MRS. BRANDI NICOLE JACKSON (NPI# 1255793501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255793501 |
| Entity Type | Individual |
| Full Name | MRS. BRANDI NICOLE JACKSON |
| Credential | MSW |
| Practice Address |
22505 Woodroe Ave Hayward CA 94541-3410 |
| Mailing Address |
963 W Tennyson Rd Apt 48 Hayward CA 94544-5132 |
| Practice Telephone | 5103186112 |
| Mailing Telephone | 5034816911 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720701 | Brandi Jackson | Nurse Practitioner | Tennessee Valley Pediatrics, 234 Keller Park, Tuscumbia, AL 35674 | 2020-08-14 |
| 1912186321 | Brandi Rochelle Jackson | Dentist | 11223 Davinci Dr, Davidson, NC 28036-7799 | 2007-11-01 |
| 1316406747 | Brandi Jackson | Physical Therapist | 2572 E South Weber Dr Ste 5, South Weber, UT 84405-9550 | 2019-03-15 |
| 1356817050 | Brandi Jackson | Nurse Practitioner | 910 E Houston St Ste 100, Tyler, TX 75702-8363 | 2018-10-19 |
| 1154803104 | Brandi Lynette Jackson | Behavior Technician | 5300 Lennox Ave, Bakersfield, CA 93309-1662 | 2018-09-05 |
| 1376927830 | Brandi Jackson | Case Manager/Care Coordinator | 245 E 680 S, Cedar City, UT 84720-3593 | 2015-07-15 |
| 1568853984 | Brandi Jackson | Psychiatry & Neurology | 912 S Wood St, Chicago, IL 60612-4300 | 2015-02-06 |
| 1447209630 | Brandi L Jackson | Physical Therapist | 5501 Nw 62nd Ter, Ste 102, Kansas City, MO 64151-2411 | 2006-05-08 |
| Street Address |
22505 WOODROE AVE |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932268711 | Muna El-shaieb | Psychologist | 22505 Woodroe Ave, Hayward, Hayward, CA 94541-3410 | 2006-12-07 |
| 1841806668 | Yogini B Patel | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2020-09-17 |
| 1316407091 | Kabre Woods | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2019-03-20 |
| 1407337637 | Veronica Macedo | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2018-08-25 |
| 1407359433 | Angella Tatum | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2018-03-15 |
| 1649773714 | Isela M Dominguez | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2018-03-14 |
| 1487153771 | Kenneth Gordon Tyeskey | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2018-02-02 |
| 1386162378 | Keisha Brittany Pearson | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2017-08-30 |
| 1649797754 | Khalil Tokhey | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2017-08-29 |
| 1417474818 | Ratha Nith | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2017-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| Find all providers in zip 94541 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780193219 | Kellyn Ruth Ann Gutmann | Counselor | 150 Benmore Dr, Hayward, CA 94542-7936 | 2017-09-27 |
| 1386097756 | Marlene Elizabeth Economides | Counselor | 21866 Main St, Hayward, CA 94541-2614 | 2016-07-20 |
| 1275986739 | Fred Finch Youth Center | Counselor | 23515 Maud Ave, Hayward, CA 94541-4519 | 2016-07-20 |
| 1174976633 | Fred Finch Youth Center | Counselor | 2184 Thayer Ave, Hayward, CA 94545-2925 | 2016-07-20 |
| 1114370665 | Fred Finch Youth Center | Counselor | 26268 Flamingo Ave, Hayward, CA 94544-3159 | 2016-07-20 |
| 1083052542 | Eury Ramos | Counselor | 2048 B St, Hayward, CA 94541-3204 | 2013-06-06 |
| 1063776896 | Susan Lambert | Counselor | 27790 Portsmouth Ave, Hayward, CA 94545-4013 | 2012-06-26 |
| 1699058180 | Shelly Kwong | Counselor | 1318 B St Apt B-113, Hayward, CA 94541-2944 | 2011-09-21 |
| 1578861498 | Tracy Charisse Larson | Counselor | 15655 County Rd B, Hayward, WI 54843-3251 | 2011-03-01 |
| 1851608913 | Vanessa Padilla Mahaffey | Counselor | 307 Toscana Way, Hayward, CA 94545-1922 | 2010-09-09 |
| Find all providers in HAYWARD | ||||
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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.