MS. STEPHANIE J SHAW-PERRY (NPI# 1508128042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508128042 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE J SHAW-PERRY |
| Practice Address |
2523 El Portal Dr San Pablo CA 94806-3305 |
| Mailing Address |
3800 Coolidge Ave Oakland CA 94602-3311 |
| Practice Telephone | 5104393130 |
| Practice Fax Number | 5104393129 |
| Mailing Telephone | 5104822244 |
| Mailing Fax Number | 5105302047 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2523 EL PORTAL DR |
| City | SAN PABLO |
| State | CA |
| Zip Code | 94806-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295805083 | Contra Costa County | Clinic/Center | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2006-11-08 |
| 1992356844 | Karamjeet Kaur | Registered Nurse | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2019-09-23 |
| 1609353119 | Mabel Osamor | Registered Nurse | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2018-07-26 |
| 1336642560 | Anntheia Yvonne Farr | Counselor | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2018-03-14 |
| 1710403662 | Kathy T Insixiengmay | Counselor | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2017-08-22 |
| 1386181402 | Tramaine Alan Jackson | Counselor | 2523 El Portal Dr, Suite 201, San Pablo, CA 94806-3305 | 2017-01-26 |
| 1467997486 | Gloria Esperanza Menjivar | Counselor | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2016-12-29 |
| 1538601349 | Elizabeth Gonzalez | Social Worker | 2523 El Portal Dr, San Pablo, CA 94806 | 2016-11-10 |
| 1023563483 | Serena Marie Smith | Marriage & Family Therapist | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2016-08-15 |
| 1376994251 | Renee Yvonne Owens | Counselor | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2016-06-22 |
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| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487033296 | Roy Perez I | Counselor | 350 Jennifer Dr, San Pablo, CA 94806-1112 | 2015-05-26 |
| 1841636560 | Frances Aguilar | Counselor | 102 Westgate Cir, San Pablo, CA 94806-2879 | 2013-05-21 |
| 1336418920 | Alexandra Elisabeth Brewster | Counselor | 907 Lake Street San Pablo Avenue, San Pablo, CA 94606 | 2011-12-28 |
| 1558501304 | Eric Hotchandani | Counselor | 2523 El Portal, Suite 201, San Pablo, CA 94806-3305 | 2009-03-05 |
| 1609902527 | Larkin Marie Boero | Counselor | 2462 Dolan Way, San Pablo, CA 94806 | 2007-02-26 |
| 1831256452 | David Monroe Schindler IIi | Counselor | 2853 Groom Dr, San Pablo, CA 94806-2664 | 2007-01-02 |
| 1710354287 | Cherise B Nketiah | Counselor | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2015-08-31 |
| 1396129516 | Ashley Lauren Baughman | Counselor | 2523 El Portal Dr, Suite 201, San Pablo, CA 94806-3305 | 2015-07-17 |
| 1174939342 | Amy Rands | Counselor | 2523 El Portal Dr, Suite 201, San Pablo, CA 94806-3305 | 2014-07-08 |
| 1861825713 | Brooke C Harrison | Counselor | 1515 Market Ave, San Pablo, CA 94806-4357 | 2013-08-14 |
| Find all providers in SAN PABLO | ||||
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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.