DR. FRED JOSEPH PIAZZA (NPI# 1609933696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609933696 |
| Entity Type | Individual |
| Full Name | DR. FRED JOSEPH PIAZZA |
| Credential | PH.D. |
| Practice Address |
3017 Telegraph Ave Ste 330 Berkeley CA 94705-2049 |
| Mailing Address |
3 Juniper Dr Lafayette CA 94549-3320 |
| Practice Telephone | 6614015344 |
| Mailing Telephone | 9258719534 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY13268 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY13268 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3468 Mt Diablo Blvd, Suite B200, Lafayette, CA 945493957 | 9257466972 | 9256882200 |
| Street Address |
3017 TELEGRAPH AVE STE 330 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043543713 | Annie Chen | Counselor | 3017 Telegraph Ave Ste 330, Berkeley, CA 94705-2049 | 2009-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241754 | Bede John Healey | Psychologist | 1371 La Loma Ave, Berkeley, CA 94708-2031 | 2020-06-30 |
| 1124683388 | Jason Craig Zeltser | Psychologist | 1708 Shattuck Ave Ste 9, Berkeley, CA 94709-1700 | 2019-05-03 |
| 1871157016 | Mary L Roche | Psychologist | 2955 Shattuck Ave Ste 3, Berkeley, CA 94705-1808 | 2019-04-23 |
| 1508320128 | Lauren Tolk | Psychologist | 1172 San Pablo Ave Ste 100, Berkeley, CA 94706-2258 | 2019-01-28 |
| 1336632876 | Jonathan Knight Howard | Psychologist | 2407 Dana St, Berkeley, CA 94704-2207 | 2018-06-09 |
| 1457866550 | Noah Bach Bar-tura | Psychologist | 2140 Shattuck Ave Ste 508, Berkeley, CA 94704-1222 | 2017-12-11 |
| 1750825154 | Stacy Taniguchi | Psychologist | 2000 Hearst Ave Ste 207, Berkeley, CA 94709 | 2016-12-05 |
| 1881048775 | Phillip Montes | Psychologist | 2014 Channing Way Apt 3, Berkeley, CA 94704-1935 | 2016-04-18 |
| 1790199446 | Irene Chui | Psychologist | 1197 Sutter St, Berkeley, CA 94707-2637 | 2014-06-19 |
| 1629322763 | Roxanne Manning | Psychologist | 1325 Sacramento St, Apt 3, Berkeley, CA 94702-1235 | 2012-10-26 |
| 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.