BROOKE SPEZZANO (NPI# 1558778837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558778837 |
| Entity Type | Individual |
| Full Name | BROOKE SPEZZANO |
| Credential | M.S., MFTI |
| Practice Address |
1330 Lincoln Ave Ste 201 San Rafael CA 94901-2142 |
| Mailing Address |
15 Richardson Rd Novato CA 94949-6171 |
| Practice Telephone | 4154595999 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1330 LINCOLN AVE STE 201 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-2142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982783239 | Jennifer Carri | Marriage & Family Therapist | 1330 Lincoln Ave Ste 201, Community Institute for Psychotherapy, San Rafael, CA 94901-2142 | 2006-11-06 |
| 1568070175 | Ashley Coover | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Ave Ste 201, San Rafael, CA 94901-2142 | 2020-07-20 |
| 1376168914 | Nicole Renee Grinsell | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Ave Ste 201, San Rafael, CA 94901-2142 | 2020-06-09 |
| 1306468186 | Spencer Carlson | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Ave Ste 201, San Rafael, CA 94901-2142 | 2020-05-14 |
| 1235750464 | Yael Heffer | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Ave Ste 201, San Rafael, CA 94901-2142 | 2020-04-28 |
| 1265051650 | Renee Demirdjian Van Alyea | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Ave Ste 201, San Rafael, CA 94901-2142 | 2020-04-15 |
| 1144849688 | Kacy Catherine Dapp | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Ave Ste 201, San Rafael, CA 94901-2142 | 2020-04-14 |
| 1477182913 | Elizabeth Page Nelson | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Ave Ste 201, San Rafael, CA 94901-2142 | 2020-04-06 |
| 1730728783 | Lisa Wenninger | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Ave Ste 201, San Rafael, CA 94901-2142 | 2019-12-21 |
| 1083277578 | Kristin Andersen | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Ave Ste 201, San Rafael, CA 94901-2142 | 2019-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770191538 | Deirdre Ann Martinez | Student in an Organized Health Care Education/Training Program | 66 Oxford Dr, San Rafael, CA 94903-2887 | 2020-07-17 |
| 1043833841 | Kevin Nasre | Student in an Organized Health Care Education/Training Program | 103 Gable Ct, San Rafael, CA 94903-5208 | 2020-05-27 |
| 1194369116 | Diana Duran Robles | Student in an Organized Health Care Education/Training Program | 308 Glen Park Ave Apt B, San Rafael, CA 94901-1361 | 2019-11-01 |
| 1710404991 | Janine Nicole Carpenter | Student in an Organized Health Care Education/Training Program | 3230 Kerner Blvd Ste 120, San Rafael, CA 94901-4840 | 2017-08-28 |
| 1477006880 | Francesca Zulueta | Student in an Organized Health Care Education/Training Program | 1050 Court St, Apt 510, San Rafael, CA 94901-2982 | 2016-08-02 |
| 1336692102 | Deborah Styles | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Ave, # 201, Community Institute for Psychotherapy, San Rafael, CA 94901-2120 | 2016-07-28 |
| 1639379944 | Elizabeth Chapman Foxx | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Avenue, San Rafael, CA 94901-2120 | 2007-07-24 |
| 1558407544 | Susan Eve Aceves | Student in an Organized Health Care Education/Training Program | 1 Saint Vincent Dr, San Rafael, CA 94903 | 2007-01-29 |
| 1396350740 | Sarah Marie Rubin | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-12 |
| 1205441730 | Arshdeep Kaur | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-11 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on BROOKE SPEZZANO.
| 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.