DR. JOHN EUGENE OBEDZINSKI


Address: 21 Tamal Vista Blvd, Suite 240, Corte Madera, CA 94925-1130
Phone: 4159242205

DR. JOHN EUGENE OBEDZINSKI (NPI# 1396947685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396947685
Entity Type Individual
Full Name DR. JOHN EUGENE OBEDZINSKI
Credential MD
Practice Address 21 Tamal Vista Blvd
Suite 240
Corte Madera
CA 94925-1130
Practice Telephone 4159242205
Practice Fax Number 4154880952
Mailing Telephone 4159242205
Mailing Fax Number 4154880952
Enumeration Date 2007-05-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
G24321 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 21 TAMAL VISTA BLVD
SUITE 240
City CORTE MADERA
State CA
Zip Code 94925-1130

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134117435 Arnold Knepfer Psychiatry & Neurology 21 Tamal Vista Blvd, 212, Corte Madera, CA 94925-1130 2005-10-11
1083164701 Paul Anthony Marra Marriage & Family Therapist 21 Tamal Vista Blvd, Suite 200, Corte Madera, CA 94925-1130 2016-10-05
1124572755 Pamela Margaret Ashkenazy Counselor 21 Tamal Vista Blvd, Suite 116, Corte Madera, CA 94925-1130 2016-08-11
1548612757 Emily Smith Acupuncture, Inc Clinic/Center 21 Tamal Vista Blvd, Suite 175, Corte Madera, CA 94925-1130 2016-07-12
1760849723 Deidrae Moffett Counselor 21 Tamal Vista Blvd, 194, Corte Madera, CA 94925-1130 2016-01-21
1609252931 Stephen H. Sulmeyer Psychologist 21 Tamal Vista Blvd, Suite 215, Corte Madera, CA 94925-1130 2015-08-10
1013313337 Farahkhan,md,inc Psychiatry & Neurology 21 Tamal Vista Blvd, 224, Corte Madera, CA 94925-1130 2014-11-13
1578975074 Grace Ellen Roegiers Speech-Language Pathologist 21 Tamal Vista Blvd, 187, Corte Madera, CA 94925-1130 2014-06-02
1588082911 Tisha Mallon Acupuncturist 21 Tamal Vista Blvd, Corte Madera, CA 94925-1130 2014-04-02
1720406457 Steps To Freedom Community/Behavioral Health 21 Tamal Vista Blvd, Suite 226, Corte Madera, CA 94925-1130 2014-03-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386139061 California Center for Ms and Neurology Inc Psychiatry & Neurology 21 Tamal Vista Blvd Ste 175, Corte Madera, CA 94925 2018-06-26
1982130514 Summer Nipomnick Psychologist 200 Tamal Plaza, Suite 235, Corte Madera, CA 94925 2017-05-02
1376784561 Marcie Morton Chiropractor 2 Fifer Ave Ste 130, Corte Madera, CA 94925 2009-03-17
1154598365 Kristine Kay Twite Lehnen Registered Nurse 42 Creekside Ct, Corte Madera, CA 94925 2008-05-15
1811163884 Susan Mary Nickerson Nurse Anesthetist, Certified Registered 239 Koch Rd, Corte Madera, CA 94925 2008-04-30
1225150485 Noreen P Dunnigan Marriage & Family Therapist 200 Tamal Plaza, Ste 135, Corte Madera, CA 94925 2007-04-06
1356477889 Rochelle L Teising Marriage & Family Therapist 100 Tamal Vista, #160, Corte Madera, CA 94925 2007-02-26
1518019181 Lynne Harris Psychologist 100 Tamal Plaza, Suite 108, Corte Madera, CA 94925 2007-01-17
1801975032 Julie B Young Dentist 81 Casa Buena, Suite 6, Corte Madera, CA 94925 2006-11-06
1033294020 Ann Margaret O'hare Internal Medicine 155 Golden Hind Passage, Corte Madera, CA 94925 2006-10-26
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407060080 Scott Olson Psychiatry & Neurology 2 Fifer Ave # 2, Corte Madera, CA 94925-1134 2007-05-10
1144455361 Emily Tejani Psychiatry & Neurology 45 San Clemente Dr, Suite D230e, Corte Madera, CA 94925-1244 2009-05-18
1326259680 Dannah Lynn Hirsch Psychiatry & Neurology 21 Tamal Vista Blvd, Suite 240, Corte Madera, CA 94925-1130 2007-05-25
1124162177 Alexis Paige Anderson Psychiatry & Neurology 21 Tamal Vista Blvd, Suite 185, Corte Madera, CA 94925-1130 2007-02-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710506308 Nisha Warikoo Md Inc Psychiatry & Neurology 19200 Von Karman Ave, Ste 623, Irvine, CA 92612-8553 2020-04-13
1043848872 Nelson Md and Lochhead Md, A Professional Medical Corporation Psychiatry & Neurology 28202 Cabot Rd Ste 635, Laguna Niguel, CA 92677-1222 2020-03-28
1003455460 Ranvinder Kaur Rai Md Psychiatry & Neurology 39676 Mission Blvd, Fremont, CA 94539-3000 2020-01-03
1043856073 Ocean View Neuropsychiatry Psychiatry & Neurology 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 2019-11-25
1275190068 Allan S Abrams Md Inc Psychiatry & Neurology 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 2019-05-28
1225527427 Better Life Therapy, Inc. Psychiatry & Neurology 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 2018-05-03
1821515099 J. Kirk Hartman, M.d. Psychiatry & Neurology 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 2017-08-28
1912432055 Centered Health LLC Psychiatry & Neurology 6422 W 6th St, Los Angeles, CA 90048-4714 2017-04-26
1255871182 Carol R Harrus Psychiatry & Neurology 517 Patricia Ln, Palo Alto, CA 94303-2856 2017-02-25
1437539509 Ehab Yacoub, Md Inc. Psychiatry & Neurology 1225 W 190th St Ste 470, Gardena, CA 90248-4316 2015-06-04
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Competitor

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City CORTE MADERA
Zip Code 94925

Improve Information

Please comment or provide details below to improve the information on DR. JOHN EUGENE OBEDZINSKI.

Dataset Information

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.

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