JUDY ALEXANDER (NPI# 1912332420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912332420 |
| Entity Type | Individual |
| Full Name | JUDY ALEXANDER |
| Practice Address |
90 Great Oaks Blvd 108 San Jose CA 95119-1314 |
| Mailing Address |
90 Great Oaks Blvd San Jose CA 95119-1314 |
| Practice Telephone | 4082810708 |
| Practice Fax Number | 4082812658 |
| Mailing Telephone | 4082810708 |
| Mailing Fax Number | 4082812658 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351070 | Judy Jenkins Alexander | Behavior Technician | 917b Laurel St, Fayetteville, NC 28303-4046 | 2020-06-17 |
| 1447658984 | Judy Alexander | Community Based Residential Treatment Facility, Mental Illness | 2219 W Hills Dr, Fairfield, IA 52556-4739 | 2014-12-16 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| 1841330842 | Judy L Alexander | Social Worker | 1706 Nueces St, Austin, TX 78701-1108 | 2007-02-07 |
| 1184287880 | Judy G Alexander | Pharmacist | 1419 E Bustamante St, Laredo, TX 78041-5303 | 2019-04-17 |
| Street Address |
90 GREAT OAKS BLVD 108 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376694281 | Randall Burl Spencer | Internal Medicine | 90 Great Oaks Blvd, San Jose, CA 95119-1314 | 2007-01-16 |
| 1447776752 | Alex Ly | Counselor | 90 Great Oaks Blvd, San Jose, CA 95119-1314 | 2017-08-17 |
| 1033631106 | Rebecca Leora Heflin | Counselor | 90 Great Oaks Blvd, San Jose, CA 95119-1314 | 2017-07-11 |
| 1932647286 | Derek Barmby | Counselor | 90 Great Oaks Blvd, San Jose, CA 95119-1314 | 2017-02-07 |
| 1558807032 | Stephanie Ventura | Social Worker | 90 Great Oaks Blvd, Suite #108, San Jose, CA 95119 | 2017-01-09 |
| 1598120867 | Edward Jonathans | Counselor | 90 Great Oaks Blvd, 108, San Jose, CA 95119-1314 | 2015-12-30 |
| 1689046617 | Shami Benjamin | Counselor | 90 Great Oaks Blvd, Ste 108, San Jose, CA 95119-1314 | 2015-10-29 |
| 1316348675 | Deahna Davis | Counselor | 90 Great Oaks Blvd, Suite 108, San Jose, CA 95119-1314 | 2014-09-05 |
| 1265833529 | Nicole Stiggall | Counselor | 90 Great Oaks Blvd, Suite 108, San Jose, CA 95119-1314 | 2014-09-05 |
| 1689073850 | Kellye Vargas | Counselor | 90 Great Oaks Blvd, 108, San Jose, CA 95119-1314 | 2014-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1609412469 | Cathy Logie | Counselor | 2682 Coit Dr, San Jose, CA 95124-1611 | 2019-11-26 |
| 1831692722 | Nicholas Jordon Thompson | Counselor | 2218 North First Street, San Jose, CA 95131 | 2018-03-16 |
| 1376045591 | Michael Li | Counselor | 2202 N 1st St, San Jose, CA 95131-2007 | 2018-03-03 |
| 1104338805 | Sydney Louise Tai | Counselor | 1370 Tully Rd Ste 301, San Jose, CA 95122-3056 | 2017-11-02 |
| 1932624871 | Linh Tuyet Vong | Counselor | 760 Pelleas Ln, San Jose, CA 95127-1030 | 2017-08-12 |
| 1760907273 | Marina Marie Mendonca | Counselor | 650 S. Bascom Ave, San Jose, CA 95128 | 2017-08-04 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1386171221 | Mia Yvone Jaurigue | Counselor | 151 W Mission St # A1, San Jose, CA 95110-1713 | 2017-05-22 |
| 1396296307 | Andres Lujan Jr. | Counselor | 1867 Senter Rd, San Jose, CA 95112-2527 | 2016-10-14 |
| Find all providers in SAN JOSE | ||||
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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.