DIANE A. SUFFRIDGE (NPI# 1649282450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649282450 |
Entity Type | Individual |
Full Name | DIANE A. SUFFRIDGE |
Credential | PH.D. |
Practice Address |
555 Northgate Dr Family Service Agency of Marin San Rafael CA 94903-3680 |
Practice Telephone | 4154915708 |
Mailing Telephone | 4154915708 |
Enumeration Date | 2006-08-12 |
Last Update Date | 2014-07-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY10707 | CA | Behavioral Health & Social Service Providers |
Street Address |
555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN |
City | SAN RAFAEL |
State | CA |
Zip Code | 94903-3680 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548270267 | Family Service Agency of Marin | Clinic/Center | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2006-08-08 |
1851807077 | Jose Luis Tijero Jr. | Counselor | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2017-12-26 |
1952845869 | Jessica Copeland | Counselor | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2016-12-12 |
1235599036 | Connie Mann | Counselor | 555 Northgate Dr, Suite 200, San Rafael, CA 94903-3680 | 2016-03-07 |
1932595683 | Stephanie Schuman | Counselor | 555 Northgate Dr, Suite 200, San Rafael, CA 94903-3680 | 2015-04-09 |
1285043620 | Megan Fuller O'donnell | Counselor | 555 Northgate Dr, Suite 100 Family Service Agency of Marin, San Rafael, CA 94903-3680 | 2014-08-11 |
1801147103 | Marion Turner-riley | Counselor | 555 Northgate Dr, Family Service Agency of Marin, San Rafael, CA 94903-3680 | 2012-09-26 |
1801147616 | Teresa Michelle Vera | Counselor | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2012-09-20 |
1629326798 | Stephanie Claire Lai | Counselor | 555 Northgate Dr, Suite 100, San Rafael, CA 94903-3680 | 2012-08-21 |
1831460476 | Joanne Forman | Counselor | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2012-01-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
Find all providers in zip 94903 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871135665 | Tina M Galordi | Psychologist | 1414 4th St Ste 201, San Rafael, CA 94901-2857 | 2019-10-13 |
1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
1134581986 | Stephen Willis | Psychologist | 4460 Redwood Hwy # 16-320, San Rafael, CA 94903-1951 | 2016-03-22 |
1720367956 | Albert Wong | Psychologist | 1 H Street, Suite 203, San Rafael, CA 94901 | 2011-08-05 |
1932497377 | Jessica Erin Pullins | Psychologist | 1299 4th St Ste 401, San Rafael, CA 94901-3030 | 2011-07-19 |
1194031872 | Duy D. Vu | Psychologist | 4460 Redwood Hwy Ste 16-303, San Rafael, CA 94903-1951 | 2010-08-19 |
1871826487 | Aninha Esperanza Livingstone | Psychologist | 700 E St San Rafael Ca 94901, Suite 201, San Rafael, CA 94901 | 2009-09-14 |
1609012574 | Ruud Vanwijnen | Psychologist | 15 North Ave, 2-a, San Rafael, CA 94903-4823 | 2008-12-26 |
1033386768 | Boukje Elisabeth Eerkens | Psychologist | 101 Lucas Valley Rd Ste 269, San Rafael, CA 94903-1761 | 2008-05-12 |
1255547154 | Geraldine Alpert | Psychologist | 33 Bungalow Ave, San Rafael, CA 94901-5140 | 2007-05-15 |
Find all providers in SAN RAFAEL |
City | SAN RAFAEL |
Zip Code | 94903 |
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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.