DR. JENNIFER FAN (NPI# 1841366804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841366804 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER FAN |
| Credential | PSY.D., LMFT |
| Practice Address |
957 Industrial Rd Ste B San Carlos CA 94070-4152 |
| Practice Telephone | 8004963019 |
| Mailing Telephone | 8004963019 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2013-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 47184 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255815940 | Jennifer Fan | Behavioral Analyst | 475 Amherst St, San Francisco, CA 94134-1601 | 2018-09-19 |
| 1992209126 | Jennifer Nielsen Fan | Student in an Organized Health Care Education/Training Program | 300 University Blvd, Baylor Scott & White Medical Center, Round Rock, TX 78665-1032 | 2018-03-21 |
| 1356703912 | Jennifer Fan | Hospitalist | 6201 Harry Hines Blvd, Dallas, TX 75390-7201 | 2016-03-23 |
| 1376886150 | Jennifer J Fan | Internal Medicine | 4150 V St, #1110, Sacramento, CA 95817-1460 | 2013-03-31 |
| 1659360063 | Jennifer K Fan | Radiology | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2005-10-18 |
| Street Address |
957 INDUSTRIAL RD STE B |
| City | SAN CARLOS |
| State | CA |
| Zip Code | 94070-4152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356413348 | William A Moya | Counselor | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2006-11-14 |
| 1962046409 | Diana Luykx | Social Worker | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-10-28 |
| 1205478872 | Leslie Rubi Munoz | Counselor | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-10-15 |
| 1104468032 | Homero Carrillo-leon | Community Health Worker | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-10-11 |
| 1184279721 | Arrash Lee Abri | Counselor | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-08-08 |
| 1154974301 | Sofia Abbushi | Counselor | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-07-17 |
| 1407408719 | Estefani Yoselin Gomez Pacheco | Community Health Worker | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-07-16 |
| 1972162709 | Rubi Jesenia Rocha | Community Health Worker | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-06-05 |
| 1881156040 | Christopher David Jones | Counselor | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-04-04 |
| 1902367907 | Connor William Taylor | Counselor | 957 Industrial Rd Ste B, San Carlos, CA 94070-4152 | 2019-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943189 | Regina Rayz | Community Health Worker | Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 | 2018-12-10 |
| 1275026668 | Zhimiao Wang | Acupuncturist | 1608 Laurel St, San Carlos, CA 94070 | 2018-06-11 |
| 1922508324 | Erica Garica Romero | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2018-02-13 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1679082192 | Enrique Francisco Delgado | Counselor | 610 Elm St. #212, San Carlos, CA 94070 | 2017-09-27 |
| 1871011379 | Melanie Schug | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2017-09-05 |
| 1891213393 | Teresa Wace | Counselor | 1303 San Carlos Avenue, San Carlos, CA 94070 | 2017-09-05 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1629527825 | Annette Waters | Speech-Language Pathologist | 1017 Cedar St, San Carlos, CA 94070 | 2016-09-28 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| Find all providers in zip 94070 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766811 | Cynthia Grogan Gallagher | Marriage & Family Therapist | 1139 San Carlos Ave Ste 308, San Carlos, CA 94070-2450 | 2020-10-08 |
| 1578032249 | Alison Little | Marriage & Family Therapist | 655 Skyway Rd Ste 222, San Carlos, CA 94070-2711 | 2018-11-24 |
| 1558885848 | Fernando Gutierrez Bejar | Marriage & Family Therapist | 232 Garnet Ave, San Carlos, CA 94070-4533 | 2017-07-28 |
| 1942751003 | Jill Bigelow | Marriage & Family Therapist | 961 Laurel St Ste 203, San Carlos, CA 94070-3954 | 2016-10-24 |
| 1528489069 | Carol Downie Lee | Marriage & Family Therapist | 1350 Cherry St., San Carlos, CA 94070-6888 | 2013-12-31 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| 1548512098 | Julie Haskell Ford | Marriage & Family Therapist | 610 Elm Street Suite 212, San Carlos, CA 94070 | 2012-10-09 |
| 1023261625 | Stephanie Rudolph | Marriage & Family Therapist | 1161 Cherry St Ste P, San Carlos, CA 94070-3137 | 2008-10-28 |
| 1497901375 | Tami L Schmalz | Marriage & Family Therapist | 1701 Industrial Rd, San Carlos, CA 94070-4114 | 2008-08-12 |
| 1972773455 | Marti Louise Erickson | Marriage & Family Therapist | 1209 Eaton Ave Ste 1, San Carlos, CA 94070-5234 | 2008-03-11 |
| Find all providers in SAN CARLOS | ||||
| City | SAN CARLOS |
| Zip Code | 94070 |
Please comment or provide details below to improve the information on DR. JENNIFER FAN.
| 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.