MATTHEW MENDEZ (NPI# 1073134581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073134581 |
| Entity Type | Individual |
| Full Name | MATTHEW MENDEZ |
| Practice Address |
5275 Claremont Ave Oakland CA 94618-1032 |
| Mailing Address |
3018 Ponderosa Dr Concord CA 94520-1622 |
| Practice Telephone | 5104283000 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 37362 | CA | Nursing Service Providers |
| Street Address |
5275 CLAREMONT AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94618-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255438800 | Selim Taylan Koseoglu | Ophthalmology | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2006-09-17 |
| 1053935973 | Chizite Chima Igwe | Counselor | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2020-06-05 |
| 1578118204 | Kristina Martinez | Counselor | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2019-08-08 |
| 1619535440 | Darby Elizabeth Schouten | Social Worker | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2019-06-05 |
| 1184280570 | Jazmin A White | Psychologist | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2019-05-12 |
| 1881172930 | Matthew Grantham Settle | Registered Nurse | 5275 Claremont Ave, Oakland, CA 94618 | 2018-07-31 |
| 1194264945 | Marlene Thompson | Registered Nurse | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2017-02-13 |
| 1588106124 | Amanda Miyeko Wake | Social Worker | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2016-11-14 |
| 1871950287 | Kathryn Kirkpatrick | Social Worker | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2016-01-15 |
| 1568831394 | Elle De La Cruz | Social Worker | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2015-09-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269031 | Philip A Tecau | Marriage & Family Therapist | 5120 Miles Ave, Oakland, CA 94618 | 2020-09-10 |
| 1881241362 | Mycal Moxley | Behavior Technician | 5330 College Avenue, Suite 240, Oakland, CA 94618 | 2019-08-20 |
| 1073174058 | Joyce Lindenbaum | Psychologist | 5435 College Ave., Ste 202, Oakland, CA 94618 | 2019-06-21 |
| 1740597806 | Alissa Warren Kimmell | Social Worker | 5297 College Ave Suite 106, Oakland, Ca., Oakland, CA 94618 | 2010-09-09 |
| 1811127749 | Edna Jeannene Bohannon | Marriage & Family Therapist | 5299 - College Ave., Suite 6, Oakland, CA 94618 | 2009-07-27 |
| 1942465141 | David Michael Poole | Counselor | 6295 Chabot Road, Oakland, CA 94618 | 2008-07-28 |
| 1598937161 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 5729 College Ave, Oakland, CA 94618 | 2008-03-24 |
| 1124201116 | Angela K. Shaiman | Marriage & Family Therapist | 5349 College Avenue, Oakland, CA 94618 | 2007-12-12 |
| 1639376965 | Catherine S Cassel | Social Worker | Suite 202-5, 5435 College Ave, Oakland, CA 94618 | 2007-06-29 |
| 1194936443 | Wendelin Leonard | Psychologist | 5309 College Avenue, Oakland, CA 94618 | 2007-05-25 |
| Find all providers in zip 94618 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518589662 | Carol Lynn Davis | Licensed Psychiatric Technician | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-05-12 |
| 1699317628 | Tameka R Purnell | Licensed Psychiatric Technician | 280 17th St, Oakland, CA 94612-4124 | 2019-10-10 |
| 1841507753 | Will E Gillyard | Licensed Psychiatric Technician | 2620 26th Ave, Oakland, CA 94601-1907 | 2010-09-13 |
| 1659418911 | Carol Ann Upton | Licensed Psychiatric Technician | 280 17th St, Oakland, CA 94612-4124 | 2007-01-30 |
| 1770629693 | Charles Paul Hastings | Licensed Psychiatric Technician | 4368 Lincoln Ave, Attention Nursing Office, Oakland, CA 94602-2529 | 2007-01-29 |
| 1720145923 | Luis Manuel Diaz | Licensed Psychiatric Technician | 7200 Bancroft Ave, Eastmont Town Center Bldg. B Suite 133, Oakland, CA 94605-2403 | 2007-01-03 |
| 1336206572 | Marie Ann Long | Licensed Psychiatric Technician | 7200 Bancroft Ave, Eastmont Town Center Bldg. B Suite 133, Oakland, CA 94605-2403 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
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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.