GAIL R FAHEY (NPI# 1992842504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992842504 |
| Entity Type | Individual |
| Full Name | GAIL R FAHEY |
| Credential | RN |
| Practice Address |
1761 Broadway St Ste 100 Vallejo CA 94589-2227 |
| Practice Telephone | 7076452343 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
390720 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548748502 | Gail A. Fahey | Registered Nurse | 2250 Wehrle Dr, Williamsville, NY 14221-7034 | 2018-08-01 |
| 1174915151 | Gail Fahey | Psychologist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2015-02-27 |
| Street Address |
1761 BROADWAY ST STE 100 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306827944 | David Leonard Kutz | Psychiatry & Neurology | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2005-11-10 |
| 1740812718 | Jamie Hansen | Psychologist | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2020-02-07 |
| 1316333602 | Claire Marie Reclosado-baclay | Counselor | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2015-04-13 |
| 1982963690 | Alexander Shen | Counselor | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2012-05-15 |
| 1174833909 | Jamie Su Baskett | Social Worker | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2010-10-14 |
| 1871804856 | Maria Ortiz-baker | Psychologist | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2010-06-24 |
| 1881923456 | Kaiser Permanente | Clinic/Center | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2009-12-10 |
| 1104050897 | Jacqueline Raines-kohler | Counselor | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2009-05-08 |
| 1275733875 | Daniella Marie Halperin | Counselor | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2007-07-20 |
| 1568663219 | Jeannie E. Celestial | Psychologist | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952603029 | Grace Irene Gooch | Registered Nurse | 908 Tuolumne St, Vallejo, CA 94590-4641 | 2010-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033739677 | Tiffany Venice Turner | Registered Nurse | 2085 Rustin Ave Bldg 5, Riverside, CA 92507-2498 | 2020-04-23 |
| 1073144549 | Cedelia Untalan Cardenas | Registered Nurse | 17053 Foothill Blvd Bldg N, Fontana, CA 92335-3574 | 2020-02-03 |
| 1689204265 | Juvelyn Isip Ingal | Registered Nurse | 3853 Rosecrans St # Ca92110, San Diego, CA 92110-3115 | 2020-01-22 |
| 1043859531 | Klair Grace | Registered Nurse | 6460 Convoy Ct Spc 115, San Diego, CA 92117-2314 | 2019-12-31 |
| 1316588395 | Batoul Salameh | Registered Nurse | 19204 Bension Dr, Santa Clarita, CA 91350-3797 | 2019-10-01 |
| 1851949580 | Michael Perez | Registered Nurse | 25727 Mcbean Pkwy, Valencia, CA 91355-3704 | 2019-08-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1396390530 | Trisha Lynne Basman | Registered Nurse | 939 Snow Dr, Martinez, CA 94553-4715 | 2019-08-05 |
| 1003378043 | Ildefonso Silva Rodriguez | Registered Nurse | 2437 Woodcreek Rd, Camarillo, CA 93012-2537 | 2019-04-01 |
| 1518430842 | Jesus Lim | Registered Nurse | 695 Sea Vale St Unit 202, Chula Vista, CA 91910-1242 | 2019-01-09 |
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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.