CONNIE CONLEY JUNG (NPI# 1245374750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245374750 |
Entity Type | Individual |
Full Name | CONNIE CONLEY JUNG |
Other Name | CONNIE RENATE CONLEY |
Credential | PHD |
Practice Address |
1151 Harbor Bay Parkway #137 Alemeda CA 94502 |
Practice Telephone | 5107691078 |
Mailing Telephone | 5107691078 |
Enumeration Date | 2007-02-16 |
Last Update Date | 2013-03-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY19875 | CA | Behavioral Health & Social Service Providers |
Street Address |
1151 HARBOR BAY PARKWAY #137 |
City | ALEMEDA |
State | CA |
Zip Code | 94502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699121970 | Dao Integrated Health | Acupuncturist | 1050 Marina Village Pkwy, Ste 104, Alameda, CA 94502 | 2016-05-05 |
1235569609 | Native American Health Center | Community/Behavioral Health | 1151 Harbor Pkwy, Alameda, CA 94502 | 2013-11-20 |
1215286893 | Alliant International University | Community/Behavioral Health | 200 Aughinbaugh, Alameda, CA 94502 | 2012-08-29 |
1649474826 | Community Health for Asian Americans | Community/Behavioral Health | 1141 Harbor Bay Pkwy # 105, Alameda, CA 94502 | 2007-06-12 |
1760569511 | Pamela B Wain | Physical Therapist | 502 Lagunaria Lane, Alameda, CA 94502 | 2006-11-01 |
1073562856 | Michael F Britt | Optometrist | 887a Island Dr, Alameda, CA 94502 | 2006-05-09 |
1104111483 | Golden Pacific Home Health, Inc. | Home Health | 1151 Harbor Bay Parkway, Suite 101, Alameda, CA 94502-1476 | 2011-06-14 |
1073153193 | Michele Mason Cushner | Acupuncturist | 2179 Harbor Bay Pkwy, Alameda, CA 94502-3019 | 2020-01-07 |
1124292834 | Peter Chen | Dentist | 2181 Harbor Bay Pkwy, Alameda, CA 94502-3019 | 2008-04-15 |
1104025808 | Dwight Erwin Jennings | Dentist | 2187 Harbor Bay Parkway, Alameda, CA 94502-3019 | 2007-07-12 |
Find all providers in zip 94502 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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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.