DR. JANE MARIE ZICH (NPI# 1568680072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568680072 |
| Entity Type | Individual |
| Full Name | DR. JANE MARIE ZICH |
| Credential | PH.D. |
| Practice Address |
1036 Sir Francis Drake Blvd Kentfield CA 94904-1427 |
| Practice Telephone | 4157528022 |
| Mailing Telephone | 4157528022 |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY 8675 | CA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 8675 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1036 SIR FRANCIS DRAKE BLVD |
| City | KENTFIELD |
| State | CA |
| Zip Code | 94904-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053358341 | Glenn Arman Cornell | Psychiatry & Neurology | 1036 Sir Francis Drake Blvd, Kentfield, CA 94904-1427 | 2006-06-02 |
| 1770913311 | Anne Brush | Marriage & Family Therapist | 1036 Sir Francis Drake Blvd, Kentfield, CA 94904-1427 | 2013-11-18 |
| 1659619559 | Deborah Goldyne | Marriage & Family Therapist | 1036 Sir Francis Drake Blvd, Kentfield, CA 94904-1427 | 2013-01-28 |
| 1063759116 | Joan Driscoll | Psychologist | 1036 Sir Francis Drake Blvd, Suite 200, Kentfield, CA 94904-1427 | 2013-01-09 |
| 1114212834 | Daniela Koromzay | Marriage & Family Therapist | 1036 Sir Francis Drake Blvd, Kentfield, CA 94904-1427 | 2011-06-09 |
| 1457654709 | Jeanette Rhoads Margolin, M.d.inc | Psychiatry & Neurology | 1036 Sir Francis Drake Blvd, Kentfield, CA 94904-1427 | 2010-12-08 |
| 1356643738 | Dedalus Hyde | Psychologist | 1036 Sir Francis Drake Blvd, Kentfield, CA 94904-1427 | 2010-11-17 |
| 1144469941 | William Scott Gerwin | Psychologist | 1036 Sir Francis Drake Blvd, Kentfield, CA 94904-1427 | 2009-02-18 |
| 1437308905 | Maia J Newman | Social Worker | 1036 Sir Francis Drake Blvd, Kentfield, CA 94904-1427 | 2008-09-09 |
| 1255591715 | Linda Christine Boyd-cornell | Marriage & Family Therapist | 1036 Sir Francis Drake Blvd, Kentfield, CA 94904-1427 | 2008-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
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| 1871104307 | Erania Marie Martin-lang | Psychologist | 13329 Arbor Park Ln, Moreno Valley, CA 92553-6916 | 2020-08-10 |
| 1366051070 | Shellie Renae Higuera | Psychologist | 5059 Day Dr, Fairfield, CA 94533-6597 | 2020-07-28 |
| 1730706979 | Oak Forest Recovery Center, Inc. | Psychologist | 5655 Lindero Canyon Rd Ste 425, Westlake Village, CA 91362-4046 | 2020-07-04 |
| 1861016842 | Valley Harvest Church of Merced | Psychologist | 557 W 26th St, Merced, CA 95340-2825 | 2020-06-04 |
| 1629691993 | Franklin Clifford Wimberly | Psychologist | 10 Pleasant Walk, Aliso Viejo, CA 92656-4266 | 2020-05-21 |
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1386282762 | Danielle Wischenka | Psychologist | 155 E Campbell Ave Ste 219, Campbell, CA 95008-2062 | 2019-12-16 |
| 1528525326 | Sylvia Cary | Psychologist | 4650 Sepulveda Blvd Apt 201, Sherman Oaks, CA 91403-2462 | 2019-02-28 |
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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.