MARTHA IMELDA CORNEJO (NPI# 1619488657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619488657 |
| Entity Type | Individual |
| Full Name | MARTHA IMELDA CORNEJO |
| Credential | MFTI |
| Practice Address |
1255 Allston Way Berkeley CA 94702-1833 |
| Mailing Address |
165 Summertime Ln Suisun City CA 94585-1305 |
| Practice Telephone | 5108459010 |
| Mailing Telephone | 7072902782 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2018-12-21 |
| 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 | ||
| N | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336216753 | Martha Cornejo | Dentist | 230 Hilton Ave Suite 216, Hempstead, NY 11550 | 2006-11-29 |
| Street Address |
1255 ALLSTON WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94702-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902960305 | Sherry-lynn Sarmiento Fahey | Marriage & Family Therapist | 1255 Allston Way, Berkeley, CA 94702-1833 | 2006-12-20 |
| 1346855277 | David Raphael Alcala | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-09-08 |
| 1104430685 | Michael Olawuyi Olawuni | Marriage & Family Therapist | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-09-02 |
| 1508477803 | Mari Nicole Colbert | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-08-11 |
| 1225665276 | Simone Dasilva | Counselor | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-03-26 |
| 1518593383 | Alanna Javier | Counselor | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-03-12 |
| 1336789940 | Nicolette Boudreaux Wilkenfeld | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-01-11 |
| 1982256624 | Milan Drake | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2019-07-12 |
| 1548724461 | Julie Sunrise Cowles | Social Worker | 1255 Allston Way, Berkeley, CA 94702-1833 | 2019-01-24 |
| 1306319587 | Abbysinia Wincher | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2019-01-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720597230 | Kelli Parnall | Occupational Therapist | 2418 Curtis St., Berkeley, CA 94702 | 2017-09-27 |
| 1801221866 | Joy Hillriegel | Marriage & Family Therapist | 2880 Sacramento St., Suite A, Berkeley, CA 94702 | 2013-09-10 |
| 1326305319 | Lloyd William Willey | Marriage & Family Therapist | 1385 Neilson St, Berkeley, CA 94702 | 2012-04-16 |
| 1497033492 | Suzanne Marie Gassner | Psychologist | 1491 Hopkins Street, Berkeley, CA 94702 | 2011-07-26 |
| 1437482353 | Johanna Mae Lelke | Chiropractor | 1250 Addison St., Suite 102, Berkeley, CA 94702 | 2009-09-10 |
| 1669693644 | Vicki Lj Young | Social Worker | 2920 Domingo St. Ste 204, Berkeley, CA 94702 | 2007-05-01 |
| 1942328935 | Michael Bradford Conant | Psychologist | 1307 University Avenue, Berkeley, CA 94702 | 2007-03-27 |
| 1659413508 | Janice Rae Ruchlis | Marriage & Family Therapist | 2302 Acton Street, Berkeley, CA 94702 | 2007-02-13 |
| 1760456149 | Francine Ann Yep | Family Medicine | 3100 San Pablo Ave Ste 310, Berkeley, CA 94702 | 2006-02-14 |
| 1033101118 | Audrey Dandrea | Family Medicine | 3100 San Pablo Ave # 310, Berkeley, CA 94702 | 2005-08-16 |
| Find all providers in zip 94702 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760942148 | Sharon Joy Avesar | Counselor | 2218 Prince St Unit A, Berkeley, CA 94705-1819 | 2019-03-22 |
| 1295229318 | Kelly Michelle Whiteford | Counselor | 3001 Telegraph Ave Apt 403, Berkeley, CA 94705-2164 | 2018-06-21 |
| 1083108575 | Romy-michelle Alexandra Unger | Counselor | 2838 Mcgee Ave Apt A, Berkeley, CA 94703-2066 | 2018-06-18 |
| 1154824126 | Stephanie Lemus | Counselor | 2484 Shattuck Ave Ste 201, Berkeley, CA 94704-2076 | 2018-03-15 |
| 1215455761 | Christine Libbey | Counselor | 1980 Hopkins St, Berkeley, CA 94707-2634 | 2017-09-05 |
| 1205371994 | Hayley Elizabeth Liddle | Counselor | 1533b Prince St, Berkeley, CA 94703-2309 | 2017-01-04 |
| 1790158038 | Utah Powell | Counselor | 1422 Fairview St, Berkeley, CA 94702-2716 | 2015-11-09 |
| 1437550720 | Paulina Montes | Counselor | 2540 Grant St, Berkeley, CA 94703-1948 | 2014-09-05 |
| 1013318344 | Lyudmila Kuznetsova | Counselor | 1922 Stuart St, Berkeley, CA 94703-2215 | 2014-09-05 |
| 1972856839 | Kathleen Anne Ruffulo | Counselor | 1212 N Ashbel Ave, Berkeley, IL 60163-1118 | 2012-10-16 |
| 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.