MR. CURTIS EUGENE PENN (NPI# 1881218923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881218923 |
Entity Type | Individual |
Full Name | MR. CURTIS EUGENE PENN |
Practice Address |
13847 E 14th St San Leandro CA 94578-2632 |
Practice Telephone | 4154747310 |
Mailing Telephone | 4154747310 |
Enumeration Date | 2020-06-04 |
Last Update Date | 2020-06-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | CA | Behavioral Health & Social Service Providers |
Street Address |
13847 E 14TH ST |
City | SAN LEANDRO |
State | CA |
Zip Code | 94578-2632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952307720 | Ravinder K Arora | Internal Medicine | 13847 E 14th St, Suite 217, San Leandro, CA 94578-2632 | 2005-06-24 |
1962024885 | Robyn Miller | Counselor | 13847 E 14th St, San Leandro, CA 94578-2632 | 2020-05-13 |
1700359668 | Shireen Farsi | Counselor | 13847 E 14th St, San Leandro, CA 94578-2632 | 2019-01-03 |
1366812190 | Lawrence Lyons | Counselor | 13847 E 14th St, San Leandro, CA 94578-2632 | 2015-10-06 |
1639549157 | Owen Michael Camarco | Counselor | 13847 E 14th St, San Leandro, CA 94578 | 2015-09-26 |
1376961664 | Asian Community Mental Health Board | Community/Behavioral Health | 13847 E 14th St, Suite 116, San Leandro, CA 94578-2632 | 2014-04-03 |
1518203728 | Nehal Ghevariya | Internal Medicine | 13847 E 14th St, Ste 115, San Leandro, CA 94578-2632 | 2012-12-14 |
1831465814 | Arkady Oreper, Md, A Professional Corporation | Psychiatry & Neurology | 13847 E 14th St, 204, San Leandro, CA 94578-2632 | 2012-03-24 |
1841579323 | Fortani Medical Corp. | Family Medicine | 13847 E 14th St, Suite 216, San Leandro, CA 94578-2632 | 2011-08-15 |
1801197280 | Bryant Surgical Group PC | Surgery | 13847 E 14th St, Suite #110, San Leandro, CA 94578-2632 | 2010-11-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
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Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639657752 | Erika Apel | Counselor | 1324 Avon Ave, San Leandro, CA 94579-1340 | 2018-07-31 |
1578055208 | Mary Lee | Counselor | 81 Dabner St, San Leandro, CA 94577-1423 | 2018-05-30 |
1922414945 | Melissa Stevens | Counselor | 13847 E 14th St Ste 205, San Leandro, CA 94578-2626 | 2014-07-10 |
1174872667 | Ardra Dion Taylor | Counselor | 525 Lafayette Ave, San Leandro, CA 94577-2715 | 2012-08-30 |
1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
1447488937 | Rosaura Yesenia Zelaya | Counselor | 500 Davis St Ste 120, San Leandro, CA 94577-2759 | 2009-06-23 |
1912159906 | Tatiana Geneva Stewart | Counselor | 1057 Macarthur Blvd Ste 208, San Leandro, CA 94577-3014 | 2008-10-21 |
1215126214 | Tamia Kimadaa Bright | Counselor | 114 Garcia Ave, San Leandro, CA 94577-1714 | 2007-10-16 |
1710017553 | Dana Toscano | Counselor | 2275 Arlington Dr., San Leandro, CA 94578 | 2007-03-07 |
1306987961 | Larry Ellerbee | Counselor | 15699 Baypoint Ave, San Leandro, CA 94579-2794 | 2007-02-08 |
Find all providers in SAN LEANDRO |
City | SAN LEANDRO |
Zip Code | 94578 |
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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.