JACQUELYN GALBREATH RABOUIN (NPI# 1104381995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104381995 |
Entity Type | Individual |
Full Name | JACQUELYN GALBREATH RABOUIN |
Credential | PH.D. MFT |
Practice Address |
1156 High St Santa Cruz CA 95064-1077 |
Mailing Address |
950 S Bascom Ave Ste 2005 San Jose CA 95128-3538 |
Practice Telephone | 8314592628 |
Enumeration Date | 2019-02-05 |
Last Update Date | 2019-02-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
24432 | CA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
950 S Bascom Ave Ste 2005, San Jose, CA 951283538 | 4083482995 |
Street Address |
1156 HIGH ST |
City | SANTA CRUZ |
State | CA |
Zip Code | 95064-1077 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477542785 | Dorje M. Jennette | Psychologist | 1156 High St, Caps, Ucsc Student Health Center, Santa Cruz, CA 95064-1077 | 2005-10-19 |
1558912717 | Nupur Sahai | Psychologist | 1156 High St, Santa Cruz, CA 95064-1077 | 2019-09-27 |
1972084093 | Julia Ragen | Psychologist | 1156 High St, Santa Cruz, CA 95064-0001 | 2018-08-27 |
1932688793 | Susan Jane Gulbe Walsh | Psychologist | 1156 High St, Santa Cruz, CA 95064-1077 | 2018-08-11 |
1619456845 | Audrey Kim | Psychologist | 1156 High St, Santa Cruz, CA 95064-1077 | 2018-08-08 |
1881172351 | Luisa Margarita Padilla Ladd | Psychologist | 1156 High St, Santa Cruz, CA 95064-1077 | 2018-08-06 |
1821576463 | Anna B Iversen | Marriage & Family Therapist | 1156 High St, Santa Cruz, CA 95064-1077 | 2018-08-06 |
1275011900 | Blair J Davis | Psychologist | 1156 High St, Cowell Student Health Center, Caps, Santa Cruz, CA 95064-1077 | 2018-08-03 |
1316448285 | Gina Parisi | Specialist/Technologist | 1156 High St, Santa Cruz, CA 95064-1077 | 2018-02-26 |
1710490974 | Kathryn Sanfilippo | Specialist/Technologist | 1156 High St, Santa Cruz, CA 95064-1077 | 2017-11-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073091674 | Amy Mandell | Marriage & Family Therapist | 1156 High St, Counseling and Psychological Services, Student Health Center, East Wing, 2nd Floor, Santa Cruz, CA 95064 | 2018-08-06 |
1043798820 | Maryjan Murphy | Psychologist | 1156 High Street, Counseling and Psychological Services, Student Health Center, East Wing, 2nd Floor, Santa Cruz, CA 95064 | 2018-08-02 |
1124244215 | Melinda Carol Padgett | Physician Assistant | University of California, Santa Cruz, Student Health, 1156 High Street, Santa Cruz, CA 95064 | 2007-04-17 |
1073639092 | Paula Jean Holtz | Psychologist | University of California Santa Cruz Student Health, 1156 High St., Santa Cruz, CA 95064 | 2007-03-21 |
1609904143 | Edward Drew Malloy | Family Medicine | University of California Santa Cruz Student Health Ctr, 1156 High Street, Santa Cruz, CA 95064 | 2007-02-28 |
1710013750 | Diane Lamotte | Pharmacist | 1156 High St., Univeristy of California Santa Cr Uz Student Health, Santa Cruz, CA 95064 | 2007-02-26 |
1235283789 | Erica Lorena Lopez | Marriage & Family Therapist | 1156 High Street, Santa Cruz, CA 95064 | 2007-01-22 |
1740820323 | Deahdra D Bowier | Psychologist | Counseling & Psychological Services, 1156 High Street, Santa Cruz, CA 95064 | 2020-01-10 |
1104389949 | Emilie Elizabeth Cate | Psychologist | 1156 High Street, Santa Cruz, CA 95064 | 2019-04-09 |
1952881740 | Polina Apilado | Psychologist | 1156 High Street, Counseling and Psychological Services, Santa Cruz, CA 95064 | 2018-08-21 |
Find all providers in zip 95064 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770116311 | Minfu Liang | Counselor | 180 Dakota Ave Apt 54, Santa Cruz, CA 95060-6615 | 2020-02-21 |
1932746351 | Kimberly Frey | Counselor | 1530 Bulb Ave, Santa Cruz, CA 95062-3219 | 2019-12-04 |
1346806395 | Cynthia Diane Gray | Counselor | 127 Ladera Dr, Santa Cruz, CA 95060-5210 | 2019-05-15 |
1053870634 | Yoloxochitl Sadya Hunter | Counselor | 577 Soquel Ave, Santa Cruz, CA 95062-2309 | 2019-03-13 |
1295214708 | Jeanne Willis | Counselor | 157 Van Ness Ave Ste 6, Santa Cruz, CA 95060-4200 | 2018-08-07 |
1528554649 | Caitlin Mcavoy | Counselor | 303 Potrero St Ste 42-101, Santa Cruz, CA 95060-2779 | 2018-07-02 |
1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
1023522646 | Paula Ann Sims | Counselor | 303 Potrero St Ste 43-103, Santa Cruz, CA 95060-2777 | 2017-11-17 |
1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
1306360664 | Thomas Lucking | Counselor | 1414 Soquel Ave, Santa Cruz, CA 95062-2110 | 2017-07-28 |
Find all providers in SANTA CRUZ |
City | SANTA CRUZ |
Zip Code | 95064 |
Please comment or provide details below to improve the information on JACQUELYN GALBREATH RABOUIN.
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.