MR. STEPHEN GILLIGAN TULL (NPI# 1720526601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720526601 |
Entity Type | Individual |
Full Name | MR. STEPHEN GILLIGAN TULL |
Practice Address |
86 S 14th St San Jose CA 95112-2015 |
Mailing Address |
2001 The Alameda San Jose CA 95126-1136 |
Practice Telephone | 4085107080 |
Mailing Telephone | 4082617777 |
Enumeration Date | 2017-02-10 |
Last Update Date | 2017-02-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
86 S 14TH ST |
City | SAN JOSE |
State | CA |
Zip Code | 95112-2015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225180854 | Heiri Charles Schuppisser | Case Manager/Care Coordinator | 86 S 14th St, Alliance for Community Care Intensive Services Program, San Jose, CA 95112-2015 | 2007-01-16 |
1902317464 | Lobelle Magsombol Lucio | Counselor | 86 S 14th St, San Jose, CA 95112-2015 | 2017-10-23 |
1487174835 | Kristina Elizabeth Stevens | Student in an Organized Health Care Education/Training Program | 86 S 14th St, San Jose, CA 95112-2015 | 2017-06-26 |
1811395858 | Shelby L Weber | Counselor | 86 S 14th St, San Jose, CA 95112-2015 | 2014-12-08 |
1255674180 | Patricia Tierney Lynch | Counselor | 86 S 14th St, San Jose, CA 95112-2015 | 2013-03-28 |
1659670032 | Momentum for Mental Health - Mhsa Fsp Imd/bap & Cjs Iop | Community/Behavioral Health | 86 S 14th St, San Jose, CA 95112 | 2011-03-24 |
1285877308 | Momentum for Mental Health - Fsp Imd | Psychologist | 86 S 14th St, San Jose, CA 95112-2015 | 2009-04-20 |
1932370434 | Karen Deloyce Camese | Marriage & Family Therapist | 86 S 14th St, San Jose, CA 95112-2015 | 2008-03-12 |
1275666117 | Tricia Jordan Mlnarik | Case Manager/Care Coordinator | 86 S 14th St, Alliance for Community Care Intensive Care Services Pro, San Jose, CA 95112-2015 | 2007-03-13 |
1285761478 | Dan Correa | Case Manager/Care Coordinator | 86 S 14th St, San Jose, CA 95112 | 2007-02-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
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Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316553951 | Berneise Billote Montuya | Peer Specialist | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2020-09-18 |
1609409473 | Julia Diane Helfrich | Peer Specialist | 1885 Lundy Ave, San Jose, CA 95131-1887 | 2020-02-19 |
1891327102 | Salma Shaw | Peer Specialist | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2020-02-05 |
1982249785 | Sophia Chung | Peer Specialist | 800 N 1st St, San Jose, CA 95112-6312 | 2019-11-15 |
1447893490 | Melissa Elicia Cruz | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2019-10-22 |
1619529898 | Tatiana Victoria Goodwin | Peer Specialist | 298 Bernal Rd, San Jose, CA 95119-1809 | 2019-07-09 |
1356812747 | Shirley Jacqueline Reyes | Peer Specialist | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2018-12-10 |
1881194306 | Lohrie Arruiza | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2018-02-21 |
1477093219 | Victoria Cardenas | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2017-02-27 |
1871032524 | Alberto Ruiz | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2017-02-14 |
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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.