CARL GERARD ODDO (NPI# 1154472611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154472611 |
| Entity Type | Individual |
| Full Name | CARL GERARD ODDO |
| Practice Address |
710 S Broadway Fl 3 Walnut Creek CA 94596-5294 |
| Mailing Address |
528 Lawton St San Francisco CA 94122-3631 |
| Practice Telephone | 9252955423 |
| Mailing Telephone | 4156817024 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
PSY 15852 | CA | Behavioral Health & Social Service Providers |
| Street Address |
710 S BROADWAY FL 3 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-5294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346757812 | Mana Kahali | Social Worker | 710 S Broadway Fl 3, Walnut Creek, CA 94596-5294 | 2018-01-05 |
| 1124355631 | Marissa Catherine Shannon | Marriage & Family Therapist | 710 S Broadway Fl 3, Walnut Creek, CA 94596-5294 | 2009-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225581804 | Shelby Karoline Smith | Psychologist | 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 | 2016-07-29 |
| 1508073792 | Ann Lynn Schiebert | Psychologist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-05-17 |
| 1497802524 | Claudia Ann Wathen | Psychologist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-01-03 |
| 1205993029 | Margot Green | Psychologist | 1425 S Main St, Chemical Dependency Program, Walnut Creek, CA 94596-5318 | 2007-01-02 |
| 1083781439 | Catharine Elizabeth Kibira | Psychologist | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2006-11-29 |
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|---|---|---|---|---|
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| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
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| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1295253953 | Raphael Gidharry Johnson | Psychologist | 1753 N. Country Ln., Pasadena, CA 91107-1104 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
Please comment or provide details below to improve the information on CARL GERARD ODDO.
| 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.