STEVEN POLIVKA (NPI# 1720490253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720490253 |
| Entity Type | Individual |
| Full Name | STEVEN POLIVKA |
| Practice Address |
2425 Bisso Ln Suite 100 Concord CA 94520 |
| Mailing Address |
2425 Bisso Ln Suite 100 Concord CA 94520-4897 |
| Practice Telephone | 9255215645 |
| Practice Fax Number | 9255215639 |
| Mailing Telephone | 9255215645 |
| Mailing Fax Number | 9255215639 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2018-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT90877 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2425 BISSO LN SUITE 100 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798195 | Albert A. Fam | Social Worker | 2425 Bisso Ln, Suite 100, Concord, CA 94520-4897 | 2005-05-31 |
| 1720600166 | Yaretzie Mariel Amaya | Student in an Organized Health Care Education/Training Program | 2425 Bisso Ln, Concord, CA 94520-4897 | 2020-05-08 |
| 1851912471 | Javecia M Horton | Student in an Organized Health Care Education/Training Program | 2425 Bisso Ln, Concord, CA 94520-4897 | 2020-05-05 |
| 1538713797 | Shelby Bell | Counselor | 2425 Bisso Ln, Concord, CA 94520-4897 | 2019-07-26 |
| 1386203925 | Andrell Joseph Cooper | Social Worker | 2425 Bisso Ln, Concord, CA 94520-4897 | 2019-06-07 |
| 1255899126 | Martha Patricia Vega | Counselor | 2425 Bisso Ln, Concord, CA 94520-4897 | 2019-03-08 |
| 1407380165 | Erin Fabie Jones | Social Worker | 2425 Bisso Ln, Suite 200, Concord, CA 94520-4897 | 2017-04-19 |
| 1962944736 | Cristina Cannavino | Counselor | 2425 Bisso Ln, Concord, CA 94520-4897 | 2016-11-10 |
| 1568919215 | Carmella Sanmiguel | Counselor | 2425 Bisso Ln, Concord, CA 94520-4897 | 2016-09-09 |
| 1063860369 | Michael Ann Ryan | Registered Nurse | 2425 Bisso Ln, Concord, CA 94520-4897 | 2016-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792995 | Phuong Seltzer | Marriage & Family Therapist | 1450 Civic Ct # 2, Concord, CA 94520-5295 | 2020-08-27 |
| 1083274328 | Kimberly Scott Shaw | Marriage & Family Therapist | 1866 Clayton Rd Ste 200, Concord, CA 94520-2505 | 2019-06-18 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| 1710403985 | Jessica Nicole Moniz | Marriage & Family Therapist | 2702 Clayton Rd., 100, Concord, CA 94519-9451 | 2017-08-18 |
| 1851813331 | Valorie Willems | Marriage & Family Therapist | 401 Groff St Nw, Concord, NC 28027-0758 | 2017-07-17 |
| 1891238010 | Scott Michael Bobrow | Marriage & Family Therapist | 5354 Clayton Rd, Suite B1, Concord, CA 94521-3257 | 2016-11-19 |
| 1275080939 | Kiona Medina | Marriage & Family Therapist | 2191 Sunshine Dr, Concord, CA 94520-3610 | 2016-09-09 |
| 1194272286 | Kadeth Darkstar Pozzesi | Marriage & Family Therapist | 2031 Date St, Concord, CA 94519-2515 | 2016-09-06 |
| 1184000408 | Candice Arrow | Marriage & Family Therapist | 1450 Civic Ct, Ste 200, Concord, CA 94520-5295 | 2015-08-10 |
| 1245615509 | Abran Abel Aviles-scott | Marriage & Family Therapist | 2459 Hickory Dr, Concord, CA 94520-1729 | 2015-07-28 |
| Find all providers in CONCORD | ||||
Please comment or provide details below to improve the information on STEVEN POLIVKA.
| 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.