MACKENZIE MCGREGOR STUART


Address: 2329 Santa Clara Ave Ste 202, Alameda, CA 94501-4521
Phone: 5103944679

MACKENZIE MCGREGOR STUART (NPI# 1679812713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679812713
Entity Type Individual
Full Name MACKENZIE MCGREGOR STUART
Credential MA, LMFT
Practice Address 2329 Santa Clara Ave Ste 202
Alameda
CA 94501-4521
Mailing Address Po Box 6384
Alameda
CA 94501-8184
Practice Telephone 5103944679
Mailing Telephone 5103944679
Enumeration Date 2013-02-09
Last Update Date 2018-09-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MFC 83491 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1700 Park St, Suite 220, Alameda, CA 945011571 5103944679

Office Location

Street Address 2329 SANTA CLARA AVE STE 202
City ALAMEDA
State CA
Zip Code 94501-4521

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1285103838 Stephanie Owens Behavioral Analyst 2213 Clinton Ave #a, Alameda, CA 94501 2018-11-13
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295225092 Jean Donald Counselor 1101 Marina Village Pkwy, Suite 201, Office 207, Alameda, CA 94501 2018-05-16
1003298266 Cale Wright Counselor 2325 Clement Ave # 8203, Alameda, CA 94501-7063 2015-06-24
1750784450 Piper Schouten Counselor 564 Central Ave Apt 215, Alameda, CA 94501-3713 2014-10-08
1770923849 Hirofumi Kuroda Counselor 1141 Harbor Bay Pkwy Ste 105, Alameda, CA 94502-6596 2013-07-03
1528257284 Lucille Debondelis Cox Counselor 516 Taylor Ave, Alameda, CA 94501-3723 2007-10-18
1447460381 Adriana Maria Furuzawa Counselor 1005 Atlantic Ave, Alameda, CA 94501-1148 2007-05-22
1205904588 Ruth M Ormsby Counselor 617 Baywood Rd, Alameda, CA 94502-6603 2006-12-02
1821183153 Genica Robbins Counselor 2416a Central Ave, Suite A, Alameda, CA 94501-4516 2006-10-03
1750981213 Leticia Castillo Counselor 2325 Clement Ave, Alameda, CA 94501-7063 2020-10-26
1912504036 Janice Bush Counselor 1005 Atlantic Ave, Alameda, CA 94501-1148 2020-10-01
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Competitor

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City ALAMEDA
Zip Code 94501

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Dataset Information

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.

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