MICHELLE BAE (NPI# 1700208972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700208972 |
| Entity Type | Individual |
| Full Name | MICHELLE BAE |
| Practice Address |
1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 |
| Mailing Address |
3049 Montrose Ave Apt 18 La Crescenta CA 91214-3628 |
| Practice Telephone | 5107470513 |
| Mailing Telephone | 8186218362 |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427181502 | Michelle H Bae | Nurse Practitioner | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2007-03-14 |
| Street Address |
1080 MARINA VILLAGE PKWY STE 100 |
| City | ALAMEDA |
| State | CA |
| Zip Code | 94501-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235186313 | Kent C Eller | Psychiatry & Neurology | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2006-05-27 |
| 1518587567 | Tyler William Gamlen | Counselor | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2020-04-20 |
| 1376038943 | Shane Francis | Registered Nurse | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2018-06-26 |
| 1316463433 | Jackson Watts | Student in an Organized Health Care Education/Training Program | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2017-08-21 |
| 1427446319 | Brenda Senseman Holder | Registered Nurse | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2014-12-31 |
| 1346652732 | Joseph Landell Roy | Counselor | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2014-05-20 |
| 1477811677 | Oshalique Bass | Counselor | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2012-04-25 |
| 1487953956 | Thomas Bravo | Counselor | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2011-03-22 |
| 1467754846 | Karen Marie Jones | Registered Nurse | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2010-11-17 |
| 1245376615 | Edward Leon Kaftarian | Psychiatry & Neurology | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259158 | Hailee Ann Heiselbetz | Behavior Technician | 1025 Atlantic Ave. Ste 101, Alameda, CA 94501 | 2020-09-09 |
| 1134745961 | Linda Nykin | Naturopath | 2002 Monterey Cir, Alameda, CA 94501 | 2020-06-17 |
| 1801427570 | Mirna Rodriguez Lopez | Behavior Technician | 1025 Atlantic Ave. Ste. 101, Alameda, CA 94501 | 2020-01-30 |
| 1356987010 | Guadalupe H Hernandez | Technician | 3650 Mount Diablo Blvd, Layayette, CA 94501 | 2019-11-18 |
| 1952951832 | Lily T Nguyen | Behavior Technician | 1025 Atlantic Ave, Suite 101, Alameda, CA 94501 | 2019-09-12 |
| 1326503004 | Mary Macpherson | Speech-Language Pathologist | 2308 Central Ave., Alameda, CA 94501 | 2019-02-06 |
| 1285103838 | Stephanie Owens | Behavioral Analyst | 2213 Clinton Ave #a, Alameda, CA 94501 | 2018-11-13 |
| 1508349390 | Cindy Cabrera | Behavioral Analyst | 1025 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-09-08 |
| 1629554928 | Anita Elizabeth Bower | Behavioral Analyst | 125 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-07-19 |
| 1659862571 | Mariana Rocio Pacas Mexicano | Behavioral Analyst | 1025 Atlantic Ave. Suite 101, Alameda, CA 94501 | 2018-05-26 |
| Find all providers in zip 94501 | ||||
| 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 |
|---|---|---|---|---|
| 1063074508 | Julio Jacob Rodriguez | Counselor | 1025 Atlantic Ave Ste 101, Alameda, CA 94501-1188 | 2019-07-04 |
| 1255745410 | Analuz Tapia | Counselor | 1005 Atlantic Ave, Alameda, CA 94501-1148 | 2014-06-16 |
| 1215368584 | Melanie Ann Sweeney Griffith I | Counselor | 2325 Clement Ave, Alameda, CA 94501-7063 | 2013-12-11 |
| 1396176806 | Erick Rivera | Counselor | 1025 Atlantic Ave Ste 101, Alameda, CA 94501 | 2013-12-09 |
| 1730472846 | Andre' L Paschal | Counselor | 1080 Marina Village Pkwy, Alameda, CA 94501-6427 | 2011-05-23 |
| 1487953956 | Thomas Bravo | Counselor | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2011-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104628 | Ann Egan | Counselor | 207 Cole St, San Francisco, CA 94117-1915 | 2020-11-07 |
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1184224693 | Enrique L Hinojosa | Counselor | 817 S Fairmont Ave, Lodi, CA 95240-5116 | 2020-10-26 |
| 1760081376 | Annel Vianey Orduno | Counselor | 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 | 2020-10-23 |
| 1114526407 | David Arthur Lee | Counselor | 1819 Idaho Ave, Santa Monica, CA 90403-3301 | 2020-10-19 |
| 1235737271 | Jeannie Dulberg | Counselor | 540 Wagnon Rd, Sebastopol, CA 95472-9204 | 2020-10-12 |
| 1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
| 1467059105 | Paul Benjamin Mannes | Counselor | 59922 La Brisa Dr, Yucca Valley, CA 92284-9351 | 2020-10-06 |
| 1689271454 | Skycare Cuidado Del Cielo LLC | Counselor | 7890 E Spring St Unit 10d, Long Beach, CA 90815-1622 | 2020-10-05 |
| 1396342135 | Lima Karim | Counselor | 4109 Broadmoor Cmn Apt 207, Fremont, CA 94538-7013 | 2020-10-05 |
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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.