DR. JARY LARSEN (NPI# 1356654347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356654347 |
| Entity Type | Individual |
| Full Name | DR. JARY LARSEN |
| Credential | PH.D. |
| Practice Address |
150 Muir Rd Research Service (151) Martinez CA 94553-4668 |
| Practice Telephone | 9253704083 |
| Practice Fax Number | 9252285738 |
| Mailing Telephone | 9253704083 |
| Mailing Fax Number | 9252285738 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY15816 | CA | Behavioral Health & Social Service Providers |
| Street Address |
150 MUIR RD RESEARCH SERVICE (151) |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-4668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740262872 | Christine Melanie Leyba | Psychiatry & Neurology | 150 Muir Rd, Martinez, CA 94553-4668 | 2005-11-15 |
| 1033728852 | Khai Nguyen | Pharmacist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-07-28 |
| 1043835226 | Melissa Nagel | Registered Nurse | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-06-12 |
| 1316560618 | Katie Chan | Pharmacist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-05-20 |
| 1477176782 | John Widenmann | Recreation Therapist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-05-20 |
| 1437787686 | Irwin Beltran Lorico | Nurse Practitioner | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-31 |
| 1689200016 | Sandy Lwi | Psychologist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-17 |
| 1346874120 | Adam Yumang | Registered Nurse | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-02 |
| 1972135119 | Marisol Jackson | Nurse Practitioner | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-02-05 |
| 1336770312 | Morayo Olatunbosun | Nurse Practitioner | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740833292 | Kari A Haws | Clinical Neuropsychologist | 150 Muir Rd # 126r, Martinez, CA 94553-4668 | 2019-07-23 |
| 1295898476 | Child Neurobehavioral Center for Health & Wellness, PC | Clinical Neuropsychologist | 302 Baston Rd, Martinez, GA 30907-2906 | 2006-12-18 |
| 1598749947 | Bruce Richards Reed | Clinical Neuropsychologist | 150 Muir Road, Uc Davis Adc (127a)150 Muir Road (127a), Martinez, CA 94553 | 2005-11-30 |
| 1760036388 | Patricia Lynn Johnson | Clinical Neuropsychologist | 150 Muir Rd, Martinez, CA 94553-4668 | 2019-07-31 |
| 1629526249 | Nana O'donnell | Clinical Neuropsychologist | 150 Muir Rd, 116b, Martinez, CA 94553-4668 | 2016-09-12 |
| 1295933968 | Adam A Nelson | Clinical Neuropsychologist | 150 Muir Rd, Martinez, CA 94553-4668 | 2007-07-04 |
| 1144437989 | Maria E Gangarosa-emerson | Clinical Neuropsychologist | 302 Baston Rd, Martinez, GA 30907-2906 | 2007-05-17 |
| 1891765467 | James John Picano | Clinical Neuropsychologist | 150 Muir Rd, Va Nchcs Mental Health Service, Martinez, CA 94553-4668 | 2006-01-25 |
| 1760461891 | Donna Jane Sorensen | Clinical Neuropsychologist | 150 Muir Rd, Martinez, CA 94553-4668 | 2006-01-17 |
| 1871576322 | Jeffrey Scott Kixmiller | Clinical Neuropsychologist | 150 Muir Rd, Martinez, CA 94553-4668 | 2005-11-29 |
| Find all providers in MARTINEZ | ||||
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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.