OLIVIA FADUL (NPI# 1003318296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003318296 |
| Entity Type | Individual |
| Full Name | OLIVIA FADUL |
| Credential | LPC |
| Practice Address |
14 Alvarado Pl Berkeley CA 94705-1507 |
| Practice Telephone | 2565278240 |
| Mailing Telephone | 2565278240 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3246 | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | AM NOT REGISTERED WITH INSURANCE | NA | 01 |
| Street Address |
14 ALVARADO PL |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796978 | Geri Ann Delarosa | Counselor | 1521a Shattuck Ave, Berkeley, CA 94709-1516 | 2020-10-01 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1588978688 | St. Louis County Government | Counselor | 4201 Mckibbon Rd, Berkeley, MO 63134-3217 | 2010-07-30 |
| 1023209004 | Aaron R Testard I | Counselor | 2006 Dwight Way Ste 103, Berkeley, CA 94704-2633 | 2007-08-06 |
| 1457568156 | Merrie Sennett | Counselor | 1442a Walnut St # 194, Berkeley, CA 94709-1405 | 2007-05-16 |
| 1326194911 | John Anthony Dedomenico | Counselor | 2020 Blake St, Berkeley, CA 94704 | 2007-01-26 |
| 1417577586 | Crystal Haviland | Counselor | 3001 Dana St, Berkeley, CA 94705-2041 | 2020-04-19 |
| 1265945844 | Open Spectrum Behavior Therapy | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2017-11-06 |
| 1538559166 | Justin Surachai Tanyavutti | Counselor | 1918 Bonita Ave, Berkeley, CA 94704 | 2015-02-03 |
| 1073864534 | Zvi Jeremy Bellin | Counselor | 2915 Martin Luther King Jr Way, Berkeley, CA 94703-2133 | 2012-09-25 |
| Find all providers in BERKELEY | ||||
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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.