JACK REID (NPI# 1811394364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811394364 |
Entity Type | Individual |
Full Name | JACK REID |
Other Name | JAY REID |
Credential | PCCI #1189 |
Practice Address |
110 Gough St Suite 202 San Francisco CA 94102-5945 |
Practice Telephone | 4159443628 |
Mailing Telephone | 4159443628 |
Enumeration Date | 2014-11-28 |
Last Update Date | 2016-01-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
PCCI 1189 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407043797 | Jack Holmes Reid Jr. | Dentist | 911 Plantation Blvd, Fairhope, AL 36532-2949 | 2007-10-01 |
1518968262 | Jack R Reid Jr. | Internal Medicine | 5000 Odonavan Blvd Ste 307, Walker, LA 70785-6355 | 2005-08-03 |
1639736093 | Jack Reid | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2019-05-21 |
Street Address |
110 GOUGH ST SUITE 202 |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94102-5945 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932193257 | Christopher A. Diani | Social Worker | 110 Gough St, Ste 403, San Francisco, CA 94102-5971 | 2005-08-31 |
1770906349 | Katherine Eilean Moore | Marriage & Family Therapist | 110 Gough St, Suite 402, San Francisco, CA 94102-5945 | 2014-02-01 |
1811257884 | M Maxwell Keller | Marriage & Family Therapist | 110 Gough St, San Francisco, CA 94102-5945 | 2012-05-23 |
1467684779 | Mary E Zimtricht | Psychologist | 110 Gough St, Suite 202, San Francisco, CA 94102-5945 | 2009-08-20 |
1558517763 | Jennifer Fernandez | Psychologist | 110 Gough St, Suite 401, San Francisco, CA 94102-5945 | 2008-08-07 |
1285832410 | Stephen Morris Trichter | Psychologist | 110 Gough St, Ste 202, San Francisco, CA 94102-5968 | 2007-07-10 |
1609919109 | Access Institute for Psychological Services | Psychologist | 110 Gough St, Suite 301, San Francisco, CA 94102-5945 | 2007-02-14 |
1891835732 | Abigail Levinson Marks | Psychologist | 110 Gough St, 3rd Floor, San Francisco, CA 94102-5945 | 2007-02-08 |
1407906910 | Andrew Pelfini | Marriage & Family Therapist | 110 Gough St, 403b, San Francisco, CA 94102-5945 | 2007-01-10 |
1194882662 | Carolyn Stead | Psychologist | 110 Gough St, #202, San Francisco, CA 94102-5945 | 2007-01-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043849318 | Alvin Vallejo | Registered Nurse | 30 Van Ness, Suite 2300, San Francisco, CA 94102 | 2020-04-07 |
1831731041 | Erica Keller | Physician Assistant | 1998 Market Street, Within Carbon Health, San Francisco, CA 94102 | 2019-10-09 |
1790342368 | Emma Victoria Mc Arthur | Acupuncturist | 364 Hayes Street, Second Floor, San Francisco, CA 94102 | 2019-05-20 |
1265926489 | Sharon Lee Haynes | Counselor | 711 Van Ness Ave Ste 500, San Francisco, CA 94102 | 2018-06-20 |
1487166898 | Therapia Health Management Inc. | Clinic/Center | 1390 Market St. Suite 200, San Francisco, CA 94102 | 2017-10-26 |
1700395456 | Faiza Saeed | Community Health Worker | 315 Turk Street, San Francisco, CA 94102 | 2017-09-26 |
1093255184 | Abigail Roh | Counselor | 50 Ivy St., San Francisco, CA 94102 | 2017-03-08 |
1598214173 | See Saw Seen Optometry | Optometrist | 515 Gough Street, San Francisco, CA 94102 | 2016-09-24 |
1841744505 | Kyra Lee | Dentist | 490 Post St Ste 1450, San Francisco, CA 94102 | 2016-08-11 |
1255702528 | Jins Eyewear Us, Inc. | Technician/Technologist | 151 Powell St., San Francisco, CA 94102 | 2015-10-13 |
Find all providers in zip 94102 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457950073 | Thomas Lee Kim | Counselor | 788 8th Ave Apt 1, San Francisco, CA 94118-3790 | 2020-10-23 |
1124631304 | Juei-chen Chao | Counselor | 2211 Post St Fl 3, San Francisco, CA 94115-3464 | 2020-08-26 |
1669082293 | Lovewell A Marriage and Family Therapy Corp | Counselor | 45 Franklin St Ste 312, San Francisco, CA 94102-6047 | 2020-08-07 |
1205445392 | Yuh Jang Mei | Counselor | 4950 Fulton St Apt 301, San Francisco, CA 94121-3656 | 2020-07-24 |
1851911366 | Whil Concepts | Counselor | 1656 California St, San Francisco, CA 94109-4604 | 2020-04-24 |
1174157481 | Kasey Lyn Varga | Counselor | 1197 Valencia St Ste 6, San Francisco, CA 94110-3026 | 2020-02-25 |
1760020721 | Approach Therapy | Counselor | 2595 Mission St Ste 311, San Francisco, CA 94110-2574 | 2019-12-20 |
1306489067 | Sue Jennigs Hirsch | Counselor | 405 Clement Street Room 4, San Francisco, CA 94118 | 2019-10-24 |
1477101525 | Kantha Swaminathan | Counselor | 72a Bruce Ave, San Francisco, CA 94112-2322 | 2019-09-02 |
1821653593 | Expansive Therapy A Professional Clinical Counselor Corporation | Counselor | 582 Market St Ste 2002, San Francisco, CA 94104-5321 | 2019-05-07 |
Find all providers in SAN FRANCISCO |
City | SAN FRANCISCO |
Zip Code | 94102 |
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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.