PRAJAKTA GODBOLE (NPI# 1245498575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245498575 |
Entity Type | Individual |
Full Name | PRAJAKTA GODBOLE |
Practice Address |
115 Town and Country Dr Danville CA 94526-3960 |
Mailing Address |
115a Town and Country Dr # A Danville CA 94526-3924 |
Practice Telephone | 9258370505 |
Mailing Telephone | 0268370505 |
Enumeration Date | 2008-05-22 |
Last Update Date | 2018-03-17 |
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 | 106H00000X | Marriage & Family Therapist | 46525 | CA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
950 W Julian St, San Jose, CA 951262719 | 4082929353 |
Street Address |
115 TOWN AND COUNTRY DR |
City | DANVILLE |
State | CA |
Zip Code | 94526-3960 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912073073 | Jeffrey Scott Johnson | Chiropractor | 115 Town and Country Dr, Suite E, Danville, CA 94526-3960 | 2006-11-28 |
1992943468 | Lauren Nicole Cattolico | Marriage & Family Therapist | 115 Town and Country Dr, Suite A, Danville, CA 94526-3960 | 2009-01-21 |
1326194663 | Patricia Frances Ortiz | Counselor | 115 Town and Country Dr, Suite A, Danville, CA 94526-3960 | 2007-01-27 |
1336298249 | Johnson Chiropractic Group, Inc. | Chiropractor | 115 Town and Country Dr, Suite E, Danville, CA 94526-3960 | 2007-01-09 |
1396802542 | Kathleen Defronzo | Counselor | 115 Town and Country Dr, Suite A, Danville, CA 94526-3960 | 2007-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
1821585415 | Cynthia N Atchoukeu | Behavior Technician | 811 San Ramon Valley Suite 100, Danville, CA 94526 | 2018-04-18 |
1649708850 | Michelle Nicole Kolander | Specialist/Technologist | 209 Rutherford Dr, Danville, CA 94526 | 2017-06-01 |
1396155594 | Laurie Elizabeth Wallis | Registered Nurse | 145 Town & Country Blvd., Suite 106, Danville, CA 94526 | 2014-04-28 |
1437585486 | Brielle Shipman | Chiropractor | 391 Diablo Rd, Ste B, Danville, CA 94526 | 2013-09-23 |
1841626298 | Gloria Lynn Kopp | Nurse Practitioner | 309 Windstream Place, Danville, CA 94526 | 2013-09-17 |
1023378635 | Vision Dynamics Optometric Center | Optometrist | 417 Sycamore Valley Road West, Danville, CA 94526 | 2012-05-17 |
1346517620 | Adam Wallach,m.d. A Professional Corporation | Specialist | 400 El Cerro Blvd., Ste. 204, Danville, CA 94526 | 2011-11-30 |
1184949661 | Judianne Marguriette Walker | Podiatrist | 1320 El Capitan Ste 410, Danville, CA 94526 | 2010-03-29 |
1619108685 | Brandon Riggins | Counselor | 115 Town and Country Dr., Danville, CA 94526 | 2009-08-07 |
Find all providers in zip 94526 |
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 |
---|---|---|---|---|
1275000507 | Tina Elisabeth Demattia | Marriage & Family Therapist | 913 San Ramon Valley Blvd Ste 280, Danville, CA 94526-4031 | 2018-10-24 |
1447787304 | Joree T Rosenblatt | Marriage & Family Therapist | 50 Oak Ct Ste 105, Danville, CA 94526-4048 | 2017-05-22 |
1215385216 | Amanda Macor | Marriage & Family Therapist | 3860 Blackhawk Rd Ste 140, Danville, CA 94506-4832 | 2016-05-31 |
1124305313 | The Body Within LLC | Marriage & Family Therapist | 199 E Linda Mesa Ave, Suite 8, Danville, CA 94526-3339 | 2011-11-16 |
1609158294 | Ann Grace Thomas | Marriage & Family Therapist | 724 Danville Blvd, Danville, CA 94526-1738 | 2011-09-09 |
1356576748 | Jenny J Lee | Marriage & Family Therapist | 905 San Ramon Valley Blvd Ste 212, Danville, CA 94526 | 2009-05-28 |
1285801332 | Dwan Brennan | Marriage & Family Therapist | 145 E Prospect Ave Ste 215, Danville, CA 94526-3869 | 2008-05-08 |
1780852467 | Patricia J Robinson | Marriage & Family Therapist | 213 Abigail Cir, Danville, CA 94506-1426 | 2008-02-14 |
1104001080 | Heather Michelle Marchman | Marriage & Family Therapist | 171 Front Street, Suite 102, Danville, CA 94526-3339 | 2008-01-09 |
1881875508 | Marcie Ann Parisi | Marriage & Family Therapist | 425 El Pintado Rd., Suite # 155, Danville, CA 94526 | 2007-11-21 |
Find all providers in DANVILLE |
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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.