MS. TAYSHA CHENELL DAVISTON (NPI# 1942728688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942728688 |
| Entity Type | Individual |
| Full Name | MS. TAYSHA CHENELL DAVISTON |
| Credential | MFT TRAINEE |
| Practice Address |
2208 San Leandro Blvd. San Leandro CA 94577 |
| Practice Telephone | 5104836715 |
| Practice Fax Number | 5104836719 |
| Mailing Telephone | 5104836715 |
| Mailing Fax Number | 5104836719 |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2017-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2208 SAN LEANDRO BLVD. |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588069553 | Janelle Aixa Torres | Social Worker | 2208 San Leandro Blvd., Family Service of San Leandro, San Leandro, CA 94577 | 2014-11-03 |
| 1407368566 | Melissa Ma | Student in an Organized Health Care Education/Training Program | 2208 San Leandro Blvd., San Leandro, CA 94577 | 2017-10-30 |
| 1144775115 | Melanie Carlton | Marriage & Family Therapist | 2208 San Leandro Blvd., San Leandro, CA 94577 | 2016-08-19 |
| 1578960050 | Katherine Jennifer Meyers | Student in an Organized Health Care Education/Training Program | 2208 San Leandro Blvd., Family Service Counseling Center, San Leandro, CA 94577 | 2014-11-26 |
| 1295132777 | Jaha Higgs | Student in an Organized Health Care Education/Training Program | 2208 San Leandro Blvd., Family Service Counseling Center, San Leandro, CA 94577 | 2014-11-26 |
| 1487051967 | Sophia I. De La Fuente | Student in an Organized Health Care Education/Training Program | 2208 San Leandro Blvd., Family Service Counseling Center, San Leandro, CA 94577 | 2014-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
| 1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
| 1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
| 1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
| 1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
| 1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
| 1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
| 1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
| Find all providers in zip 94577 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519127 | Manveer Kaur Ubhi | Student in an Organized Health Care Education/Training Program | 16859 Robey Dr, San Leandro, CA 94578-1512 | 2020-05-08 |
| 1821626078 | Imafidon Edogun | Student in an Organized Health Care Education/Training Program | 16263 Maubert Ave, San Leandro, CA 94578-2109 | 2020-03-31 |
| 1790310308 | Ambrosio Rico Santillan | Student in an Organized Health Care Education/Training Program | 675 Dutton Ave, San Leandro, CA 94577-2030 | 2020-03-04 |
| 1962059147 | Christopher Tat | Student in an Organized Health Care Education/Training Program | 2265 Aquatic Ct, San Leandro, CA 94579-2782 | 2019-08-21 |
| 1104322700 | Marwan Al Aoudi | Student in an Organized Health Care Education/Training Program | 674 Hollyhock Dr, San Leandro, CA 94578-3817 | 2018-04-03 |
| 1679958649 | Lolita Nunn | Student in an Organized Health Care Education/Training Program | 321 Cove Ct, San Leandro, CA 94578-4625 | 2015-07-20 |
| 1285067207 | Stephanie Young | Student in an Organized Health Care Education/Training Program | 2500 Fairmont Dr Fl 1, San Leandro, CA 94578-1005 | 2013-08-13 |
| 1528307477 | Aikaterini Tsapanidov | Student in an Organized Health Care Education/Training Program | 3081 Teagarden, Davis Street Family Resource Center, San Leandro, CA 94577 | 2013-02-12 |
| 1053502906 | Liza Hecht | Student in an Organized Health Care Education/Training Program | Girls Incorporated of Alameda County, 13666 East 14th Street, San Leandro, CA 94578 | 2007-08-06 |
| 1962017756 | Emil Kim | Student in an Organized Health Care Education/Training Program | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2020-09-09 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94577 |
Please comment or provide details below to improve the information on MS. TAYSHA CHENELL DAVISTON.
| 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.