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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
G24321 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
21 TAMAL VISTA BLVD SUITE 240 |
| City | CORTE MADERA |
| State | CA |
| Zip Code | 94925-1130 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 94925 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| 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] |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CORTE MADERA |
| Zip Code | 94925 |
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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.