MS. NIKOO S KHANSARI (NPI# 1194915959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194915959 |
| Entity Type | Individual |
| Full Name | MS. NIKOO S KHANSARI |
| Practice Address |
1030 Sir Francis Drake Blvd Suite 120 Kentfield CA 94904-1411 |
| Practice Telephone | 4153022254 |
| Practice Fax Number | 4156341657 |
| Mailing Telephone | 4153022254 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2015-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1030 SIR FRANCIS DRAKE BLVD SUITE 120 |
| City | KENTFIELD |
| State | CA |
| Zip Code | 94904-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366409922 | Sarah Marie Centeno | Psychiatry & Neurology | 1030 Sir Francis Drake Blvd, Suite 100, Rm 1, Kentfield, CA 94904-1411 | 2006-04-27 |
| 1962944397 | Robin Glantz | Marriage & Family Therapist | 1030 Sir Francis Drake Blvd, Kentfield, CA 94904-1411 | 2016-11-16 |
| 1649722216 | Chloe A. Martin | Psychologist | 1030 Sir Francis Drake Blvd, Suite 100, Room 1, Kentfield, CA 94904-1411 | 2016-10-31 |
| 1003265760 | Starr Kelton-locke | Psychologist | 1030 Sir Francis Drake Blvd, Ste. 100, Kentfield, CA 94904-1411 | 2016-06-03 |
| 1215304753 | Parnell Medical Corporation | Clinic/Center | 1030 Sir Francis Drake Blvd, Suite 110, Kentfield, CA 94904-1411 | 2015-09-01 |
| 1629457361 | Gerry Snelling | Chiropractor | 1030 Sir Francis Drake Blvd, Suite 130, Kentfield, CA 94904-1411 | 2015-05-27 |
| 1942690599 | Christine Dalva | Registered Nurse | 1030 Sir Francis Drake Blvd, Suite 110, Kentfield, CA 94904-1411 | 2015-02-03 |
| 1386892537 | Eleanor Lusignan | Marriage & Family Therapist | 1030 Sir Francis Drake Blvd, Suite 120, Kentfield, CA 94904-1411 | 2008-08-29 |
| 1982895108 | John J Panagotacos | Psychiatry & Neurology | 1030 Sir Francis Drake Blvd, Suite 130, Kentfield, CA 94904 | 2007-08-05 |
| 1235267071 | Jack Warren Maslow | Counselor | 1030 Sir Francis Drake Blvd, Suite 125, Kentfield, CA 94904-1411 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346899838 | Suzanna De Sanz | Counselor | 810 College Ave Ste 1c, Kentfield, CA 94904-2565 | 2019-09-06 |
| 1710543160 | Angela Claire Dotson | Counselor | 1044 Sir Francis Drake Blvd Ste 6, Kentfield, CA 94904-1454 | 2019-05-10 |
| 1023351434 | Natalie Sievert | Counselor | 1135 Sir Francis Drake Blvd Apt 8, Kentfield, CA 94904-1435 | 2013-04-03 |
| 1891833604 | John Paul Whitty II | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2007-02-02 |
| 1962457655 | Elizabeth P Greason | Counselor | 905 Sir Francis Drake Blvd, Kentfield, CA 94904-1588 | 2006-05-23 |
| 1861914574 | Anahi E Vasquez I | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2017-07-13 |
| 1689111510 | Bonnie Kaufman | Counselor | 675 Sir Francis Drake Blvd, Kentfield, CA 94904-1639 | 2017-01-30 |
| 1740699412 | Archiebald Wollo | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2014-08-07 |
| 1215349386 | Brett Niebergall | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2014-05-23 |
| 1821265067 | Jane Cunningham | Counselor | 1036 Sir Francis Drake Blvd, Kentfield, CA 94904-1427 | 2008-05-15 |
| Find all providers in KENTFIELD | ||||
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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.