ANYSSA N HABERKORN-GOMEZ (NPI# 1760039069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760039069 |
| Entity Type | Individual |
| Full Name | ANYSSA N HABERKORN-GOMEZ |
| Practice Address |
1 Saint Vincents Dr San Rafael CA 94903-1504 |
| Practice Telephone | 4155072000 |
| Mailing Telephone | 4155072000 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1 SAINT VINCENTS DR |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770688582 | Sonia Raquel Cavazos | Marriage & Family Therapist | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2006-09-14 |
| 1205309366 | Nancy Freitas Lambert | Psychologist | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2019-01-10 |
| 1710450960 | Joseph Anthony Emard | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2019-01-09 |
| 1902378482 | Catherine Serrano Florendo | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2018-12-21 |
| 1619452471 | Kathryn Dulay Wisniewski | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2018-09-27 |
| 1356829287 | Christine Lewis | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903 | 2018-08-02 |
| 1285126201 | Lauraleigh Carol Hungerford | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903 | 2018-06-05 |
| 1194217117 | Reanne Elise Remlinger | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903 | 2018-06-05 |
| 1467942243 | Monique Mercado | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903 | 2018-05-16 |
| 1578069001 | Carol-anne Pugliese | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770191538 | Deirdre Ann Martinez | Student in an Organized Health Care Education/Training Program | 66 Oxford Dr, San Rafael, CA 94903-2887 | 2020-07-17 |
| 1043833841 | Kevin Nasre | Student in an Organized Health Care Education/Training Program | 103 Gable Ct, San Rafael, CA 94903-5208 | 2020-05-27 |
| 1194369116 | Diana Duran Robles | Student in an Organized Health Care Education/Training Program | 308 Glen Park Ave Apt B, San Rafael, CA 94901-1361 | 2019-11-01 |
| 1710404991 | Janine Nicole Carpenter | Student in an Organized Health Care Education/Training Program | 3230 Kerner Blvd Ste 120, San Rafael, CA 94901-4840 | 2017-08-28 |
| 1477006880 | Francesca Zulueta | Student in an Organized Health Care Education/Training Program | 1050 Court St, Apt 510, San Rafael, CA 94901-2982 | 2016-08-02 |
| 1336692102 | Deborah Styles | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Ave, # 201, Community Institute for Psychotherapy, San Rafael, CA 94901-2120 | 2016-07-28 |
| 1639379944 | Elizabeth Chapman Foxx | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Avenue, San Rafael, CA 94901-2120 | 2007-07-24 |
| 1558407544 | Susan Eve Aceves | Student in an Organized Health Care Education/Training Program | 1 Saint Vincent Dr, San Rafael, CA 94903 | 2007-01-29 |
| 1396350740 | Sarah Marie Rubin | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-12 |
| 1205441730 | Arshdeep Kaur | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-11 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on ANYSSA N HABERKORN-GOMEZ.
| 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.