 1457798977 | Lisa Marie Nelson | Counselor | 5910 Clark Road Suite 179, Paradise, CA 95969 | 2013-05-23 |
| 1174812036 | Lisa Nelson | Behavioral Analyst | 364 Ridge Rd., Yakutat, AK 99689 | 2011-03-31 |
| 1881834992 | Lisa J Nelson | Pediatrics | 2330 Maputo Pl, Dulles, VA 20189-2330 | 2009-03-02 |
| 1174705982 | Lisa Ann Nelson | Registered Nurse | Putnam Hall, Stony Brook, NY 11790 | 2007-12-04 |
| 1386765782 | Lisa Marie Nelson | Massage Therapist | 115 E Monroe St, Mount Pleasant, IA 52641-1900 | 2007-04-03 |
| 1275687667 | Lisa Nelson | Speech-Language Pathologist | 1538 Merit Ln, Liberty, MO 64068-2098 | 2007-01-22 |
| 1558448860 | Lisa T Nelson | Physician Assistant | 13322 Conant St, Detroit, MI 48212-2338 | 2006-11-01 |
| 1780762740 | Lisa C Nelson | Speech-Language Pathologist | 3600 Saunders Ave., Richmond, VA 23227-4347 | 2006-11-01 |
| 1073616306 | Lisa Lynn Nelson | Speech-Language Pathologist | 100 Sunrise Meadow Road, Box 52, Mule Creek, NM 88051-0052 | 2006-09-05 |
| Street Address |
802 BREWSTER AVE SOUTH COUNTY MENTAL HEALTH |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912926692 | Behavioral Health and Recovery Services | Counselor | 802 Brewster Ave, Redwood City, CA 94063-1510 | 2006-07-19 |
| 1699325019 | Tara Rose O'reilly | Student in an Organized Health Care Education/Training Program | 802 Brewster Ave, Redwood City, CA 94063-1510 | 2019-09-17 |
| 1417503301 | Sara Musso | Registered Nurse | 802 Brewster Ave, Redwood City, CA 94063-1510 | 2019-08-15 |
| 1235795881 | Harminder K Gill | General Practice | 802 Brewster Ave, Redwood City, CA 94063-1510 | 2019-05-18 |
| 1639671662 | Miguelangel Nazario | Community Health Worker | 802 Brewster Ave, Redwood City, CA 94063-1510 | 2018-03-06 |
| 1811446891 | Linda Mcdaniel | Counselor | 802 Brewster Ave, Redwood City, CA 94063-1510 | 2016-10-01 |
| 1629429915 | Maria Aviles | Student in an Organized Health Care Education/Training Program | 802 Brewster Ave, Redwood City, CA 94063-1510 | 2016-06-28 |
| 1033517917 | Constance Hannah Rose | Counselor | 802 Brewster Ave, Redwood City, CA 94063-1510 | 2014-12-09 |
| 1598179509 | Shannon Moore-langston | General Practice | 802 Brewster Ave, Redwood City, CA 94063-1510 | 2014-06-17 |
| 1447680541 | Deborah Wilson | Counselor | 802 Brewster Ave, Redwood City, CA 94063-1510 | 2013-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164695854 | Olga Ogai Hewett | Psychiatry & Neurology | 1400 Veterans Blvd, Redwood City, CA 94063-2612 | 2008-04-02 |
| 1700964368 | Anna J. Hempstead | Psychiatry & Neurology | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-01 |
| 1932287588 | Daniel B. Beugelmans | Psychiatry & Neurology | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-01 |
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|---|---|---|---|---|
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| 1043848872 | Nelson Md and Lochhead Md, A Professional Medical Corporation | Psychiatry & Neurology | 28202 Cabot Rd Ste 635, Laguna Niguel, CA 92677-1222 | 2020-03-28 |
| 1003455460 | Ranvinder Kaur Rai Md | Psychiatry & Neurology | 39676 Mission Blvd, Fremont, CA 94539-3000 | 2020-01-03 |
| 1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
| 1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
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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.