DR. CAROL CLANCY (NPI# 1619366390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619366390 |
| Entity Type | Individual |
| Full Name | DR. CAROL CLANCY |
| Credential | PSY.D. |
| Practice Address |
611 Veterans Blvd Ste 116 Redwood City CA 94063-1499 |
| Practice Telephone | 6503072196 |
| Mailing Telephone | 6503072196 |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2020-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY20250 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649477373 | Carol Ann Clancy | Nurse Practitioner | 720 Harrison Ave Fl 7, Boston, MA 02118-2371 | 2007-06-27 |
| Street Address |
611 VETERANS BLVD STE 116 |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-1499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033595681 | Douglas Slakey | Psychologist | 611 Veterans Blvd Ste 205, Redwood City, CA 94063-1401 | 2015-08-05 |
| 1407105257 | Fabrice Nye | Psychologist | 503 Seaport Ct Ste 104, Redwood City, CA 94063-5566 | 2012-09-06 |
| 1235437658 | Cydney Shindel | Psychologist | 333 Bradford St Ste 270, Redwood City, CA 94063-1572 | 2011-03-09 |
| 1740519412 | Maureen Anne Sinnott | Psychologist | 1330 Brewster Ave, Redwood City, CA 94062-1312 | 2009-12-09 |
| 1992955967 | Brenna Rose Connolly | Psychologist | 2824 Hopkins Ave, Redwood City, CA 94062-2839 | 2008-09-25 |
| 1235308883 | Flint Martin Espil | Psychologist | 501 Seaport Ct, Suite 201, Redwood City, CA 94063-2784 | 2008-02-28 |
| 1578600771 | Raymond Stanley Szpadzinski | Psychologist | 165 Arch Street, Redwood City, CA 94062-1303 | 2007-01-30 |
| 1003970427 | Janice Marie Schreckengost | Psychologist | 611 Veterans Blvd, Suite 114, Redwood City, CA 94063-1499 | 2006-12-20 |
| 1588741128 | Marantha Patten De Araujo | Psychologist | 61 Renato Ct Ste 15, Redwood City, CA 94061-4016 | 2006-11-01 |
| 1972529998 | Evelyn Jean Marchini | Psychologist | 142 Stambaugh St, Redwood City, CA 94063-1905 | 2006-07-14 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
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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.