MRS. TASNIM DIAF MOULTON (NPI# 1639716608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639716608 |
| Entity Type | Individual |
| Full Name | MRS. TASNIM DIAF MOULTON |
| Credential | MS |
| Practice Address |
2730 Shadelands Drive Walnut Creek CA 94598 |
| Practice Telephone | 9252668633 |
| Mailing Telephone | 9252668633 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2730 SHADELANDS DRIVE |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| 1043573959 | Matthew Piazza | Neurological Surgery | 130 La Casa Via Ste 3-111, Walnut Creek, CA 94598 | 2012-06-18 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861962870 | David R Heckenlively Jr. | Counselor | 33 Quail Ct Ste 103, Walnut Creek, CA 94596-5564 | 2018-12-03 |
| 1487161964 | Deborah Ann Lindstrom | Counselor | 39 Quail Ct Ste 305, Walnut Creek, CA 94596-5570 | 2018-01-05 |
| 1710136122 | Heather Jean Sterk | Counselor | 59 Saddle Rd, Walnut Creek, CA 94595-2743 | 2008-09-10 |
| 1558574616 | Mario Ruben Pando | Counselor | 733 Mandarin Ln, Walnut Creek, CA 94598-1707 | 2007-05-07 |
| 1346719747 | Adrianna Bella Faasala-mair | Counselor | 1910 Olympic Blvd, Walnut Creek, CA 94596-5096 | 2018-11-15 |
| 1740787779 | Gicele Q Corpuz | Counselor | 313 Lennon Ln Ste 100, Walnut Creek, CA 94598-2460 | 2018-04-06 |
| 1992039143 | Dominick Fittipaldi | Counselor | 1855 Olympic Blvd, Suite 225, Walnut Creek, CA 94596-5089 | 2009-09-21 |
| 1376704932 | Alice Criner | Counselor | 1855 Olympic Blvd, Suite 225, Walnut Creek, CA 94596-5089 | 2008-06-17 |
| 1154590347 | Donna Heimbruch | Counselor | 1291 Oakland Blvd, Walnut Creek, CA 94596-4359 | 2008-02-21 |
| 1467638361 | Shaunte Latrice Adams | Counselor | 1291 Oakland Blvd, Walnut Creek, CA 94596-4359 | 2008-01-10 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
Please comment or provide details below to improve the information on MRS. TASNIM DIAF MOULTON.
| 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.