DR. JOHN G. WOTKYNS (NPI# 1609925858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609925858 |
| Entity Type | Individual |
| Full Name | DR. JOHN G. WOTKYNS |
| Credential | PH.D. |
| Practice Address |
2500 Bissell Ave Richmond CA 94804-1815 |
| Mailing Address |
2927 Wheeler St Berkeley CA 94705-1810 |
| Practice Telephone | 5102313917 |
| Mailing Telephone | 5105491484 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY17268 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2500 BISSELL AVE |
| City | RICHMOND |
| State | CA |
| Zip Code | 94804-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205848603 | Rachel Catherine Arthur | Social Worker | 2500 Bissell Ave, Richmond, CA 94804-1815 | 2006-08-13 |
| 1700266970 | Mandy Gomez-villia | Case Manager/Care Coordinator | 2500 Bissell Ave, Richmond, CA 94804-1815 | 2015-06-03 |
| 1679974695 | Robyn Duffy | Registered Nurse | 2500 Bissell Ave, Richmond, CA 94804-1815 | 2014-09-09 |
| 1457760001 | Gretchen Palau | Counselor | 2500 Bissell Ave, Richmond, CA 94804-1815 | 2014-08-07 |
| 1114336062 | Hailemeskel Mesfin | Case Manager/Care Coordinator | 2500 Bissell Ave, Richmond, CA 94804-1815 | 2014-08-05 |
| 1265848394 | Natasha Nicole Terry | Counselor | 2500 Bissell Ave, Richmond, CA 94804-1815 | 2014-07-09 |
| 1992124101 | Rachialle Franklin | Case Manager/Care Coordinator | 2500 Bissell Ave, Richmond, CA 94804-1815 | 2014-04-15 |
| 1437571106 | Mark C Walton | Case Manager/Care Coordinator | 2500 Bissell Ave, Richmond, CA 94804-1815 | 2014-01-14 |
| 1396179859 | Emily Suzanne Kruger | Counselor | 2500 Bissell Ave, Richmond, CA 94804-1815 | 2013-09-02 |
| 1154755080 | Jennifer P Harrison | Case Manager/Care Coordinator | 2500 Bissell Ave, Richmond, CA 94804-1815 | 2013-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1033769104 | Marc Anthony Garcia | Behavioral Analyst | 865 Marina Bay Parkway, Suite 37 & 38, Richmond, CA 94804 | 2019-09-19 |
| 1447818216 | Bay Area Community Services | Community/Behavioral Health | 3215/3221 Nevin Avenue, Richmond, CA 94804 | 2019-06-05 |
| 1558832709 | Eliseo Matthew Beltran Ong | Behavior Technician | 865 Marina Bay Parkway Building C, Suite 37 & 38, Richmond, CA 94804 | 2018-12-16 |
| 1679064943 | Katherine Bacher | Counselor | 200 24th Str., Richmond, CA 94804 | 2018-05-22 |
| 1508353160 | Aveida Home Care LLC | In Home Supportive Care | 302 S 18th Street, Richmond, CA 94804 | 2018-04-19 |
| 1427577980 | Adam Hudson | Counselor | 3215 Nevin Avenue, Richmond, CA 94804 | 2017-09-15 |
| 1205176583 | Anna Fisher | Counselor | 32 Shoreline Ct, Richmond, CA 94804 | 2013-02-22 |
| 1366744328 | Che Hoskins | Counselor | 820 23rd St., Richmond, CA 94804 | 2010-11-24 |
| 1558671297 | Angela May Gaiser | Case Manager/Care Coordinator | 2500 Bissell Avenue, Richmond, CA 94804 | 2010-10-15 |
| Find all providers in zip 94804 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 1740732981 | Howard Lloyd | Psychologist | 907 Floyd Ave, Richmond, VA 23284-9026 | 2016-11-03 |
| 1679929061 | Elizabeth Meghan Archer Wheeler | Psychologist | 7400 Beaufort Springs Drive, Suite 300, Richmond, VA 23225-3039 | 2016-05-04 |
| 1730558909 | Jodi Suzanne Couick | Psychologist | 3000 Parker Rd, Richmond, CA 94806-2742 | 2015-09-17 |
| 1386024461 | Rosalie Corona | Psychologist | 4730 East Southside Plaza, Richmond, VA 23224 | 2015-06-04 |
| 1649677337 | Yuriy Ustinov | Psychologist | 3 Baker St, Richmond, ME 04357-1387 | 2014-11-25 |
| Find all providers in RICHMOND | ||||
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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.