JENNIFER PETRUZZI (NPI# 1497380760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497380760 |
| Entity Type | Individual |
| Full Name | JENNIFER PETRUZZI |
| Practice Address |
744 Empire St Fairfield CA 94533-5562 |
| Mailing Address |
Po Box 1064 Vacaville CA 95696-1064 |
| Practice Telephone | 7076469856 |
| Mailing Telephone | 9164262999 |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2020-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4786 | CA | Behavioral Health & Social Service Providers |
| Street Address |
744 EMPIRE ST |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-5562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366557514 | Sheila Zarb-harper | Psychologist | 744 Empire St, Suite 204, Fairfield, CA 94533-5592 | 2006-08-20 |
| 1003475104 | Kent Hiroshi Higa I | Community Health Worker | 744 Empire St, Fairfield, CA 94533-5562 | 2019-06-12 |
| 1649745472 | Francesca Abrera | Behavioral Analyst | 744 Empire St, Fairfield, CA 94533-5562 | 2018-10-08 |
| 1609351295 | Stephanie Kwon | Behavior Technician | 744 Empire St, Fairfield, CA 94533-5562 | 2018-09-28 |
| 1689159295 | Taylor Paige Shaw | Behavior Technician | 744 Empire St, Fairfield, CA 94533 | 2018-09-28 |
| 1841775574 | Jessil Angelina Plenos | Behavior Technician | 744 Empire St, Fairfield, CA 94533 | 2018-09-28 |
| 1699250514 | Rochelle Brown | Behavior Technician | 744 Empire St, Fairfield, CA 94533-5562 | 2018-09-26 |
| 1376028282 | Melisa Osborne | Behavior Technician | 744 Empire St, Fairfield, CA 94533-5562 | 2018-09-26 |
| 1689159550 | Kristina M Yarcia | Behavior Technician | 744 Empire St, Fairfield, CA 94533-5562 | 2018-09-26 |
| 1336624204 | Paulina Amairani Zavala Medina | Behavior Technician | 744 Empire St, Fairfield, CA 94533-5562 | 2018-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273781 | Hope Counseling, LLC | Counselor | 87 Ruane St, Fairfield, CT 06824-5864 | 2019-09-05 |
| 1376190504 | Megan Jane Earp | Counselor | 500 N 3rd St Ste 209, Fairfield, IA 52556-2483 | 2019-08-22 |
| 1083272561 | Keturah Walker | Counselor | 5098 Rowe Dr, Fairfield, CA 94533-6590 | 2019-05-30 |
| 1093278525 | Rhonda M Bogenschutz | Counselor | 311 Nilles Rd Ste A, Fairfield, OH 45014-2621 | 2019-04-11 |
| 1023501525 | Isaac Higgins | Counselor | 1234 Empire St # 1500, Fairfield, CA 94533-5711 | 2018-06-08 |
| 1851899348 | Caitlin Asels | Counselor | 1234 Empire St # 2130, Fairfield, CA 94533-5711 | 2018-01-30 |
| 1700314606 | Fairfield County Counseling | Counselor | 60 Katona Dr Ste 22, Fairfield, CT 06824-3544 | 2017-05-23 |
| 1285181552 | Anthony Tucci | Counselor | 2209 Concord Ct, Fairfield, CA 94533-5858 | 2016-09-05 |
| 1003274515 | Susan Myunghee Choi | Counselor | 470 Chadbourne Rd. Suite E, Aldea Children & Family Services, Fairfield, CA 94534-9600 | 2016-01-29 |
| 1588032239 | Whitney Ann Walker | Counselor | 2100 W Texas St, Fairfield, CA 94533-4468 | 2015-09-11 |
| Find all providers in FAIRFIELD | ||||
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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.