MICHELLE JEANETTE ROBERSON (NPI# 1619463098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619463098 |
| Entity Type | Individual |
| Full Name | MICHELLE JEANETTE ROBERSON |
| Practice Address |
3701 Hacienda St San Mateo CA 94403-4366 |
| Practice Telephone | 5102904439 |
| Mailing Telephone | 5102904439 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174943062 | Michelle Roberson | Social Worker | 110 N Cherry St Ste 100, Olathe, KS 66061 | 2014-04-18 |
| 1275168825 | Michelle L Roberson | Counselor | 6115 Camp Bowie Blvd Ste 220, Fort Worth, TX 76116-5543 | 2020-03-04 |
| 1356396071 | Michelle Garris Roberson | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2006-05-23 |
| Street Address |
3701 HACIENDA ST |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-4366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184956641 | Daniel Foley | Community Health Worker | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2010-02-09 |
| 1528667979 | Adeline Rae Mannino | Case Manager/Care Coordinator | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2020-10-17 |
| 1376150490 | Aaron Walter | Case Manager/Care Coordinator | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2020-09-24 |
| 1811501497 | Alexis Guitron | Case Manager/Care Coordinator | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2020-09-01 |
| 1326664301 | Forouzandeh Evotia Hoda | Case Manager/Care Coordinator | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2020-06-24 |
| 1609497775 | Ioane Cruz Levi | Case Manager/Care Coordinator | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2020-04-30 |
| 1508486499 | Asopaepae Angel Faatai | Case Manager/Care Coordinator | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2020-04-21 |
| 1124688072 | Vai Cj Vele | Counselor | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2019-06-13 |
| 1497312680 | Tuongvan T Phan | Counselor | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2019-05-22 |
| 1669968046 | Michelle Rose Bulington | Counselor | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2018-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| Find all providers in zip 94403 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366004855 | Doaa Mohamed Abdelrahman | Counselor | 126 W 25th Ave # 200, San Mateo, CA 94403-2208 | 2019-07-03 |
| 1629555644 | Dorcas Gaines | Counselor | 226 De Anza Blvd, San Mateo, CA 94402-3913 | 2018-07-23 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1104321165 | Maria Del Rosario Martinez | Counselor | 225 37th Ave Fl 3er, San Mateo, CA 94403-4324 | 2018-03-29 |
| 1407308539 | Rob Mcilvoy | Counselor | 526 S Eldorado St, San Mateo, CA 94402-1328 | 2016-10-24 |
| 1831644624 | Rodney Wg Roddewig | Counselor | 205 S Ellsworth Ave Apt 106, San Mateo, CA 94401-4076 | 2016-08-22 |
| 1427409507 | Callie Deeann Palmer | Counselor | 1650 S Amphlett Blvd Ste 113, San Mateo, CA 94402-2514 | 2016-06-29 |
| 1033566252 | Vivian Koroluk | Counselor | 803 S Grant St, San Mateo, CA 94402-1413 | 2016-05-17 |
| 1720442452 | Jamie Holden | Counselor | 1510 Fashion Island Blvd #110, San Mateo, CA 94404-1596 | 2016-04-08 |
| 1386000701 | Geraldine Punzalan | Counselor | 1670 S Amphlett Blvd Ste 15, San Mateo, CA 94402-2510 | 2016-01-14 |
| Find all providers in SAN MATEO | ||||
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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.