CARLEEN FULLER (NPI# 1568915270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568915270 |
| Entity Type | Individual |
| Full Name | CARLEEN FULLER |
| Practice Address |
1816 Scenic Ave Berkeley CA 94709-1324 |
| Mailing Address |
2323 Hearst Ave Berkeley CA 94709-1319 |
| Practice Telephone | 5105487270 |
| Mailing Telephone | 5105487270 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1816 SCENIC AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94709-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750392353 | New Bridge Foundation | Substance Abuse Rehabilitation Facility | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2006-08-10 |
| 1750923611 | Corina Michelle Pintor | Licensed Vocational Nurse | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2019-10-11 |
| 1902452568 | Jason Etchingham | Counselor | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2019-08-09 |
| 1144710880 | Joseph Sorg | Licensed Vocational Nurse | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2018-05-17 |
| 1457870909 | Daniel Timothy Kapson | Counselor | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2017-09-15 |
| 1720505464 | Ricky S Chen | Registered Nurse | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2017-08-24 |
| 1356878334 | Haley Rose Williams | Counselor | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2017-05-22 |
| 1952850042 | Scott Watts | Counselor | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2016-09-29 |
| 1831642065 | Brian Campany | Marriage & Family Therapist | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2016-07-23 |
| 1285087692 | John Brewer | Counselor | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2016-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868647 | Komalpreet Kaur | Pharmacist | 1444 Shattuck Place, Berkeley, CA 94709 | 2019-12-16 |
| 1689189763 | Lynn Rubin | Marriage & Family Therapist | 1524 Henry St., Berkeley, CA 94709 | 2017-12-11 |
| 1750825154 | Stacy Taniguchi | Psychologist | 2000 Hearst Ave Ste 207, Berkeley, CA 94709 | 2016-12-05 |
| 1558804708 | Tylynn Ludwig | Dietitian, Registered | 1525 Shattuck Ave Ste G, Berkeley, CA 94709 | 2016-11-21 |
| 1528316171 | Leeat Zwick-louvton | Physical Therapist | 2209 Glen Ave, Berkeley, CA 94709 | 2012-08-29 |
| 1497016588 | City of Berkeley | Case Management | 1901 Hearst Street, Berkeley, CA 94709 | 2012-06-05 |
| 1841591914 | Dana Carr | Psychologist | 1078 Shattuck Avenue, #6, Berkeley, CA 94709 | 2010-11-05 |
| 1568639565 | Harry Joseph Lieberman | Marriage & Family Therapist | 1933 Rose St, Berkeley, CA 94709 | 2008-05-09 |
| 1780806935 | Martha W Knobler | Marriage & Family Therapist | 2045 Francisco Street, Berkeley, CA 94709 | 2007-05-03 |
| 1578690830 | Alice H Brown | Counselor | 1607 Walnut Street # One, Berkeley, CA 94709 | 2007-02-27 |
| Find all providers in zip 94709 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275152324 | Nicholas Michael Jester | Counselor | 1610 Milvia St Apt 2, Berkeley, CA 94709-2047 | 2020-04-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1629429790 | Pearl Ortiz | Counselor | 1280 University Ave Apt D, Berkeley, CA 94702-1762 | 2016-06-29 |
| 1417352634 | Aous Jarrar | Counselor | 1931 Center St., Berkeley, CA 94704-1105 | 2014-10-30 |
| 1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
| 1699192369 | Elaine Gram | Counselor | 1942 University Ave Ste 208, Berkeley, CA 94704-1073 | 2014-03-19 |
| 1285078378 | Verona Lyn | Counselor | 1931 Center Street, Berkeley, CA 94704 | 2013-04-19 |
| 1407167117 | Preston Vargas | Counselor | 3051 Adeline St, Berkeley, CA 94703-2523 | 2010-06-28 |
| 1598092462 | Justin Paul Phillips | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2009-11-12 |
| 1679778864 | Ben C Pryor | Counselor | Ben Pryor 998 Virginia St, Berkeley, CA 94710-1851 | 2007-06-18 |
| Find all providers in BERKELEY | ||||
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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.