TARA BREDESEN (NPI# 1780013342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780013342 |
| Entity Type | Individual |
| Full Name | TARA BREDESEN |
| Practice Address |
421 Fairmount Ave Oakland CA 94611-5534 |
| Practice Telephone | 5108393769 |
| Mailing Telephone | 5108393769 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
421 FAIRMOUNT AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548471881 | Berkeley Place, Inc. | Community Based Residential Treatment Facility, Mental Illness | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2007-05-25 |
| 1780240291 | Maribel Socorro Lopez | Marriage & Family Therapist | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2019-05-10 |
| 1265997027 | Ruby Esther Goldberg | Counselor | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2019-02-06 |
| 1508357815 | Kahlia Nichelle Hawkins | Marriage & Family Therapist | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2018-05-22 |
| 1407231731 | Hasina Mae Crump | Counselor | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2015-07-28 |
| 1174969141 | Crystal Renee Moore | Marriage & Family Therapist | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2013-05-17 |
| 1831436963 | Daniel Jesus-duprix Davis-hardin | Marriage & Family Therapist | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2013-01-09 |
| 1760742563 | Allyson L Hurlburt | Counselor | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2012-05-25 |
| 1376817007 | Jennifer Kim | Counselor | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2012-02-27 |
| 1043587488 | Casa De La Vida | Community Based Residential Treatment Facility, Mental Illness | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2011-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255790 | Sharon Kiesler | Counselor | 3621 Webster St, Oakland, CA 94609-2844 | 2020-11-03 |
| 1982218418 | Jill Patience Lahmann | Counselor | 1000 Broadway Ste 300, Oakland, CA 94607-4099 | 2020-09-02 |
| 1659983955 | Abigail Weintraub | Counselor | 625 Mariposa Ave, Oakland, CA 94610-1312 | 2020-08-18 |
| 1447871561 | Ronika Williams | Counselor | 555 98th Ave Apt 55598th, Oakland, CA 94603-2100 | 2020-04-29 |
| 1699306092 | Bryon C Pickens | Counselor | 355 Bob White Rd, Oakland, TN 38060-4109 | 2020-02-04 |
| 1366082950 | La Tronda Shawna Lumpkins | Counselor | 8501 International Blvd, Oakland, CA 94621-1549 | 2020-01-10 |
| 1861033201 | Fatima Zahra Allam | Counselor | 1900 Embarcadero Ste 305, Oakland, CA 94606-5227 | 2019-10-07 |
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1013472224 | Janay Green | Counselor | 6951 Lion Way Apt 302, Oakland, CA 94621-3368 | 2019-02-01 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| Find all providers in OAKLAND | ||||
Please comment or provide details below to improve the information on TARA BREDESEN.
| 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.