MR. DAVID WALLSOM (NPI# 1164975140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164975140 |
| Entity Type | Individual |
| Full Name | MR. DAVID WALLSOM |
| Practice Address |
2011 Little Orchard St San Jose CA 95125-1031 |
| Practice Telephone | 4082942100 |
| Mailing Telephone | 4082942100 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2011 LITTLE ORCHARD ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95125-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326001439 | Mercy Egbujor | Nurse Practitioner | 2011 Little Orchard St, Puentes Clinic-internal Medicine, San Jose, CA 95125-1031 | 2006-04-10 |
| 1780234344 | Samuel Wilborn | Counselor | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2019-09-16 |
| 1710535570 | Marshey Dechelle Brown | Counselor | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2019-08-26 |
| 1518443456 | Griselda Vanessa Rodriguez | Counselor | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2018-07-13 |
| 1780191866 | Gary Davidson | Counselor | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2018-01-10 |
| 1922527159 | April Hadley Ward | Counselor | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2017-09-19 |
| 1326562927 | Luserito Carlos | Counselor | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2017-07-26 |
| 1629426945 | Homefirst | Community/Behavioral Health | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2016-05-26 |
| 1124400445 | Teresa Schmitz | Social Worker | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2015-06-23 |
| 1053759449 | Janeen Chumley | Occupational Therapist | 2011 Little Orchard St, Apt/suite, San Jose, CA 95125-1031 | 2013-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
| 1659809259 | Edward Escoto | Assistant Behavior Analyst | 2075 Lincoln Ave Ste D, San Jose, CA 95125 | 2017-05-25 |
| 1104288422 | Kristin Ann Dessau | Counselor | 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 | 2016-03-25 |
| 1275964488 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1685 Westwood Dr Ste 1, San Jose, CA 95125 | 2013-12-13 |
| 1598042905 | Walgreens | Exclusive Provider Organization | 2585 Almaden Road, San Jose, CA 95125 | 2011-11-14 |
| 1881981488 | Kevin Jia-chian Yen | Dentist | 1660 Willow St Ste 5, San Jose, CA 95125 | 2011-07-02 |
| 1699093724 | Lokahi Acupuncture, Inc. | Acupuncturist | 1688 Willow Street, Suite B, San Jose, CA 95125 | 2010-05-13 |
| 1538482468 | Mark Lucius Yoslow | Psychologist | 970 Minnesota Avenue, San Jose, CA 95125 | 2010-03-06 |
| Find all providers in zip 95125 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276430 | Tuong-vi T Tran | Counselor | 1340 Tully Rd Ste 301&304, San Jose, CA 95122-3055 | 2020-08-21 |
| 1013531995 | Ellen Noon | Counselor | 1760 The Alameda, San Jose, CA 95126-1728 | 2020-06-05 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1497314645 | Katherine Cairns | Counselor | 650 S Bascom Ave Ste B, San Jose, CA 95128-2601 | 2019-06-11 |
| 1861051542 | James Bernard Clark | Counselor | 5739 Almaden Rd Apt 4, San Jose, CA 95118-3623 | 2019-06-06 |
| 1891358677 | Mckenna Talley | Counselor | 150 Bernal Rd, San Jose, CA 95119-1304 | 2019-04-17 |
| 1548734130 | Rachel Ruiz II | Counselor | 9505 Malech Rd, San Jose, CA 95138-2002 | 2019-01-16 |
| 1275008435 | Sieglinde Kay Oorton-wright | Counselor | 2963 Sunburst Dr, San Jose, CA 95111-2265 | 2018-10-03 |
| 1689168346 | Alexandra Grandy | Counselor | 2939 David Ave, San Jose, CA 95128-4423 | 2018-06-17 |
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 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.