MARY ELIZABETH KAVANAUGH (NPI# 1558509547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558509547 |
| Entity Type | Individual |
| Full Name | MARY ELIZABETH KAVANAUGH |
| Credential | M.A |
| Practice Address |
3840 Homestead Rd Santa Clara CA 95051-4542 |
| Practice Telephone | 9169556254 |
| Mailing Telephone | 9169556254 |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2017-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 90282 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF BEHAVIORAL SCIENCES | 90282 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063708311 | Mary Kavanaugh | Registered Nurse | 387 Quarry St, Suite 100, Fall River, MA 02723-1025 | 2011-06-24 |
| Street Address |
3840 HOMESTEAD RD |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95051-4542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053484964 | Cecilia Anne Nepomuceno | Psychologist | 3840 Homestead Rd, Santa Clara, CA 95051-4542 | 2006-11-16 |
| 1568072908 | Emma Mefom | Counselor | 3840 Homestead Rd, Santa Clara, CA 95051-4542 | 2020-07-31 |
| 1497275580 | Nancy Luu Huang | Occupational Therapist | 3840 Homestead Rd, Santa Clara, CA 95051-4542 | 2017-06-21 |
| 1285900415 | Sung Hak Choi | Psychiatry & Neurology | 3840 Homestead Rd, Kaiser Permanente Behavioral Health Center, Santa Clara, CA 95051-4542 | 2012-04-02 |
| 1063712057 | Kaiser Foundation Hospitals | Pharmacy | 3840 Homestead Rd, Santa Clara, CA 95051-4542 | 2010-10-25 |
| 1912213893 | Sujata B. Kapai | Pharmacist | 3840 Homestead Rd, Santa Clara, CA 95051-4542 | 2010-08-30 |
| 1750443354 | Julie Johnston Koenig | Counselor | 3840 Homestead Rd, Santa Clara, CA 95051-4542 | 2006-12-14 |
| 1669546339 | Anne Elizabeth Grella | Social Worker | 3840 Homestead Rd, Santa Clara, CA 95051-4542 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043773690 | Christian Hamm | Pharmacist | Kaiser Permanente Medical Center Santa Clara, Dept 362 (inpatient Pharmacy), 710 Lawrence Expressway, Santa Clara, CA 95051 | 2019-04-10 |
| 1053879692 | Jiaqi Weng | Acupuncturist | 2062 Walsh Ave Suite B2, San Clare, CA 95051 | 2019-03-02 |
| 1699293209 | Leslie Avalos | Massage Therapist | 3530 Lochnivar Ave, Santa Clara, CA 95051 | 2017-09-04 |
| 1831552843 | Miral Neel Patel | Physical Therapist | 2737 Walsh Avenue, Alliance Occupational Medicine, Santa Clara, CA 95051 | 2016-03-29 |
| 1861831117 | Alison Wong | Emergency Medicine | 700 Lawrence Expy Dept 100, Santa Clara, CA 95051 | 2013-06-20 |
| 1073889291 | Brittany Lee Bianchi | Speech-Language Pathologist | 3775 Flora Vista Ave, Apt. 501, Santa Clara, CA 95051 | 2012-04-02 |
| 1124390067 | Karo Isajan | Chiropractor | 5145 Stevens Creek Blvd Ste 130, Santa Clara, CA 95051 | 2012-02-08 |
| 1598054991 | David Phillip Guo | Urology | 710 Lawrence Expy Dept 448, Santa Clara, CA 95051 | 2011-04-06 |
| 1043528573 | Jennifer Hui Young | Chiropractor | 2342 Walsh Ave, Santa Clara, CA 95051 | 2010-09-17 |
| 1386961217 | Assefa Gebremichael | Pharmacist | 1000 Kiely Blvd, #91, Santa Clara, CA 95051 | 2010-05-03 |
| Find all providers in zip 95051 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639743 | Sharareh Shojaeddini | Marriage & Family Therapist | 3315 Montgomery Dr, Santa Clara, CA 95054-3028 | 2019-09-20 |
| 1396398640 | Evolibri Consulting | Marriage & Family Therapist | 4655 Old Ironsides Dr Ste 170, Santa Clara, CA 95054-1853 | 2019-07-16 |
| 1598220626 | Wren Gray-reneberg | Marriage & Family Therapist | 1957 Pruneridge Ave, Santa Clara, CA 95050-6515 | 2019-02-02 |
| 1154897262 | Jena Lenhardt | Marriage & Family Therapist | 3000 Benton St, Santa Clara, CA 95051-3736 | 2018-10-16 |
| 1467968008 | Allison Fluty | Marriage & Family Therapist | 3256 Humbolt Ave, Santa Clara, CA 95051-3749 | 2017-12-19 |
| 1871019174 | Stephanie Shigeko Fugita | Marriage & Family Therapist | 2797 Park Ave Ste 206, Santa Clara, CA 95050-6064 | 2017-08-17 |
| 1831634526 | Daniel Davis Licensed Marriage and Family Therapist A Professional Cor | Marriage & Family Therapist | 1588 Homestead Road, Suite G, Santa Clara, CA 95050-4783 | 2017-01-04 |
| 1407225709 | Khalil Foundation | Marriage & Family Therapist | 3033 Scott Blvd, Santa Clara, CA 95054-3316 | 2015-09-17 |
| 1366830127 | Christina Altemueller | Marriage & Family Therapist | 2797 Park Avenue, Suite 200, Santa Clara, CA 95050 | 2015-01-02 |
| 1841605896 | Elaine Gee-wong | Marriage & Family Therapist | 1588 Homestead Rd # 4, Suite F, Santa Clara, CA 95050-4783 | 2014-06-29 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95051 |
Please comment or provide details below to improve the information on MARY ELIZABETH KAVANAUGH.
| 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.