TADJELISA CARTER (NPI# 1043796972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043796972 |
| Entity Type | Individual |
| Full Name | TADJELISA CARTER |
| Practice Address |
1900 Embarcadero Ste 310 Oakland CA 94606-5227 |
| Practice Telephone | 5108324383 |
| Practice Fax Number | 5105501981 |
| Mailing Telephone | 5108324383 |
| Mailing Fax Number | 5105501981 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers |
| Street Address |
1900 EMBARCADERO STE 310 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94606-5227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669911921 | Christophere Jordan | Behavioral Analyst | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2017-02-20 |
| 1518435700 | Kyle Sutherland | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-06 |
| 1336617521 | Veseth Vong | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-06 |
| 1174091367 | Cristine Perez | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-06 |
| 1285102475 | Elicia Morgan | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-06 |
| 1023586294 | Karla Cora | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-06 |
| 1598233777 | Yalexis Lopez | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-06 |
| 1922576107 | Karen Mcbain | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-06 |
| 1912475104 | Victoria Meho | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-06 |
| 1457829798 | Shanelle Woodard | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-11-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366923369 | Rhummanee Hang | Case Manager/Care Coordinator | 544 International Blvd., Suite #9, Oakland, CA 94606 | 2018-08-27 |
| 1841746153 | First Aid Transportation LLC | Non-emergency Medical Transport (VAN) | 1709 International Blvd Ste 107, Oakland, CA 94606 | 2016-08-27 |
| 1609236686 | Erik D Grasso | Behavioral Analyst | 1340 East 28th St., Suite C, Oakland, CA 94606 | 2016-03-03 |
| 1457770935 | Jessica Robin Gar Ling Leung | Family Medicine | 250 E. 18th Street, 2nd Floor, Oakland, CA 94606 | 2014-04-10 |
| 1902230709 | Masja Van Der Hoog | Acupuncturist | 1511 23rd Ave, Apt 10, Oakland, CA 94606 | 2013-08-28 |
| 1063756997 | Christine Michelle Huffner | Nurse Practitioner | 1030 International Blvd. San Antonio Neighborhood Healt, Oakland, CA 94606 | 2012-11-15 |
| 1336418920 | Alexandra Elisabeth Brewster | Counselor | 907 Lake Street San Pablo Avenue, San Pablo, CA 94606 | 2011-12-28 |
| 1780964064 | Meagen Elizabeth Grundberg | Community Health Worker | 544 International Blvd Ste 9, Oakland, CA 94606 | 2011-08-18 |
| 1285764217 | Nguyen Tran Dang, Dds, Inc. | Dentist | 270 East 12th St., Oakland, CA 94606 | 2007-03-07 |
| 1689704017 | Nguyen Tran Dang | Dentist | 270 East 12th Street, Oakland, CA 94606 | 2007-03-06 |
| Find all providers in zip 94606 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708334 | Wright Conscious Counseling, A Psychological Corporation | Psychologist | 26895 Aliso Creek Rd Ste B160, Aliso Viejo, CA 92656-5301 | 2019-12-27 |
| 1720632631 | Efren Esparza | Psychologist | 525 Cabrillo Park Dr Ste 300525, Santa Ana, CA 92701-5017 | 2019-07-29 |
| 1649742479 | Cristina Ambos Wilson | Psychologist | 108 Holly Way, Pismo Beach, CA 93449-3221 | 2018-12-18 |
| 1871097311 | Chelsea By The Sea | Psychologist | 10211 Kukui Dr, Huntington Beach, CA 92646-2518 | 2018-03-20 |
| 1033636501 | Khachik Petrosyan | Psychologist | 1225 Oakridge Dr, Glendale, CA 91205-3412 | 2017-08-25 |
| 1891151213 | Shyma El Sayed | Psychologist | 1029 H St, 403, Sacramento, CA 95814-2847 | 2016-01-14 |
| 1720450638 | Nicholas Anderson | Psychologist | 2901 S Sepulveda Blvd Apt 206, Los Angeles, CA 90064-3946 | 2015-10-30 |
| 1669864302 | T. Adelstein, Ph.d., Psychologist, P.C. | Psychologist | 150 Morning Sun Ave, Mill Valley, CA 94941-3507 | 2015-03-03 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1619399052 | Kerry Hubel | Psychologist | 480 N 1st St, San Jose, CA 95112-4043 | 2014-01-18 |
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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.