RUSSELL SCHREIBER (NPI# 1710184593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710184593 |
| Entity Type | Individual |
| Full Name | RUSSELL SCHREIBER |
| Credential | MFT |
| Practice Address |
11000 Falstaff Rd Sebastopol CA 95472-9114 |
| Practice Telephone | 7072924454 |
| Mailing Telephone | 7072924454 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2017-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 23128 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFC 40650 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MFT | MFC 40650 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649270141 | Russell L Schreiber | Nurse Anesthetist, Certified Registered | 8144 E Cactus Rd, Scottsdale, AZ 85260-5266 | 2005-07-26 |
| 1770627028 | Russell Louis Schreiber | Family Medicine | 501 Highland Ave, Williamstown, WV 26187-1615 | 2007-02-19 |
| Street Address |
11000 FALSTAFF RD |
| City | SEBASTOPOL |
| State | CA |
| Zip Code | 95472-9114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942585575 | Elizabeth Schreiber | Psychologist | 11000 Falstaff Rd, Sebastopol, CA 95472-9114 | 2011-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916791 | Mellisa Nicole Elrod | Occupational Therapist | 1935 Gravenstein Hwy, Sebastopol, CA 95472 | 2019-08-05 |
| 1457820987 | Isabel Brooke Martinez | Acupuncturist | 961 Gravenstein Hwy South, # 100, Sebastopol, CA 95472 | 2018-11-14 |
| 1275025470 | Shahbano Syeda | Specialist/Technologist | 846/848 Gravenstein Hwy South, Sebastopol, CA 95472 | 2018-06-04 |
| 1467990812 | Mathew Metzgar | Marriage & Family Therapist | 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 | 2017-02-06 |
| 1760939318 | Andrea Kirk | Psychologist | 876 Gravenstein Hwy S., Suite 6, Sebastopol, CA 95472 | 2016-09-01 |
| 1548629371 | Stacy Simons | Massage Therapist | 103 Morris St Ste V, Sebastopol, CA 95472 | 2016-02-22 |
| 1619341880 | Carol Schmid | Counselor | 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 | 2015-11-25 |
| 1801273727 | Aaron Martinez | Specialist/Technologist | 7441 Witter Road, Sebastopol, CA 95472 | 2015-04-29 |
| 1699167049 | Nia Kaye | Marriage & Family Therapist | 130 Petaluma Ave Ste 2c, Sebastopol, CA 95472 | 2015-02-23 |
| 1497091383 | Caitlin Marie Kirkman | Midwife | 5611 Hessel Ave, Sebastopol, CA 95472 | 2012-12-20 |
| Find all providers in zip 95472 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730591835 | Jonathan Gonick-hallows | Psychologist | 8380 Germone Rd, Sebastopol, CA 95472-4008 | 2014-05-22 |
| 1659512697 | James Leon Friedman | Psychologist | 4440 Belmont Dr, Sebastopol, CA 95472-6307 | 2009-03-22 |
| 1811174220 | Vipassana Christine Esbjorn | Psychologist | 7151 Wilton Ave, Ste 201, Sebastopol, CA 95472-3756 | 2008-01-28 |
| 1497964738 | Charles Noma Harris | Psychologist | 4815 Thomas Rd, Sebastopol, CA 95472-9764 | 2007-05-22 |
| 1245442722 | Thea Goldstine | Psychologist | 171 N. High St., Sebastopol, CA 95472 | 2007-05-04 |
| 1083777965 | Richard P Caruso | Psychologist | 7470 Kennedy Rd, Sebastopol, CA 95472-5420 | 2006-12-19 |
| 1023179322 | Kenneth Hunter Crittenden | Psychologist | 501 Swain Ave, Sebastopol, CA 95472-4339 | 2006-12-12 |
| 1043384720 | Anne M Pincus | Psychologist | 1070 Gravenstein Hwy S., Suite 130, Sebastopol, CA 95472 | 2006-11-17 |
| 1518053578 | June Ann Gordon | Psychologist | 1741 Gravenstein Hwy S, Sebastopol, CA 95472-4838 | 2006-10-05 |
| 1922119809 | Bruce Gerard Hiner | Psychologist | 120 Pleasant Hill Ave N Ste 340, Sebastopol, CA 95472-3168 | 2006-08-31 |
| Find all providers in SEBASTOPOL | ||||
| City | SEBASTOPOL |
| Zip Code | 95472 |
Please comment or provide details below to improve the information on RUSSELL SCHREIBER.
| 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.