RAZALYN DYAN NICKOLA (NPI# 1780233650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780233650 |
| Entity Type | Individual |
| Full Name | RAZALYN DYAN NICKOLA |
| Credential | MFT ASSOCIATE |
| Practice Address |
5325 Broder Blvd Dublin CA 94568-3309 |
| Mailing Address |
2441 Doidge Ave Pinole CA 94564-1008 |
| Practice Telephone | 9258037221 |
| Mailing Telephone | 5107089886 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
5325 BRODER BLVD |
| City | DUBLIN |
| State | CA |
| Zip Code | 94568-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043250079 | Dennis Arthur O'brien | Psychiatry & Neurology | 5325 Broder Blvd, Dublin, CA 94568 | 2006-06-07 |
| 1982202891 | Madison Monahan | Student in an Organized Health Care Education/Training Program | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2020-10-13 |
| 1245838556 | Patricia Geronimo | Marriage & Family Therapist | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2020-10-09 |
| 1891303269 | Telecare Corporation | Community/Behavioral Health | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2020-07-21 |
| 1902420557 | Shawanda Mcgee-powell | Social Worker | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2020-05-29 |
| 1568085462 | Morsell Zazi | Registered Nurse | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2020-05-26 |
| 1982232245 | Sadaf Possani | Nurse Practitioner | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2020-03-31 |
| 1477195568 | Options Recovery Services | Community/Behavioral Health | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2019-10-10 |
| 1740839638 | Jessica Stevenson | Counselor | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2019-09-04 |
| 1922568419 | Kimberly Ann Medina | Marriage & Family Therapist | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2019-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242224 | Lisa Marie Casey | Case Manager/Care Coordinator | 5149 Gleason Dr. Dublin, Ca 94568, Dublin, CA 94568 | 2020-07-06 |
| 1669029187 | Orlando Jesus Olivera | Behavior Technician | 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 | 2019-08-20 |
| 1225682867 | Tiana K St Jean | Behavior Technician | 4228 Loyalton Rd, Dublin, CA 94568 | 2019-08-01 |
| 1205398005 | Shawna Marie Green | Behavior Technician | 7565 Amador Valley Blvd, 109, Dublin, CA 94568 | 2019-04-02 |
| 1235613779 | Zachery Joseph Lupton | Assistant Behavior Analyst | 5601 Arnold Rd. Suite 102, Dublin, CA 94568 | 2018-09-20 |
| 1235629361 | Anthony John E. Castanares | Optometrist | 7763 Squirrel Creek Cir, Dublin, CA 94568 | 2018-05-15 |
| 1134637697 | Justin Yun | Physical Therapist | 3100 Dublin Medical Offices, Dublin, CA 94568 | 2018-01-18 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| 1619407368 | Lzl Health Center | Acupuncturist | 7241 Regional St, Dublin, CA 94568 | 2017-06-15 |
| 1578010120 | Yang Yang | Technician, Other | 5501 Demarcus Blvd, Apt 413, Dublin, CA 94568 | 2016-09-01 |
| Find all providers in zip 94568 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157529 | Jeffrey A. Holmes | Counselor | 5149 Gleason Dr, Dublin, CA 94568-7627 | 2020-09-04 |
| 1245760529 | Jeremy A Wade | Counselor | 200 W Bridge St Ste B, Dublin, OH 43017-1141 | 2017-06-19 |
| 1467998260 | Regina Wright-mcrae | Counselor | 105 Camelot Dr, Dublin, GA 31021-6401 | 2017-01-17 |
| 1639563562 | Laura Schenck | Counselor | 5300 Iron Horse Pkwy, Dublin, CA 94568-2043 | 2015-03-28 |
| 1861792475 | Jessica Wade | Counselor | 200 W. Bridge Street, Suite B, Dublin, OH 43017 | 2010-10-28 |
| 1679696215 | Brian Patrick Coughlin | Counselor | 7144 Dublin Meadows St Apt B, Dublin, CA 94568-3876 | 2007-04-09 |
| 1588295893 | Deborah Ann Digirolamo | Counselor | 149 N Main St, Dublin, PA 18917-2107 | 2020-01-27 |
| 1740839638 | Jessica Stevenson | Counselor | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2019-09-04 |
| 1588150775 | Stephanie Neer | Counselor | 200 W Bridge St Ste B, Dublin, OH 43017-1141 | 2018-07-10 |
| 1578085882 | Amanda Cooksey | Counselor | 299 Cramer Creek Ct, Dublin, OH 43017-2586 | 2017-07-10 |
| Find all providers in DUBLIN | ||||
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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.