DR. THOMAS RAYMOND HARDEY (NPI# 1720284011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720284011 |
| Entity Type | Individual |
| Full Name | DR. THOMAS RAYMOND HARDEY |
| Credential | PHD, ABPN |
| Practice Address |
365 Hawthorne Ave Suite 104 Oakland CA 94609-3107 |
| Practice Telephone | 5108321259 |
| Mailing Telephone | 5108321259 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY 5223 | CA | Behavioral Health & Social Service Providers |
| Street Address |
365 HAWTHORNE AVE SUITE 104 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184686156 | Rupert Roupen Horoupian | Specialist | 365 Hawthorne Ave, Suite 101, Oakland, CA 94609-3107 | 2006-04-05 |
| 1588061378 | First Surgical Consultants | General Acute Care Hospital | 365 Hawthorne Ave, 101, Oakland, CA 94609-3107 | 2014-11-24 |
| 1477826683 | Kelley Lockwood Brennan | Nurse Practitioner | 365 Hawthorne Ave, Suite 301, Oakland, CA 94609-3107 | 2012-02-17 |
| 1891084117 | Debbie Choi Man Chan | Physician Assistant | 365 Hawthorne Ave, #201, Oakland, CA 94609-3107 | 2011-04-07 |
| 1679701858 | Cheruba Prabakar | Obstetrics & Gynecology | 365 Hawthorne Ave, Ste 301, Oakland, CA 94609-3107 | 2009-06-26 |
| 1487813697 | Christa Kong | Physician Assistant | 365 Hawthorne Ave, Suite 201, Oakland, CA 94609-3107 | 2008-06-03 |
| 1922205442 | Associated Neurology Medical Group, Inc. | Psychiatry & Neurology | 365 Hawthorne Ave, Suite 203, Oakland, CA 94609-3107 | 2007-06-28 |
| 1992913859 | Diane Kwan | Surgery | 365 Hawthorne Ave, Suite 101, Oakland, CA 94609-3107 | 2007-05-21 |
| 1598806986 | Douglas Stannage Patton | Surgery | 365 Hawthorne Ave, Suite 101, Oakland, CA 94609 | 2007-02-09 |
| 1639233687 | Robert Norman Nelson | Obstetrics & Gynecology | 365 Hawthorne Ave, #301, Oakland, CA 94609 | 2006-12-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619026739 | Shaliza Shorey | Clinical Neuropsychologist | 3900 Broadway Bldg 1, Oakland, CA 94611-5616 | 2007-01-09 |
| 1497829287 | F. Myron Hays, Ph.d. | Clinical Neuropsychologist | 2917 Mcclure St, Oakland, CA 94609-3504 | 2006-11-20 |
| 1528168366 | Gregory Seth Alter | Clinical Neuropsychologist | 5666 Telegraph Ave, Oakland, CA 94609-1708 | 2006-09-22 |
| 1376143123 | Thomas Vanvleet | Clinical Neuropsychologist | 3947 Opal St, Oakland, CA 94609-2626 | 2020-10-30 |
| 1619599974 | Savera Psychological Services PC | Clinical Neuropsychologist | 401 Grand Ave Ste 380, Oakland, CA 94610-5054 | 2020-05-09 |
| 1558994277 | Pranamind LLC | Clinical Neuropsychologist | 459 W Macarthur Blvd, Oakland, CA 94609-2808 | 2020-02-21 |
| 1568092617 | Meena Saleh | Clinical Neuropsychologist | 3756 Grand Ave, Ste 404, Oakland, CA 94610-1545 | 2020-01-16 |
| 1063912061 | Carol Fenner | Clinical Neuropsychologist | 2000 Embarcadero, Oakland, CA 94606-5334 | 2018-02-15 |
| 1477073062 | Amrita Mehta | Clinical Neuropsychologist | 401 Grand Ave Ste 380, Oakland, CA 94610-5054 | 2017-06-23 |
| 1699902759 | Michael Alex Peterson | Clinical Neuropsychologist | 1425 Leimert Blvd, Suite 403, Oakland, CA 94602-1865 | 2009-06-16 |
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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.