HENRY COLBERT (NPI# 1033572771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033572771 |
| Entity Type | Individual |
| Full Name | HENRY COLBERT |
| Other Name | HENRY COLBERT |
| Practice Address |
1 St. St. Vincent Drive San Rafael CA 94903 |
| Mailing Address |
Po Box 1034 Rohnert Park CA 94927-1034 |
| Practice Telephone | 7073265258 |
| Mailing Telephone | 7073265258 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2018-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 172V00000X | Community Health Worker | Other Service Providers |
| Street Address |
1 ST. ST. VINCENT DRIVE |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| 1851718498 | Mayra Guzman | Pharmacist | 950 Las Gallinas Av, San Rafael, CA 94903 | 2014-03-20 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982748588 | Irene Grace Birch | Rehabilitation Practitioner | 3020 Kerner Blvd, Suite A, San Rafael, CA 94901-5444 | 2007-02-16 |
| 1659935161 | Percy Scott | Rehabilitation Practitioner | 3230 Kerner Blvd, San Rafael, CA 94901 | 2019-04-30 |
| 1174096937 | Emilia Olavarrieta | Rehabilitation Practitioner | 920 Grand Ave, San Rafael, CA 94901-3506 | 2019-01-04 |
| 1720561335 | Christiana Rebecca Bosscher | Rehabilitation Practitioner | 13 Peter Behr Dr, San Rafael, CA 94903-5216 | 2018-09-10 |
| 1659858405 | Veronica Ponce | Rehabilitation Practitioner | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2018-07-24 |
| 1245725290 | Irish Krings | Rehabilitation Practitioner | 920 Grand Ave, San Rafael, CA 94901-3506 | 2018-06-22 |
| 1578089793 | Tanya Hunt | Rehabilitation Practitioner | 3270 Kerner Blvd Ste B, San Rafael, CA 94901-4840 | 2017-08-18 |
| 1871016931 | Keyanna Rene Learson | Rehabilitation Practitioner | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2017-07-20 |
| 1972026425 | Deborah Ruth Berenboim | Rehabilitation Practitioner | 4020 Civic Center Dr, San Rafael, CA 94903 | 2017-07-17 |
| 1326581422 | Jose Cesar Leiva | Rehabilitation Practitioner | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2016-11-22 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on HENRY COLBERT.
| 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.