TARA EILAND (NPI# 1740691484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740691484 |
Entity Type | Individual |
Full Name | TARA EILAND |
Practice Address |
2090 Evans Ln San Jose CA 95125-2072 |
Practice Telephone | 4087932400 |
Practice Fax Number | 4084481815 |
Mailing Telephone | 4087932400 |
Mailing Fax Number | 4084481815 |
Enumeration Date | 2014-05-15 |
Last Update Date | 2014-05-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | PT 33040 | CA | Nursing Service Providers |
Street Address |
2090 EVANS LN |
City | SAN JOSE |
State | CA |
Zip Code | 95125-2072 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609941947 | Juan Alberto Sanchez | Social Worker | 2090 Evans Ln, San Jose, CA 95125-2072 | 2006-11-21 |
1619576972 | Esmeralda Bautista | Counselor | 2090 Evans Ln, San Jose, CA 95125-2072 | 2020-10-19 |
1891345716 | Semir Rocevic | Rehabilitation Counselor | 2090 Evans Ln, San Jose, CA 95125-2072 | 2019-09-12 |
1083127583 | Matthew Alexander Kuzmich | Social Worker | 2090 Evans Ln, San Jose, CA 95125-2072 | 2017-11-07 |
1083144885 | Alissa Marie Fisher | Case Manager/Care Coordinator | 2090 Evans Ln, San Jose, CA 95125-2072 | 2017-06-14 |
1336596881 | Rick Armand Navarro | Social Worker | 2090 Evans Ln, San Jose, CA 95125-2072 | 2016-05-14 |
1396105623 | Angela Michelle Galli | Technician, Other | 2090 Evans Ln, San Jose, CA 95125-2072 | 2016-02-29 |
1568842250 | Tamera Puthuff | Counselor | 2090 Evans Ln, San Jose, CA 95125-2072 | 2015-06-08 |
1477954006 | Maelise Blosse | Marriage & Family Therapist | 2090 Evans Ln, San Jose, CA 95125-2072 | 2014-09-15 |
1548678345 | Amanda Cortez | Marriage & Family Therapist | 2090 Evans Ln, San Jose, CA 95125-2072 | 2014-07-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
1659809259 | Edward Escoto | Assistant Behavior Analyst | 2075 Lincoln Ave Ste D, San Jose, CA 95125 | 2017-05-25 |
1104288422 | Kristin Ann Dessau | Counselor | 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 | 2016-03-25 |
1275964488 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1685 Westwood Dr Ste 1, San Jose, CA 95125 | 2013-12-13 |
1598042905 | Walgreens | Exclusive Provider Organization | 2585 Almaden Road, San Jose, CA 95125 | 2011-11-14 |
1881981488 | Kevin Jia-chian Yen | Dentist | 1660 Willow St Ste 5, San Jose, CA 95125 | 2011-07-02 |
1699093724 | Lokahi Acupuncture, Inc. | Acupuncturist | 1688 Willow Street, Suite B, San Jose, CA 95125 | 2010-05-13 |
1538482468 | Mark Lucius Yoslow | Psychologist | 970 Minnesota Avenue, San Jose, CA 95125 | 2010-03-06 |
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Taxonomy Code | 167G00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Psychiatric Technician |
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144716705 | Esmeralda Tinoco | Licensed Psychiatric Technician | 871 Enborg Court, San Jose, CA 95128 | 2018-07-06 |
1346754025 | Isata S Mbawa | Licensed Psychiatric Technician | 4987 Speak Ln, San Jose, CA 95118-2767 | 2017-11-16 |
1629512421 | Godwin Kebila Kaba | Licensed Psychiatric Technician | 344 Los Pinos Way, San Jose, CA 95123-5117 | 2016-12-13 |
1457762767 | Baltazar Pulido | Licensed Psychiatric Technician | 2459 Jubilee Ln, San Jose, CA 95131-1987 | 2014-05-08 |
1750404570 | Jose Soliz | Licensed Psychiatric Technician | 277 Omira Dr, San Jose, CA 95123-3635 | 2007-04-08 |
1437756913 | Juan Ramon Zago | Licensed Psychiatric Technician | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2020-10-07 |
1851916415 | Zekarias Eyassu | Licensed Psychiatric Technician | 1425 Fruitdale Ave, San Jose, CA 95128-3234 | 2020-06-10 |
1780207571 | Andrea Hernandez | Licensed Psychiatric Technician | 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 | 2020-05-27 |
1700426350 | Christianna Paula Mathews | Licensed Psychiatric Technician | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-01-12 |
1376189928 | Alma Valencia Chacon | Licensed Psychiatric Technician | 2001 The Alameda, San Jose, CA 95126-1136 | 2019-11-19 |
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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.