MS. ELIZABETH ANGELA CAETANO (NPI# 1851451173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851451173 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH ANGELA CAETANO |
| Credential | PHD |
| Practice Address |
1761 Broadway St Ste 100 Vallejo CA 94589-2227 |
| Practice Telephone | 7076452700 |
| Practice Fax Number | 7076452181 |
| Mailing Telephone | 7076452700 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY12286 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1761 BROADWAY ST STE 100 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306827944 | David Leonard Kutz | Psychiatry & Neurology | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2005-11-10 |
| 1740812718 | Jamie Hansen | Psychologist | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2020-02-07 |
| 1316333602 | Claire Marie Reclosado-baclay | Counselor | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2015-04-13 |
| 1982963690 | Alexander Shen | Counselor | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2012-05-15 |
| 1174833909 | Jamie Su Baskett | Social Worker | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2010-10-14 |
| 1871804856 | Maria Ortiz-baker | Psychologist | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2010-06-24 |
| 1881923456 | Kaiser Permanente | Clinic/Center | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2009-12-10 |
| 1104050897 | Jacqueline Raines-kohler | Counselor | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2009-05-08 |
| 1275733875 | Daniella Marie Halperin | Counselor | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2007-07-20 |
| 1568663219 | Jeannie E. Celestial | Psychologist | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407910482 | James Scott Murakami | Psychologist | 408 Tennessee St, Vallejo, CA 94590-4453 | 2006-12-21 |
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| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
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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.