MARY MCDONNELL (NPI# 1871033522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871033522 |
| Entity Type | Individual |
| Full Name | MARY MCDONNELL |
| Credential | L.AC., D.LAC |
| Practice Address |
342 49th St Oakland CA 94609-2239 |
| Practice Telephone | 5104282222 |
| Practice Fax Number | 5104282222 |
| Mailing Telephone | 5104282222 |
| Mailing Fax Number | 5104282222 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | AC 3092 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689872244 | Mary Elizabeth Mcdonnell | Dietitian, Registered | 401 Widdington Ln, Cary, NC 27519-5900 | 2007-07-05 |
| 1134590755 | Mary Mcdonnell | Social Worker | 2320 Highway 12 E, Suite 2, Willmar, MN 56201-5811 | 2015-10-08 |
| 1902042989 | Mary Mcdonnell | Social Worker | 2460 Fairmount Blvd, Suite 323, Cleveland, OH 44106-3171 | 2008-12-23 |
| 1083868848 | Mary A. Mcdonnell | Occupational Therapist | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2008-11-06 |
| 1710904230 | Mary K Mcdonnell | Physical Therapist | 4444 Forest Park Ave, Ste 1210, Saint Louis, MO 63108-2212 | 2006-07-17 |
| Street Address |
342 49TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457841520 | Bay Area Diabetes Prevention Program | Prevention Professional | 2323 Broadway, Oakland, CA 94612-2414 | 2018-05-15 |
| 1255566337 | Andrea Bronzo | Prevention Professional | 5349 College Ave, Oakland, CA 94618-1416 | 2009-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023572641 | Eunhee Kim | Prevention Professional | 807 W Glenwood Cir, Fullerton, CA 92832-1017 | 2019-01-28 |
| 1467943647 | Bcdc Anger Management | Prevention Professional | 9901 Paramount Blvd Ste 114, Downey, CA 90240-3852 | 2018-05-23 |
| 1396248043 | Holly Hartley | Prevention Professional | 4325 S Higuera St, San Luis Obispo, CA 93401-7701 | 2018-03-08 |
| 1245740810 | Iu-mien Community Services | Prevention Professional | 5625 Stockton Blvd, Sacramento, CA 95824-1611 | 2017-10-09 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1548797806 | Alejandro Munoz | Prevention Professional | 3930 Fourth Ave Suite 200, San Diego, CA 92103 | 2017-05-17 |
| 1225564008 | Elizabeth Ann Silva Melo | Prevention Professional | 562 Northwood St, Escalon, CA 95320-9675 | 2017-05-11 |
| 1538695762 | Chinfu Chen | Prevention Professional | 1549 Stone Creek Dr, San Jose, CA 95132-1950 | 2017-05-09 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1740713452 | Jami Johnson | Prevention Professional | 74451 Hill Rd, Covelo, CA 95428-9615 | 2017-04-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARY MCDONNELL.
| 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.