JACK REID


Address: 110 Gough St, Suite 202, San Francisco, CA 94102-5945
Phone: 4159443628

JACK REID (NPI# 1811394364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
PCCI 1189 CA Behavioral Health & Social Service Providers

Other Providers JACK REID

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

Office Location

Street Address 110 GOUGH ST
SUITE 202
City SAN FRANCISCO
State CA
Zip Code 94102-5945

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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
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Competitor

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City SAN FRANCISCO
Zip Code 94102

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Dataset Information

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.

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