DR. ANDREA TABUENCA (NPI# 1093192874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093192874 |
| Entity Type | Individual |
| Full Name | DR. ANDREA TABUENCA |
| Other Name | DR. ANDREA LEWALLEN |
| Credential | PHD |
| Practice Address |
401 Quarry Rd Mc 5719 Palo Alto CA 94304-1419 |
| Mailing Address |
1804 Embarcadero Rd Suite 100 Palo Alto CA 94303-3341 |
| Practice Telephone | 6504989111 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY28819 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
103TC2200X | CT | Behavioral Health & Social Service Providers |
| Street Address |
401 QUARRY RD MC 5719 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407829286 | Antonio Y Hardan | Specialist | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2006-02-10 |
| 1871194092 | Shelby Scott Lazarow | Student in an Organized Health Care Education/Training Program | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2020-11-04 |
| 1740888296 | Maurice M Ohayon | Psychiatry & Neurology | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2020-10-15 |
| 1265049233 | Melanie Lean | Psychologist | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2020-09-24 |
| 1992319024 | Dany Lamothe | Student in an Organized Health Care Education/Training Program | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2020-09-05 |
| 1457963886 | Devin Rand-giovannetti | Psychologist | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2020-08-18 |
| 1205445467 | Maureen Satyshur | Psychologist | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2020-07-23 |
| 1164046058 | Elizabeth Karp | Psychologist | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2020-06-05 |
| 1447874672 | Aileen Maire Whyte | Psychologist | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2020-06-03 |
| 1306474671 | Sally Huang | Student in an Organized Health Care Education/Training Program | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679909857 | Janet Dafoe | Psychologist | 433 Kingsley Ave, Palo Alto, CA 94301-3222 | 2013-09-19 |
| 1700085016 | Luisa Montaini-klovdahl | Psychologist | 4153 Park Blvd, Palo Alto, CA 94306-4140 | 2007-07-16 |
| 1669673117 | Carol Fisher Slotnick | Psychologist | 2555 Park Boulevard, Suite 8, Palo Alto, CA 94306-1924 | 2007-05-31 |
| 1215055918 | Heather Lynn Taylor | Psychologist | 2555 Park Blvd Ste 1, Palo Alto, CA 94306-1919 | 2007-03-27 |
| 1710505326 | Mark Westerfield | Psychologist | 630 University Ave Ste A, Palo Alto, CA 94301-2019 | 2020-07-09 |
| 1609430909 | Anna Maria Ros | Psychologist | 650 Clark Way, Palo Alto, CA 94304-2300 | 2019-04-23 |
| 1487217907 | Kristene Hossepian | Psychologist | 650 Clark Way, Palo Alto, CA 94304-2300 | 2019-04-19 |
| 1184114076 | Lindsey Weil | Psychologist | 650 Clark Way, Palo Alto, CA 94304-2300 | 2018-05-16 |
| 1801132865 | Taylor B Chesney | Psychologist | 550 Hamilton Ave, Suite 329, Palo Alto, CA 94301-2010 | 2012-12-19 |
| 1184905069 | Kari L. Berquist | Psychologist | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2011-09-06 |
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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.