DR. TERRI LYN ZUCKER (NPI# 1295982254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295982254 |
| Entity Type | Individual |
| Full Name | DR. TERRI LYN ZUCKER |
| Credential | PHD |
| Practice Address |
205 E 3rd Ave Ste 208 San Mateo CA 94401-4051 |
| Mailing Address |
13 12th Ave San Mateo CA 94402-2401 |
| Practice Telephone | 6507592475 |
| Practice Fax Number | 6505710747 |
| Mailing Telephone | 6507592475 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2013-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
019719 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
25497 | CA | Behavioral Health & Social Service Providers |
| Street Address |
205 E 3RD AVE STE 208 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760592901 | Krysta A Banazek | Marriage & Family Therapist | 205 E 3rd Ave, Suite 207a, San Mateo, CA 94401-4051 | 2006-08-30 |
| 1609266402 | Michelle Busch Potter | Marriage & Family Therapist | 205 E 3rd Ave, Suite 307c, San Mateo, CA 94401-4051 | 2015-01-31 |
| 1982954061 | Kimberly Dawn Rich | Marriage & Family Therapist | 205 E 3rd Ave, Suite 303, San Mateo, CA 94401-4051 | 2012-09-14 |
| 1942567615 | Spring Tide Natural Health | Acupuncturist | 205 E 3rd Ave, Suite 206, San Mateo, CA 94401-4051 | 2012-04-18 |
| 1144549916 | Lisa Lavaysse | Psychologist | 205 E 3rd Ave, Mezzanine 1-a, San Mateo, CA 94401-4051 | 2010-05-19 |
| 1013150176 | Eva K Pang | Psychologist | 205 E 3rd Ave, San Mateo, CA 94401-4051 | 2009-04-19 |
| 1427290576 | Mark Sapaen Watan | Acupuncturist | 205 E 3rd Ave, Suite 410, San Mateo, CA 94401-4051 | 2009-04-02 |
| 1609041185 | Richard Stewart Cameron | Counselor | 205 E 3rd Ave, Suite 203, San Mateo, CA 94401-4051 | 2008-04-25 |
| 1629279757 | Marilyn Mellott Bacigalupi | Marriage & Family Therapist | 205 E 3rd Ave, 315, San Mateo, CA 94401-4051 | 2007-05-29 |
| 1396957353 | Joan C Haller | Social Worker | 205 E 3rd Ave, San Mateo, CA 94401-4051 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226387 | Elizabeth Sokolik Green | Psychologist | 26 Seville Way, San Mateo, CA 94402-2831 | 2020-05-08 |
| 1306481288 | Andrew Charlton Sweet | Psychologist | 177 Bovet Rd Ste 540, San Mateo, CA 94402-3121 | 2019-11-14 |
| 1265962146 | Soo Uhm | Psychologist | 1010 S El Camino Real Ste A, San Mateo, CA 94402-2802 | 2017-06-14 |
| 1336690924 | Courtney Chappuis Farmer | Psychologist | 87 Lodato Ave, San Mateo, CA 94403-1723 | 2016-10-18 |
| 1730469198 | Ann K Rawley | Psychologist | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2011-08-17 |
| 1104137637 | Marie Sara Rivera Yap | Psychologist | 1720 S Amphlett Blvd Ste 220g, San Mateo, CA 94402-2713 | 2010-06-30 |
| 1235368135 | Patrice Fortune | Psychologist | 63 Bovet Road #221, San Mateo, CA 94402-3104 | 2009-07-13 |
| 1851597058 | Stan Friedman | Psychologist | 100 S Ellsworth Ave Ste 511, San Mateo, CA 94401-3929 | 2007-06-25 |
| 1932303625 | Susan Enochs | Psychologist | 1650 Borel Pl Ste 125, San Mateo, CA 94402-3507 | 2007-06-14 |
| 1184836330 | June Marie Martin | Psychologist | 1100 S. El Camino Real, Suite #3, San Mateo, CA 94402 | 2007-05-03 |
| 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.