MARY BRENNAN (NPI# 1174952378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174952378 |
| Entity Type | Individual |
| Full Name | MARY BRENNAN |
| Credential | M.A., M.S. |
| Practice Address |
1108 S El Camino Real San Mateo CA 94402-2804 |
| Practice Telephone | 6506960872 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2014-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730334095 | Mary Ann Brennan | Physical Therapy Assistant | 2264 Woodview Dr, Apt # 386, Ypsilanti, MI 48198-6839 | 2008-11-28 |
| 1316149537 | Mary Brennan | Physical Therapist | 56 Harborview Dr, Hancock, ME 04640 | 2007-06-01 |
| 1205902244 | Mary T Brennan | Speech-Language Pathologist | 5577 Vanbarr Place, Suite 7, Freeland, WA 98249 | 2006-11-28 |
| 1780789768 | Mary Susan Brennan | Chiropractor | 555 Tachevah Drive, 1 West #204, Palm Springs, CA 92262 | 2006-09-14 |
| 1861485872 | Mary E Brennan | Registered Nurse | 1405 Delaware St, Longview, WA 98632-2326 | 2005-08-24 |
| 1386280238 | Mary Kathleen Brennan | Social Worker | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2019-11-25 |
| 1457868929 | Mary S Brennan | Speech-Language Pathologist | 1330 E Arlington Blvd Ste A, Greenville, NC 27858-7850 | 2018-01-05 |
| 1134570831 | Mary Brennan | Speech-Language Pathologist | 111 Dodge St, Beverly, MA 01915-1827 | 2016-06-24 |
| 1033565668 | Mary Brennan | Pediatrics | 100 Woods Rd, Valhalla, NY 10595-1530 | 2016-05-12 |
| 1356770432 | Mary Brennan | Psychologist | 29887 W 11 Mile Rd, Farmington Hills, MI 48336-1309 | 2013-11-08 |
| Street Address |
1108 S EL CAMINO REAL |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720204506 | David Dean Johnson | Counselor | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2007-04-18 |
| 1548876337 | Jenae Aesha Richardson | Counselor | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2020-09-17 |
| 1982148557 | Michael Krechevsky | Peer Specialist | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2016-12-15 |
| 1992248884 | Cheng Hsu | Peer Specialist | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2016-11-23 |
| 1215485487 | Philip Hershon | Peer Specialist | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2016-09-16 |
| 1104283167 | Bryan Robert Milonja | Counselor | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2016-01-21 |
| 1669855730 | Patrick Kerwin | Specialist | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2015-07-07 |
| 1740673441 | Shannon Diaz | Counselor | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2015-03-05 |
| 1063831337 | Sarah Schaafsma | Marriage & Family Therapist | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2014-04-15 |
| 1093142309 | Nga Ly | Nurse Practitioner | 1108 S El Camino Real, San Mateo, CA 94402-2804 | 2013-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376033084 | William Chan | Student in an Organized Health Care Education/Training Program | 225 37th Ave # 3f, San Mateo, CA 94403-4324 | 2018-05-17 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1407230667 | Kimberly M Gray | Student in an Organized Health Care Education/Training Program | 225 37th Ave Fl 3rf, San Mateo, CA 94403-4324 | 2015-07-16 |
| 1720492135 | Alison Alana Parker-cole | Student in an Organized Health Care Education/Training Program | 2028 Timberlane Way, San Mateo, CA 94402-3937 | 2014-06-13 |
| 1427476712 | Nancy Yerkes Greenland | Student in an Organized Health Care Education/Training Program | 701 N El Camino Real, Apartment 302, San Mateo, CA 94401-3736 | 2014-04-03 |
| 1518190032 | Pamela Liliana San Cristobal | Student in an Organized Health Care Education/Training Program | 420 N Bayshore Blvd Apt 39, San Mateo, CA 94401-1260 | 2009-09-01 |
| 1306033592 | Barbara Herz | Student in an Organized Health Care Education/Training Program | 791 26th Ave, San Mateo, CA 94403-2634 | 2007-10-01 |
| 1639364664 | Yueming Wang | Student in an Organized Health Care Education/Training Program | 1683 Eleanor Dr, San Mateo, CA 94402-2654 | 2007-09-12 |
| 1811515489 | Naomi Symphony Noel Uyeda | Student in an Organized Health Care Education/Training Program | 222 Paul Scannell Dr, San Mateo, CA 94402-4061 | 2020-07-10 |
| 1629696265 | Kelsey Nichole Weiss | Student in an Organized Health Care Education/Training Program | 2000 Alameda De Las Pulgas, San Mateo, CA 94403-1269 | 2020-07-09 |
| 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.