DR. SUEPEPI KLEINWAKSMEDCALF (NPI# 1609229996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609229996 |
| Entity Type | Individual |
| Full Name | DR. SUEPEPI KLEINWAKSMEDCALF |
| Credential | PHD |
| Practice Address |
1715 Solano Ave Suite B Berkeley CA 94707-2220 |
| Practice Telephone | 5102074319 |
| Mailing Telephone | 5102074319 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
1715 SOLANO AVE SUITE B |
| City | BERKELEY |
| State | CA |
| Zip Code | 94707-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710960869 | Connie Philipp | Social Worker | 1715 Solano Ave, Suite B, Berkeley, CA 94707-2220 | 2005-11-22 |
| 1144501776 | Genevieve Rose Payne | Marriage & Family Therapist | 1715 Solano Ave, Suite B, Berkeley, CA 94707-2220 | 2011-09-09 |
| 1184770182 | Marilyn Elizabeth Saulsbury | Counselor | 1715 Solano Ave, Suite A, Berkeley, CA 94707-2220 | 2007-01-25 |
| 1740390996 | Leni H. Siegel | Marriage & Family Therapist | 1715 Solano Ave, Suite B, Berkeley, CA 94707-2220 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306389556 | Tuyet-lyn Christensen | Marriage & Family Therapist | 925 The Alameda, Suite 23, Berkeley, CA 94707 | 2016-11-21 |
| 1457807208 | William L Carpenter | Registered Nurse | 875 Arlington Ave, Berkeley, CA 94707 | 2016-08-31 |
| 1992136451 | Zeph Locke | Marriage & Family Therapist | 1760 Solano Ave 300, Berkeley, CA 94707 | 2013-12-10 |
| 1295033553 | Emily Zubritsky | Counselor | 725 Spruce St., Berkeley, CA 94707 | 2011-03-09 |
| 1093025728 | Hajera Rostam | Psychologist | 970 Tulare Avenue, Berkeley, CA 94707 | 2010-10-15 |
| 1457689382 | Rand Steven Pallock | Marriage & Family Therapist | 1635 Soland Ave, Berkeley, CA 94707 | 2009-12-04 |
| 1598936957 | Doreen Ruth Downing | Psychologist | 1700 Solano Ave. Suite F, Berkeley, CA 94707 | 2008-03-13 |
| 1861688285 | Thomas James Hendrickson | Chiropractor | 388 Colusa Circle, Kensington, CA 94707 | 2007-09-19 |
| 1184827362 | Barbara Louise Mercer | Psychologist | 376 Colusa Avenue, Suite 1, Kensington, CA 94707 | 2007-06-06 |
| 1679780480 | Judithann H. David | Psychologist | 919 The Alameda Ste 5, 919 The Alameda Ste 5, Berkeley, CA 94707 | 2007-05-17 |
| Find all providers in zip 94707 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437713765 | Nakia Linzieshavers | Psychologist | 3200 Sacramento St, Berkeley, CA 94702-2726 | 2019-04-22 |
| 1609200385 | Mark Steven Barajas | Psychologist | 2140 Shattuck Ave Ste 809, Berkeley, CA 94704-1229 | 2013-08-29 |
| 1700228814 | Leah H Rosenthal | Psychologist | Uc Berkeley Cps Tang Ctr, 2222 Bancroft Way, Berkeley, CA 94720-1514 | 2013-07-18 |
| 1497192397 | Lamisha Nicole Hill | Psychologist | Counseling and Psychological Services Tang Ctr, 2222 Bancroft Way, Berkeley, CA 94720-0001 | 2013-05-31 |
| 1275891236 | Don-anthony L. Capone | Psychologist | Uc Berkeley 2222 Bancroft Way Tang Ctr, University Health Service - Cps, Berkeley, CA 94720-4300 | 2012-04-27 |
| 1427225747 | Rebecca Shepard Goettsche | Psychologist | 2991 Shattuck Ave Ste 302, Berkeley, CA 94705-1872 | 2008-05-15 |
| 1962682278 | Christopher Russell Mclean | Psychologist | Tang Center -- 2222 Bancroft Way, Berkeley, CA 94720-4300 | 2007-11-05 |
| 1780248138 | Daniel Christopher Meza | Psychologist | 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 | 2019-04-30 |
| 1043720998 | Kristen Portney | Psychologist | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2017-10-05 |
| 1063921914 | Heath Schechinger | Psychologist | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2017-09-22 |
| 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.