MISS ELIZABETH GRACE MCCANN (NPI# 1083810139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083810139 |
| Entity Type | Individual |
| Full Name | MISS ELIZABETH GRACE MCCANN |
| Credential | APCC |
| Practice Address |
1682 Novato Blvd Novato CA 94947 |
| Mailing Address |
20 N San Pedro Rd Ste 2021 San Rafael CA 94903-4158 |
| Practice Telephone | 4153058004 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
5134 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 N San Pedro Rd Ste 2021, San Rafael, CA 949034158 | 4153058004 | |
| 900 5th Ave, Suite 150, San Rafael, CA 949012959 | 4154576966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639576937 | Elizabeth E Mccann | Massage Therapist | 21341 Pelican Dr, Bend, OR 97701-9690 | 2014-12-02 |
| 1871090092 | Elizabeth Mccann | Counselor | 1700 N Dixie Hwy, West Palm Beach, FL 33407-6504 | 2018-04-13 |
| 1063582757 | Elizabeth Mccann | Nurse Anesthetist, Certified Registered | 50 Union Street, Ellsworth, ME 04605-1586 | 2006-11-09 |
| 1588692263 | Elizabeth C Mccann | Nurse Anesthetist, Certified Registered | 75 Francis St, Boston, MA 02115-6110 | 2006-06-29 |
| Street Address |
1682 NOVATO BLVD |
| City | NOVATO |
| State | CA |
| Zip Code | 94947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356544126 | Victoria Elizabeth Herzog | Marriage & Family Therapist | 1682 Novato Blvd, Suite 250a, Novato, CA 94947 | 2007-06-07 |
| 1366916116 | Maria Cristina Frias | Rehabilitation Practitioner | 1682 Novato Blvd, Novato, CA 94947-7000 | 2019-01-15 |
| 1649754318 | Suzanne Jessup | Counselor | 1682 Novato Blvd, Novato, CA 94947-7000 | 2018-09-19 |
| 1457842999 | Matthew Nere Mccuskey | Counselor | 1682 Novato Blvd, Novato, CA 94947 | 2018-05-21 |
| 1497200018 | Kimberly Monestime | Nurse Practitioner | 1682 Novato Blvd, Novato, CA 94947-7000 | 2016-08-24 |
| 1306229711 | Tongbu Wellness Center,llc | Acupuncturist | 1682 Novato Blvd, Suite 152, Novato, CA 94947-7000 | 2015-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135882 | Rainey Sealey Temkin | Psychologist | 1682 Novato Blvd Ste 105, Novato, CA 94947 | 2011-08-16 |
| 1801192786 | Barbara Jean Gosselin | Marriage & Family Therapist | 1748 Novato Blvd Suite 210, Novato, CA 94947 | 2011-02-10 |
| 1659681377 | Karen Ann Murphy | Occupational Therapist | 27 Stasia Dr., Novato, CA 94947 | 2010-10-15 |
| 1154659415 | Christopher Michael Hackett | Chiropractor | 1559 South Novato Blvd., Suite E, Novato, CA 94947 | 2009-11-25 |
| 1003068305 | Suttinee Saguandeekul | Pharmacist | 910 Diablo Ave, Novato, CA 94947 | 2008-10-17 |
| 1891983581 | Shital Gandhi | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947 | 2007-10-09 |
| 1912047655 | Michael Craig Corder | Chiropractor | 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 | 2007-02-08 |
| 1427106905 | Jacob Kyle Leone | Naturopath | 1748 Novato Blvd, Suite 100, Novato, CA 94947 | 2007-01-08 |
| 1881756401 | Mental Health Management I, Inc. | Psychiatric Residential Treatment Facility | 655 Canyon Road, Novato, CA 94947 | 2006-12-14 |
| 1003995291 | Kim S Frederickson | Dermatology | 400 Professional Center Drive, Suite 414 Novato Dermatology Associates, Novato, CA 94947 | 2006-11-06 |
| Find all providers in zip 94947 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346864840 | George James Nicol | Counselor | 5 School Ter, Novato, CA 94945-2730 | 2020-06-01 |
| 1063913069 | Alicia Feaster | Counselor | 130 Redhawk Rd, Novato, CA 94949-8000 | 2018-02-24 |
| 1821536657 | Amy Grace Canton | Counselor | 411 Alameda Del Prado, Novato, CA 94949-6302 | 2017-01-31 |
| 1780061093 | Susan Levinson Kessner | Counselor | 78 Pizarro Ave, Novato, CA 94949-6148 | 2015-05-06 |
| 1225441488 | Health Maze Navigator Family Counseling Inc | Counselor | 2680 Center Rd, Novato, CA 94947-1942 | 2014-06-05 |
| 1518205533 | Caitlin Marie Simmons | Counselor | 60 Trish Dr, Novato, CA 94947-1945 | 2013-01-25 |
| 1699918367 | Carla Amaral Goncalves De Mello | Counselor | 1748 Novato Blvd Ste 210, Novato, CA 94947-7855 | 2009-04-10 |
| 1689844508 | George William Lund | Counselor | 303 Indian Way, Novato, CA 94949-4933 | 2008-03-06 |
| 1962690651 | Cathy N Della Valle | Counselor | 14 Commercial Blvd Ste 101, Novato, CA 94949-6110 | 2007-10-09 |
| 1528250735 | Susan Jean Arndt | Counselor | 505-a San Marin Drive Suite 150, Novato, CA 94945 | 2007-08-11 |
| Find all providers in NOVATO | ||||
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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.