EDDIE B. WALDRUP (NPI# 1326483041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326483041 |
| Entity Type | Individual |
| Full Name | EDDIE B. WALDRUP |
| Credential | M.F.T. |
| Practice Address |
3976 24th Street San Francisco CA 94044 |
| Practice Telephone | 4152825554 |
| Mailing Telephone | 4152825554 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 30983 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3976 24TH STREET |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878818 | Megan Breanna Murphy | Behavior Technician | 352 Fairway Dr, Pacifica, CA 94044 | 2019-12-13 |
| 1033603360 | Aurelia Ann Mullen Spadini | Registered Nurse | 1467 Crespi Dr., Pacifica, CA 94044 | 2018-06-20 |
| 1306258595 | Kathy Marie Dodge | Marriage & Family Therapist | 243 Arroyo Drive, Pacifica, CA 94044 | 2014-05-22 |
| 1417367715 | Lisa Marie Lee | Nurse Practitioner | 340 Eureka Drive, Pacifica, CA 94044 | 2014-05-07 |
| 1730510306 | Erin Somers | Counselor | 435 Edgemar Avenue, Pacifica, CA 94044 | 2013-12-09 |
| 1730514761 | Lydia Mae Hernandez | Physical Therapy Assistant | 2400 Skyline Blvd, Apt G4, Pacifica, CA 94044 | 2013-09-10 |
| 1346593258 | Clarissa Laqui Dimacali | Nurse's Aide | 50 W. Manor Dr # 1393, Pacifica, CA 94044 | 2012-10-17 |
| 1164718581 | Jose Higareda Lopez | Counselor | 480 Manor Plaza, Pacifica, CA 94044 | 2011-06-23 |
| 1558693234 | Susanne Labarge | Acupuncturist | 1305 A Palmetto Ave, Pacifica, CA 94044 | 2010-02-05 |
| 1841426392 | Caroline Bea O'devlin | Speech-Language Pathologist | 103 Franz Court, Pacifica, CA 94044 | 2009-06-10 |
| Find all providers in zip 94044 | ||||
| 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 |
|---|---|---|---|---|
| 1043819329 | Justin Leigh Schreiner | Marriage & Family Therapist | 2140 Pierce St, San Francisco, CA 94115-2214 | 2020-10-19 |
| 1295333904 | Kelly Kiyomi Pong-der | Marriage & Family Therapist | 679 18th Ave Apt A, San Francisco, CA 94121-3822 | 2020-10-14 |
| 1639777543 | Graham Gallivan | Marriage & Family Therapist | 1200 Gough St Unit 4c, San Francisco, CA 94109-6614 | 2020-10-13 |
| 1700484029 | Melissa Mary Liptak | Marriage & Family Therapist | 2901 Webster St, San Francisco, CA 94123-4005 | 2020-10-09 |
| 1750988390 | Niki Nicole Sujata Khanna | Marriage & Family Therapist | 1699 Market St Apt 622, San Francisco, CA 94103-1327 | 2020-10-07 |
| 1821604976 | Helen Kalanithi | Marriage & Family Therapist | 584 Castro St Unit 3077, San Francisco, CA 94114-2512 | 2020-09-23 |
| 1770199648 | David Ford Peck Jr. | Marriage & Family Therapist | 1738 Union St Ste 302, San Francisco, CA 94123-4425 | 2020-09-16 |
| 1053925404 | Alison Suzette Poff | Marriage & Family Therapist | 245 11th St Ste 1, San Francisco, CA 94103-3732 | 2020-09-02 |
| 1154935930 | Jasmin Paula Littlefield | Marriage & Family Therapist | 555 Cole St Ste 6, San Francisco, CA 94117-2860 | 2020-08-31 |
| 1619589447 | Rima Sueishi Miyagawa | Marriage & Family Therapist | 447 Sutter St Ste 429, San Francisco, CA 94108-4630 | 2020-08-21 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94044 |
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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.