MARY JULIA KLIMENKO (NPI# 1376646968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376646968 |
| Entity Type | Individual |
| Full Name | MARY JULIA KLIMENKO |
| Other Name | MJ KLIMENKO |
| Credential | MFT |
| Practice Address |
3 Shoal Dr E Vallejo CA 94591-6950 |
| Mailing Address |
1350 Hayes St Suite B3 Benicia CA 94510-2945 |
| Practice Telephone | 7077461645 |
| Practice Fax Number | 5103509047 |
| Mailing Telephone | 7077461645 |
| Mailing Fax Number | 5103509047 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC1900X |
Psychologist Specialization: Counseling |
MFT27292 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | MFT27292 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3 SHOAL DR E |
| City | VALLEJO |
| State | CA |
| Zip Code | 94591-6950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356901 | Andrew Garcia | Behavior Technician | 150 Glen Gove Marina Rd., #102, Vallejo, CA 94591 | 2020-11-03 |
| 1396353504 | Marlesia Marvae Gonzales | Behavior Technician | 150 Glen Cove Marina Rd., #102, Vallejo, CA 94591 | 2020-07-14 |
| 1033741061 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 910 Admiral Callaghan Lane, Vallejo, CA 94591 | 2020-02-07 |
| 1639633860 | Angelo Duaso | Respiratory Therapist, Certified | 712 North Regatta Drive, Vallejo, CA 94591 | 2019-01-22 |
| 1467923615 | Maria Perez | Behavioral Analyst | 150 Glen Code Marina Rd #102, Vallejo, CA 94591 | 2018-12-16 |
| 1285119966 | Josie Gerber | Registered Nurse | 9268 Hallmark Place, Vallejo, CA 94591 | 2018-09-28 |
| 1912491911 | Lamigo LLC | Optometrist | 121 Plaza Dr Ste 505, Vallejo, CA 94591 | 2018-06-22 |
| 1942655055 | Brisbain Rigor Pucan | Dentist | 2143 Springs Rd, #51, Vallejo, CA 94591 | 2016-04-26 |
| 1811323066 | Bianca Tayne Payne | Counselor | 408 Tennesse St, Vallejo, CA 94591 | 2013-09-19 |
| 1285973602 | Kushwantjit Singh Randhawa | Dentist | 300 Hillary Way Apt 91, Vallejo, CA 94591 | 2013-02-05 |
| Find all providers in zip 94591 | ||||
| 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 |
|---|---|---|---|---|
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1134633068 | Keshia R Ingram | Marriage & Family Therapist | 27 Chase St Apt A, Vallejo, CA 94590-7007 | 2017-11-30 |
| 1538512025 | Tristram King | Marriage & Family Therapist | 157 Sunnyglen Dr, Vallejo, CA 94591-7553 | 2016-07-20 |
| 1861858409 | Maurice Orr Travis | Marriage & Family Therapist | 236 Georgia St Ste 102, Vallejo, CA 94590-5962 | 2016-01-12 |
| 1346612942 | Jaime Betancur | Marriage & Family Therapist | 125 Corporate Pl # A, Vallejo, CA 94590-6968 | 2015-10-22 |
| 1215309711 | Michele Darnett Williams | Marriage & Family Therapist | 125 Corporate Pl Ste A, Vallejo, CA 94590-6968 | 2015-10-22 |
| 1922352715 | James Orlando | Marriage & Family Therapist | 935 York St, Vallejo, CA 94590-6254 | 2012-11-01 |
| 1225325376 | Evelyn Polk | Marriage & Family Therapist | 312 Georgia St, Suite #225, Vallejo, CA 94590-5964 | 2011-07-08 |
| 1285935478 | Michael Steven Jereb | Marriage & Family Therapist | 631 Tennesse St, Vallejo, CA 94590 | 2010-11-04 |
| 1366758294 | Irene Velasco | Marriage & Family Therapist | 1004 Marin St, Vallejo, CA 94590-5603 | 2010-08-30 |
| Find all providers in VALLEJO | ||||
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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.