DR. JOHN E BRADSHAW (NPI# 1144395815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144395815 |
| Entity Type | Individual |
| Full Name | DR. JOHN E BRADSHAW |
| Practice Address |
100 S Ellsworth Ave #802 San Mateo CA 94401 |
| Practice Telephone | 6503436955 |
| Practice Fax Number | 6503436981 |
| Mailing Telephone | 6503436955 |
| Mailing Fax Number | 6503436981 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2009-03-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY79550 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFC13763 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154456952 | John Dwight Bradshaw | Dentist | 5501 Bennetts Pasture Rd Ste D, Suffolk, VA 23435-1500 | 2007-02-22 |
| 1518021294 | John Franklyn Bradshaw | Marriage & Family Therapist | 215 S Bickett Blvd, Louisburg, NC 27549-2607 | 2006-12-20 |
| 1235142282 | John W Bradshaw | Dentist | 189 Corporate Dr Ste 30, Johnson City, TN 37604-2386 | 2006-08-14 |
| 1588650394 | John Martin Bradshaw | Physician Assistant | 112 Woodlawn Rd, Mount Holly, NC 28120-1775 | 2005-09-27 |
| 1962908244 | John Austin Bradshaw | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130 | 2018-04-04 |
| 1568807055 | John David Bradshaw | Anesthesiology | Medical Center Blvd, Winston Salem, NC 27157-8426 | 2013-05-09 |
| 1679734354 | John K Bradshaw | Radiology | 2925 Ryan Dr Se, Salem, OR 97301-9687 | 2008-06-24 |
| 1316918527 | John R Bradshaw | Radiology | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2006-01-27 |
| 1124000518 | John Andrew Bradshaw | Pediatrics | 10 Graham Rd W, Ithaca, NY 14850-1055 | 2005-11-19 |
| Street Address |
100 S ELLSWORTH AVE #802 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972558963 | Takeshi Okai | Chiropractor | 100 S Ellsworth Ave, Ste 804, San Mateo, CA 94401-3939 | 2006-05-24 |
| 1306293048 | Rebecca Forrest | Physician Assistant | 100 S Ellsworth Ave, Suite 806, San Mateo, CA 94401-3939 | 2016-05-23 |
| 1841634904 | Deborah Postal | Dentist | 100 S Ellsworth Ave, Suite 509, San Mateo, CA 94401-3939 | 2013-04-19 |
| 1740524602 | Yun - Chih Chen | Audiologist | 100 S Ellsworth Ave, Ste 711, San Mateo, CA 94401-3939 | 2012-11-16 |
| 1417220898 | Sylvie Galerneau | Dentist | 100 S Ellsworth Ave, Suite 601, San Mateo, CA 94401-3939 | 2012-02-16 |
| 1467720722 | Ear, Nose & Throat Medical Associates of The Peninsula, Inc | Otolaryngology | 100 S Ellsworth Ave, Suite 308, San Mateo, CA 94401-3939 | 2011-12-01 |
| 1588958672 | Ru Chen | Student in an Organized Health Care Education/Training Program | 100 S Ellsworth Ave, Suite 203, San Mateo, CA 94401-3939 | 2011-06-06 |
| 1336432376 | Julia Prieb | Orthotist | 100 S Ellsworth Ave, Suite 203, San Mateo, CA 94401-3939 | 2011-05-24 |
| 1306144209 | Peninsula Gastrointestinal | Internal Medicine | 100 S Ellsworth Ave, Suite 507, San Mateo, CA 94401-3939 | 2011-03-02 |
| 1427288133 | Steven Machtinger Md & Associates Inc | Allergy & Immunology | 100 S Ellsworth Ave, Suite 700, San Mateo, CA 94401-3939 | 2009-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811323678 | Amber Miller | Psychologist | 177 Bovet Rd Ste 300, San Mateo, CA 94402 | 2013-09-24 |
| 1487991261 | Tiffani Ledel Poulsen | Psychologist | 316 S Humboldt St, San Mateo, CA 94401-3338 | 2013-01-13 |
| 1174870109 | Jasmin Kwok | Psychologist | 1941 Ofarrell St Ste 105, San Mateo, CA 94403 | 2012-08-09 |
| 1598957193 | Laurie Leung | Psychologist | 215 N San Mateo Dr Ste 4, San Mateo, CA 94401-2674 | 2007-08-16 |
| 1326161068 | Ann Watters | Psychologist | 101 S San Mateo Dr Ste 303, San Mateo, CA 94401-3844 | 2007-04-09 |
| 1043336746 | Arnell Ruby Etherington | Psychologist | 205 Third Ave., Suite 200d, San Mateo, CA 94402 | 2007-03-22 |
| 1346309440 | Mark Lester Howard | Psychologist | 100 S Ellsworth Ave Ste 611, San Mateo, CA 94401-3928 | 2006-12-06 |
| 1134290760 | Gail W Berkley | Psychologist | 1777 Borel Place, Suite 214, San Mateo, CA 94402 | 2006-11-13 |
| 1215027354 | Rose-anne Donner | Psychologist | 1777 Borel Pl, 440, San Mateo, CA 94402-3509 | 2006-10-12 |
| 1700835923 | Nancy M. Marx | Psychologist | 155 Bovet Rd, Suite 404, San Mateo, CA 94402-3108 | 2006-05-06 |
| Find all providers in SAN MATEO | ||||
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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.