DR. ZAKIYYAH JOHNICE ZIYADHYATT (NPI# 1598240178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598240178 |
| Entity Type | Individual |
| Full Name | DR. ZAKIYYAH JOHNICE ZIYADHYATT |
| Credential | PSYD |
| Practice Address |
1650 Zanker Rd Ste 230 San Jose CA 95112-1129 |
| Practice Telephone | 4085908655 |
| Mailing Telephone | 4085908655 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
CA | Behavioral Health & Social Service Providers | |
| Y | 101YP2500X |
Counselor Specialization: Professional |
117679 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 101YP2500X | 05 | |
| CA | 103T00000X | 05 | |
| CA | 101YM0800X | 05 | |
| CA | 103TE1000X | 05 | |
| CA | 405300000X | 05 |
| Street Address |
1650 ZANKER RD STE 230 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477189264 | Yula Victoria Bradley | Counselor | 5875 Charlotte Dr Apt 161, San Jose, CA 95123-6861 | 2020-03-12 |
| 1023675626 | Rob M Grellman | Counselor | 3880 S Bascom Ave Ste 101, San Jose, CA 95124-2600 | 2019-05-20 |
| 1306359468 | Mia Lee | Counselor | 777 N 1st St Ste 200, San Jose, CA 95112-6311 | 2017-11-13 |
| 1912352410 | Michele Hunter | Counselor | 1431 Ford Ave, San Jose, CA 95110-3612 | 2016-05-03 |
| 1104288422 | Kristin Ann Dessau | Counselor | 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 | 2016-03-25 |
| 1598127342 | Little Spirits Bay Area Licensed Professional Clinical Counslor | Counselor | 77 N Almaden Ave, 104, San Jose, CA 95110-2799 | 2016-03-22 |
| 1255689584 | Julia Noel-valentin Ma | Counselor | 1922 The Alameda Ste 425, San Jose, CA 95126-1453 | 2012-08-16 |
| 1316213473 | Irene Schell Capuchino | Counselor | 49 North Fourth Street, San Jose, CA 95112 | 2012-03-22 |
| 1699006619 | Nora Magana | Counselor | 1190 Lincoln Ave, 7, San Jose, CA 95125-3036 | 2010-01-15 |
| 1912190877 | Shihwei Ho Li | Counselor | 591 N King Rd Ste 3, San Jose, CA 95133-1661 | 2007-08-23 |
| Find all providers in SAN JOSE | ||||
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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.