SRIVIDYA IYENGAR (NPI# 1376602102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376602102 |
| Entity Type | Individual |
| Full Name | SRIVIDYA IYENGAR |
| Practice Address |
624 Ferry St Martinez CA 94553-1126 |
| Mailing Address |
5006 Starling St Danville CA 94506-1165 |
| Practice Telephone | 9256462901 |
| Practice Fax Number | 9256462853 |
| Mailing Telephone | 9256462901 |
| Mailing Fax Number | 9256462853 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT41046 | CA | Behavioral Health & Social Service Providers |
| Street Address |
624 FERRY ST |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497134753 | Nicole Field | Counselor | 624 Ferry St, Martinez, CA 94553-1126 | 2015-05-20 |
| 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 | 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 |
|---|---|---|---|---|
| 1114539491 | Sil-miracle Walker | Marriage & Family Therapist | 4210 Columbia Rd Ste 7b, Martinez, GA 30907-0439 | 2020-08-19 |
| 1396227237 | Brittanie Dawn Mills | Marriage & Family Therapist | 202 De Normandie Way, Martinez, CA 94553-3009 | 2018-09-06 |
| 1518476571 | Heather Quisenberry | Marriage & Family Therapist | 227 Pebblecreek Ct, Martinez, CA 94553-6808 | 2017-09-21 |
| 1154848208 | Jill Vanasek Shinn | Marriage & Family Therapist | 1579 Ashwood Dr, Martinez, CA 94553-5344 | 2017-08-29 |
| 1205352325 | Jill Stewart | Marriage & Family Therapist | 76 Cecilia Ln, Martinez, CA 94553-1460 | 2017-08-21 |
| 1609307396 | Connie Hart | Marriage & Family Therapist | 524 Allen St, Martinez, CA 94553-2611 | 2017-03-23 |
| 1497159370 | Barbara Lankamp-kochis | Marriage & Family Therapist | 1350 Arnold Dr, Suite 200, Martinez, CA 94553-4190 | 2014-10-21 |
| 1063825602 | Justin Kram | Marriage & Family Therapist | 30 Douglas Dr, Suite 234, Martinez, CA 94553-4068 | 2014-06-10 |
| 1114345337 | Bruce Conroy | Marriage & Family Therapist | 565 Bernice Ln, Martinez, CA 94553-5903 | 2014-04-03 |
| 1447680376 | Dale Bell | Marriage & Family Therapist | 3755 Alhambra Ave Ste 8, Martinez, CA 94553-3833 | 2013-11-13 |
| 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.