DR. BEVERLY RAE MATSUISHI


Address: 18 Marinita Ave, San Rafael, CA 94901-3431
Phone: 4152581771

DR. BEVERLY RAE MATSUISHI (NPI# 1578598447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578598447
Entity Type Individual
Full Name DR. BEVERLY RAE MATSUISHI
Credential PH.D.
Practice Address 18 Marinita Ave
San Rafael
CA 94901-3431
Practice Telephone 4152581771
Practice Fax Number 4152581771
Mailing Telephone 4152581771
Mailing Fax Number 4152581771
Enumeration Date 2006-07-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY 16203 CA Behavioral Health & Social Service Providers

Office Location

Street Address 18 MARINITA AVE
City SAN RAFAEL
State CA
Zip Code 94901-3431

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1871826487 Aninha Esperanza Livingstone Psychologist 700 E St San Rafael Ca 94901, Suite 201, San Rafael, CA 94901 2009-09-14
1609012574 Ruud Vanwijnen Psychologist 15 North Ave, 2-a, San Rafael, CA 94903-4823 2008-12-26
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Competitor

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City SAN RAFAEL
Zip Code 94901

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Dataset Information

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.

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