DR. DANESSA MAYO, PHD


Address: 1190 Lincoln Ave Ste 7, San Jose, CA 95125-3036
Phone: 4088821498

DR. DANESSA MAYO, PHD (NPI# 1942762299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942762299
Entity Type Organization
Organization Name DR. DANESSA MAYO, PHD
Practice Address 1190 Lincoln Ave Ste 7
San Jose
CA 95125-3036
Practice Telephone 4088821498
Practice Fax Number 4085041435
Mailing Telephone 4088821498
Mailing Fax Number 4085041435
Enumeration Date 2019-04-04
Last Update Date 2019-06-11
Authorized Official Name DR. DANESSA MAYO (CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 4088821498
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 1190 LINCOLN AVE STE 7
City SAN JOSE
State CA
Zip Code 95125-3036

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1659809259 Edward Escoto Assistant Behavior Analyst 2075 Lincoln Ave Ste D, San Jose, CA 95125 2017-05-25
1104288422 Kristin Ann Dessau Counselor 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 2016-03-25
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861023020 Widyasita Sawyer Psychologist 1189 Curtner Ave, San Jose, CA 95125-3618 2020-01-27
1861030033 Maria-christina Stewart Psychologist 3141 Stevens Creek Blvd # 40167, San Jose, CA 95117-1141 2019-12-18
1306404504 Palak Dipak Kothari Psychologist 20 S 2nd St Unit 425, San Jose, CA 95113-2532 2019-06-03
1104362433 Samantha Kountz-edwards Psychologist 1588 Hallbrook Dr, San Jose, CA 95118-1611 2017-01-10
1306243530 Kell Fujimoto Psychologist 2845 Moorpark Ave, Suite 203, San Jose, CA 95128-3158 2014-12-03
1174964092 Brandi Marche Brooks Psychologist 1866 Half Pence Way, San Jose, CA 95132 2013-07-08
1306181284 Marion Marsha Wadley Psychologist 1443 Lupton Ave, San Jose, CA 95125-3847 2012-12-04
1639433709 Janice Jaishika Raj Psychologist 2400 Moorpark Ave., #300, San Jose, CA 95128 2012-07-03
1114296803 Amanda M Walters Psychologist 1101 S Winchester Blvd Ste P297, San Jose, CA 95128 2011-12-24
1518243369 Sydney Flores Fontanares Psychologist 2506 Logsden Way, San Jose, CA 95122-1050 2011-10-25
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Competitor

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City SAN JOSE
Zip Code 95125

Improve Information

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Dataset Information

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.

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