DR. TEJAL JAKATDAR (NPI# 1114299039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114299039 |
| Entity Type | Individual |
| Full Name | DR. TEJAL JAKATDAR |
| Credential | PH.D. |
| Practice Address |
1190 S Bascom Ave Suite 208 San Jose CA 95128-3545 |
| Practice Telephone | 2156678883 |
| Mailing Telephone | 2156678883 |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2016-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS017159 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1190 S BASCOM AVE SUITE 208 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-3545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144211103 | Thomas Alan Austin | Chiropractor | 1190 S Bascom Ave, San Jose, CA 95128-3545 | 2005-10-31 |
| 1043761638 | Evan Hewitt Mcgown | Counselor | 1190 S Bascom Ave, San Jose, CA 95128-3545 | 2016-10-18 |
| 1871946251 | Angela Congdon | Counselor | 1190 S Bascom Ave, Suite 130, San Jose, CA 95128-3545 | 2016-07-20 |
| 1710300983 | Gerri M Ernst | Marriage & Family Therapist | 1190 S Bascom Ave, Suite 216, San Jose, CA 95128-3545 | 2014-01-23 |
| 1558708446 | Sima Enterprises Inc | Prosthetic/Orthotic Supplier | 1190 S Bascom Ave, Suite #239, San Jose, CA 95128-3545 | 2013-05-31 |
| 1497199939 | Nandita Hegde | Social Worker | 1190 S Bascom Ave, Suite # 139, San Jose, CA 95128-3545 | 2013-04-27 |
| 1184961120 | Stormy Moloney | Massage Therapist | 1190 S Bascom Ave, Suite 244, San Jose, CA 95128-3545 | 2013-01-10 |
| 1386918449 | Meghan Kelly Dowling | Chiropractor | 1190 S Bascom Ave, Suite 244, San Jose, CA 95128-3545 | 2012-03-06 |
| 1427227933 | Jennings Chiropractic Corporation | Chiropractor | 1190 S Bascom Ave, Suite 110, San Jose, CA 95128-3545 | 2008-02-28 |
| 1881891596 | S. Lynne Keener | Marriage & Family Therapist | 1190 S Bascom Ave, Suite 139, San Jose, CA 95128-3545 | 2007-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861023020 | Widyasita Sawyer | Psychologist | 1189 Curtner Ave, San Jose, CA 95125-3618 | 2020-01-27 |
| 1861030033 | Maria-christina Stewart | Psychologist | 3141 Stevens Creek Blvd # 40167, San Jose, CA 95117-1141 | 2019-12-18 |
| 1306404504 | Palak Dipak Kothari | Psychologist | 20 S 2nd St Unit 425, San Jose, CA 95113-2532 | 2019-06-03 |
| 1942762299 | Dr. Danessa Mayo, Phd | Psychologist | 1190 Lincoln Ave Ste 7, San Jose, CA 95125-3036 | 2019-04-04 |
| 1104362433 | Samantha Kountz-edwards | Psychologist | 1588 Hallbrook Dr, San Jose, CA 95118-1611 | 2017-01-10 |
| 1306243530 | Kell Fujimoto | Psychologist | 2845 Moorpark Ave, Suite 203, San Jose, CA 95128-3158 | 2014-12-03 |
| 1174964092 | Brandi Marche Brooks | Psychologist | 1866 Half Pence Way, San Jose, CA 95132 | 2013-07-08 |
| 1306181284 | Marion Marsha Wadley | Psychologist | 1443 Lupton Ave, San Jose, CA 95125-3847 | 2012-12-04 |
| 1639433709 | Janice Jaishika Raj | Psychologist | 2400 Moorpark Ave., #300, San Jose, CA 95128 | 2012-07-03 |
| 1114296803 | Amanda M Walters | Psychologist | 1101 S Winchester Blvd Ste P297, San Jose, CA 95128 | 2011-12-24 |
| Find all providers in SAN JOSE | ||||
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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.