PATRICE FORTUNE (NPI# 1235368135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235368135 |
| Entity Type | Individual |
| Full Name | PATRICE FORTUNE |
| Credential | MA, MS, LMFT, ATR |
| Practice Address |
63 Bovet Road #221 San Mateo CA 94402-3104 |
| Practice Telephone | 6506199942 |
| Mailing Telephone | 6506199942 |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSB 36721 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 80309 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 6506199942 | |
| 1626 Union Street, San Francisco, CA 94402 | 6506199942 | |
| 609 Cowper Street, Palo Alto, CA 94402 | 6506199442 |
| Street Address |
63 BOVET ROAD #221 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-3104 |
| 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 | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1508423872 | Moby Coquillard | Marriage & Family Therapist | 1777 Borel Pl Ste 214, San Mateo, CA 94402-3511 | 2019-05-22 |
| 1437610995 | Rebecca Lee Kolker Zhang | Marriage & Family Therapist | 1660 S Amphlett Blvd Ste 217, San Mateo, CA 94402-2508 | 2019-03-27 |
| 1851867881 | Dayna E Reader | Marriage & Family Therapist | 1720 S Amphlett Blvd Ste 220c, San Mateo, CA 94402-2713 | 2018-10-17 |
| 1275030694 | Helen Crawford | Marriage & Family Therapist | 700 S Claremont St Ste 107, San Mateo, CA 94402-1447 | 2018-04-11 |
| 1811499726 | Michelle Sonnenschein | Marriage & Family Therapist | 205 E 3rd Ave Ste 403, San Mateo, CA 94401-4050 | 2018-03-07 |
| 1073020202 | Kristin Donato | Marriage & Family Therapist | 205 E 3rd Ave Ste 203, San Mateo, CA 94401-4028 | 2018-01-09 |
| 1235650979 | Melanie Lynn Stauffer | Marriage & Family Therapist | 1710 S Amphlett Blvd Ste 210c, San Mateo, CA 94402-2705 | 2017-07-03 |
| 1346778875 | Barbara Reynolds Sky | Marriage & Family Therapist | 1117 S B St Ste 9, San Mateo, CA 94401-4351 | 2017-05-29 |
| 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.