JACQUELINE BULLOCK (NPI# 1568908911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568908911 |
| Entity Type | Individual |
| Full Name | JACQUELINE BULLOCK |
| Practice Address |
9442 International Blvd Oakland CA 94603-1444 |
| Practice Telephone | 5107778448 |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720581978 | Jacqueline Bullock | Psychologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2018-03-14 |
| Street Address |
9442 INTERNATIONAL BLVD |
| City | OAKLAND |
| State | CA |
| Zip Code | 94603-1444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346456852 | Willie Macarthur Collins | Physician Assistant | 9442 International Blvd, Oakland, CA 94603-1444 | 2007-05-14 |
| 1649703968 | Phylisa Mccoy | Licensed Vocational Nurse | 9442 International Blvd, Oakland, CA 94603-1444 | 2017-04-04 |
| 1861925281 | Fatema Jackson | Counselor | 9442 International Blvd, Oakland, CA 94603-1444 | 2017-04-04 |
| 1417491341 | Christopher Aranzaso | Counselor | 9442 International Blvd, Oakland, CA 94603-1444 | 2016-12-12 |
| 1235673211 | Clifton Jones Sr. | Counselor | 9442 International Blvd, Oakland, CA 94603-1444 | 2016-12-12 |
| 1700320637 | Araceli Piceno | Counselor | 9442 International Blvd, Oakland, CA 94603-1444 | 2016-12-12 |
| 1174975122 | Chasity Quiliza | Licensed Vocational Nurse | 9442 International Blvd, Oakland, CA 94603-1444 | 2016-07-01 |
| 1063864015 | Keilani Deal | Licensed Vocational Nurse | 9442 International Blvd, Oakland, CA 94603-1444 | 2016-07-01 |
| 1417309469 | Decresa Griffie | Licensed Vocational Nurse | 9442 International Blvd, Oakland, CA 94603-1444 | 2016-07-01 |
| 1629420674 | Rhealeen Masilang | Licensed Vocational Nurse | 9442 International Blvd, Oakland, CA 94603-1444 | 2016-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235694092 | Kimberlyn Taylor | Behavioral Analyst | 11042 Robledo Dr, Oakland, CA 94603 | 2019-02-06 |
| 1114414315 | Christopher Maurice Cain | Community Health Worker | 9925 International Blvd #5, Oakland, CA 94603 | 2018-04-13 |
| 1720508039 | Jessie James King Jr. | Counselor | 9925 International Blvd Suite #5, 9925 International Blvd Suite #5, Oakland, CA 94603 | 2017-06-27 |
| 1619426475 | Susana Obispo | Counselor | 10429 International Boulevard, Oakland, CA 94603 | 2016-09-22 |
| 1760764955 | Paul E Rammer | Marriage & Family Therapist | 1523 Chandler Street, Oakland, CA 94603 | 2011-09-13 |
| 1447250998 | East Oakland Obs Gyn Med Gp Inc | Obstetrics & Gynecology | 9925 International Blvd, Ste 1, Oakland, CA 94603 | 2005-07-27 |
| 1285184846 | Sharrise Williams | Counselor | 10429 International Blvd, Oakland, CA 94603 | 2016-10-07 |
| 1659821213 | Linna Hov | Counselor | 10429 International Blvd, Oakland, CA 94603 | 2016-10-07 |
| 1508148685 | Kimberly Alston-stepnitz | Counselor | 9925 International Blvd, Oakland, CA 94603 | 2011-09-14 |
| 1699729426 | Robert Scott Millard | Physical Medicine & Rehabilitation | 500 Arguello Street, Suite 100, Redwood City, CA 94603 | 2006-05-19 |
| Find all providers in zip 94603 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330332 | Sara M Haile | Counselor | 339 Lester Ave Apt B, Oakland, CA 94606-1335 | 2020-09-14 |
| 1891327490 | Steven E Blackman | Counselor | 5701 Walnut St, Oakland, CA 94605-1050 | 2020-02-11 |
| 1437796851 | Allen Temple Health & Social Services Ministry | Counselor | 8501 International Blvd., C-105, Oakland, CA 94621-1549 | 2019-12-04 |
| 1225670763 | Greg Joseph Cesena | Counselor | 2321 International Blvd, Oakland, CA 94601-1018 | 2019-10-16 |
| 1588219877 | Ramon Deandre Hall | Counselor | 8425 Macarthur Blvd, Oakland, CA 94605-3553 | 2019-08-05 |
| 1497300925 | Sandra Campbell | Counselor | 7511 Hillside St, Oakland, CA 94605-2821 | 2019-08-01 |
| 1992357057 | Christina Joi Jefferson | Counselor | 2815 West St, Oakland, CA 94608-4535 | 2019-07-09 |
| 1518525674 | Ma Concepsion Rivera Gonzalez | Counselor | 1411 E 31st St Dept Oa1, Oakland, CA 94602-1018 | 2019-06-04 |
| 1952873184 | Brenna Mchugh | Counselor | 5250 Redondo Ave, Oakland, CA 94618-1047 | 2018-12-28 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| Find all providers in OAKLAND | ||||
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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.