WALNUT CREEK CBT CLINIC (NPI# 1881069086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881069086 |
| Entity Type | Organization |
| Organization Name | WALNUT CREEK CBT CLINIC |
| Practice Address |
1670 S Amphlett Blvd Suite 225 San Mateo CA 94402-2510 |
| Practice Telephone | 6505323666 |
| Mailing Telephone | 6505323666 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2016-11-04 |
| Authorized Official Name | DR. JONAH LAKIN (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6505323666 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
26269 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1670 S AMPHLETT BLVD SUITE 225 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891702312 | Howard E Lee | Internal Medicine | 1670 S Amphlett Blvd, Suite 300, San Mateo, CA 94402-2510 | 2006-08-01 |
| 1841739497 | Adriana Juarez Arteaga | Marriage & Family Therapist | 1670 S Amphlett Blvd, Suite 115, San Mateo, CA 94402-2510 | 2017-02-15 |
| 1225583024 | Erika Chavez-duarte | Marriage & Family Therapist | 1670 S Amphlett Blvd, Suite 115, San Mateo, CA 94402-2510 | 2016-08-22 |
| 1497200372 | Moneisa Carson | Marriage & Family Therapist | 1670 S Amphlett Blvd, Suite Number 115, San Mateo, CA 94402-2510 | 2016-08-20 |
| 1477008704 | Audrey King | Physical Therapist | 1670 S Amphlett Blvd, #123, San Mateo, CA 94402-2510 | 2016-08-16 |
| 1013362003 | Lisa Kearns | Counselor | 1670 S Amphlett Blvd, Suite 115, San Mateo, CA 94402-2510 | 2016-04-27 |
| 1942678909 | Grant Bradley Gordin | Marriage & Family Therapist | 1670 S Amphlett Blvd, Suite 115, San Mateo, CA 94402-2510 | 2015-09-08 |
| 1578931903 | Homecare Physicians Medical Group, Inc. | Internal Medicine | 1670 S Amphlett Blvd, Suite 300, San Mateo, CA 94402-2510 | 2015-09-02 |
| 1780073619 | Nassim Mirreghabie | Counselor | 1670 S Amphlett Blvd, San Mateo, CA 94402-2510 | 2015-01-15 |
| 1326453606 | Health On Wheels PC | Physical Therapist | 1670 S Amphlett Blvd, Suite 123, San Mateo, CA 94402-2510 | 2014-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226387 | Elizabeth Sokolik Green | Psychologist | 26 Seville Way, San Mateo, CA 94402-2831 | 2020-05-08 |
| 1306481288 | Andrew Charlton Sweet | Psychologist | 177 Bovet Rd Ste 540, San Mateo, CA 94402-3121 | 2019-11-14 |
| 1265962146 | Soo Uhm | Psychologist | 1010 S El Camino Real Ste A, San Mateo, CA 94402-2802 | 2017-06-14 |
| 1336690924 | Courtney Chappuis Farmer | Psychologist | 87 Lodato Ave, San Mateo, CA 94403-1723 | 2016-10-18 |
| 1730469198 | Ann K Rawley | Psychologist | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2011-08-17 |
| 1104137637 | Marie Sara Rivera Yap | Psychologist | 1720 S Amphlett Blvd Ste 220g, San Mateo, CA 94402-2713 | 2010-06-30 |
| 1235368135 | Patrice Fortune | Psychologist | 63 Bovet Road #221, San Mateo, CA 94402-3104 | 2009-07-13 |
| 1851597058 | Stan Friedman | Psychologist | 100 S Ellsworth Ave Ste 511, San Mateo, CA 94401-3929 | 2007-06-25 |
| 1932303625 | Susan Enochs | Psychologist | 1650 Borel Pl Ste 125, San Mateo, CA 94402-3507 | 2007-06-14 |
| 1184836330 | June Marie Martin | Psychologist | 1100 S. El Camino Real, Suite #3, San Mateo, CA 94402 | 2007-05-03 |
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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.