DR. GENEE DELYENE JACKSON (NPI# 1013946730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013946730 |
| Entity Type | Individual |
| Full Name | DR. GENEE DELYENE JACKSON |
| Credential | PH.D. |
| Practice Address |
921 The Alameda Suite 228 Berkeley CA 94707-2311 |
| Mailing Address |
921 The Alameda Suite 228 Berkeley CA 94707-1187 |
| Practice Telephone | 4158606860 |
| Practice Fax Number | 8558606860 |
| Mailing Telephone | 4158606860 |
| Mailing Fax Number | 8558606860 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2017-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY17749 | CA | Behavioral Health & Social Service Providers |
| Street Address |
921 THE ALAMEDA SUITE 228 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94707-2311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881134310 | Tsipora Peskin | Counselor | 921 The Alameda, Berkeley, CA 94707-2311 | 2017-03-02 |
| 1578941688 | Eva Smith | Marriage & Family Therapist | 921 The Alameda, #105, Berkeley, CA 94707-2311 | 2015-05-08 |
| 1508171992 | Tora Hanssen | Psychiatry & Neurology | 921 The Alameda, Suite 222, Berkeley, CA 94707-2311 | 2010-08-10 |
| 1629208681 | Ronald Spinka Md Inc | Clinic/Center | 921 The Alameda, Berkeley, CA 94707-2311 | 2009-07-23 |
| 1750519799 | Marjorie A. Nathanson | Psychologist | 921 The Alameda, Berkeley, CA 94707-2311 | 2009-06-29 |
| 1912132465 | David Wasley Friedman | Psychologist | 921 The Alameda, Berkeley, CA 94707-2311 | 2009-05-27 |
| 1750524146 | Rg Beery, Ph.d. & J W Beery, Ph.d. Psychological Corporation | Psychologist | 921 The Alameda, Berkeley, CA 94707-2311 | 2009-04-14 |
| 1700029469 | Richard George Beery | Psychologist | 921 The Alameda, Berkeley, CA 94707-2311 | 2009-04-10 |
| 1952593543 | Jennifer Maghsoudi Golden | Psychologist | 921 The Alameda, Berkeley, CA 94707 | 2007-08-16 |
| 1760698336 | Hans Jorg Stahlschmidt | Psychologist | 921 The Alameda, # 221, Berkeley, CA 94707-2311 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306389556 | Tuyet-lyn Christensen | Marriage & Family Therapist | 925 The Alameda, Suite 23, Berkeley, CA 94707 | 2016-11-21 |
| 1457807208 | William L Carpenter | Registered Nurse | 875 Arlington Ave, Berkeley, CA 94707 | 2016-08-31 |
| 1992136451 | Zeph Locke | Marriage & Family Therapist | 1760 Solano Ave 300, Berkeley, CA 94707 | 2013-12-10 |
| 1295033553 | Emily Zubritsky | Counselor | 725 Spruce St., Berkeley, CA 94707 | 2011-03-09 |
| 1093025728 | Hajera Rostam | Psychologist | 970 Tulare Avenue, Berkeley, CA 94707 | 2010-10-15 |
| 1457689382 | Rand Steven Pallock | Marriage & Family Therapist | 1635 Soland Ave, Berkeley, CA 94707 | 2009-12-04 |
| 1598936957 | Doreen Ruth Downing | Psychologist | 1700 Solano Ave. Suite F, Berkeley, CA 94707 | 2008-03-13 |
| 1861688285 | Thomas James Hendrickson | Chiropractor | 388 Colusa Circle, Kensington, CA 94707 | 2007-09-19 |
| 1184827362 | Barbara Louise Mercer | Psychologist | 376 Colusa Avenue, Suite 1, Kensington, CA 94707 | 2007-06-06 |
| 1679780480 | Judithann H. David | Psychologist | 919 The Alameda Ste 5, 919 The Alameda Ste 5, Berkeley, CA 94707 | 2007-05-17 |
| Find all providers in zip 94707 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241754 | Bede John Healey | Psychologist | 1371 La Loma Ave, Berkeley, CA 94708-2031 | 2020-06-30 |
| 1124683388 | Jason Craig Zeltser | Psychologist | 1708 Shattuck Ave Ste 9, Berkeley, CA 94709-1700 | 2019-05-03 |
| 1871157016 | Mary L Roche | Psychologist | 2955 Shattuck Ave Ste 3, Berkeley, CA 94705-1808 | 2019-04-23 |
| 1508320128 | Lauren Tolk | Psychologist | 1172 San Pablo Ave Ste 100, Berkeley, CA 94706-2258 | 2019-01-28 |
| 1336632876 | Jonathan Knight Howard | Psychologist | 2407 Dana St, Berkeley, CA 94704-2207 | 2018-06-09 |
| 1457866550 | Noah Bach Bar-tura | Psychologist | 2140 Shattuck Ave Ste 508, Berkeley, CA 94704-1222 | 2017-12-11 |
| 1750825154 | Stacy Taniguchi | Psychologist | 2000 Hearst Ave Ste 207, Berkeley, CA 94709 | 2016-12-05 |
| 1881048775 | Phillip Montes | Psychologist | 2014 Channing Way Apt 3, Berkeley, CA 94704-1935 | 2016-04-18 |
| 1790199446 | Irene Chui | Psychologist | 1197 Sutter St, Berkeley, CA 94707-2637 | 2014-06-19 |
| 1629322763 | Roxanne Manning | Psychologist | 1325 Sacramento St, Apt 3, Berkeley, CA 94702-1235 | 2012-10-26 |
| 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.