DR. SUSAN EDELSTEIN (NPI# 1407011547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407011547 |
| Entity Type | Individual |
| Full Name | DR. SUSAN EDELSTEIN |
| Credential | PHD |
| Practice Address |
350 Bon Air Rd Suite 240 Greenbrae CA 94904-1752 |
| Practice Telephone | 4154566785 |
| Mailing Telephone | 4154566785 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY14535 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730203761 | Susan Barbara Edelstein | Social Worker | 1000 Veteran Ave, Los Angeles, CA 90095-0001 | 2007-03-16 |
| 1962532796 | Susan Joy Edelstein | Pediatrics | 150 N Robertson Blvd, Suite 204, Beverly Hills, CA 90211-2142 | 2007-03-07 |
| Street Address |
350 BON AIR RD SUITE 240 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417143082 | Mark Andrew Michna | Dentist | 350 Bon Air Rd, Suite 100, Greenbrae, CA 94904-1752 | 2007-09-18 |
| 1073904207 | Lauren Brooke Voss | Physician Assistant | 350 Bon Air Rd, Suite 300, Greenbrae, CA 94904-1752 | 2015-02-10 |
| 1659649184 | Michelle G Nielson | Hearing Instrument Specialist | 350 Bon Air Rd, Suite 100, Greenbrae, CA 94904-1752 | 2011-12-12 |
| 1174757405 | Kimberly A Henry Md Inc | Plastic Surgery | 350 Bon Air Rd, #1, Greenbrae, CA 94904-1752 | 2009-05-14 |
| 1740432376 | Cristy Walker Roskelley | Marriage & Family Therapist | 350 Bon Air Rd, Suite 140, Greenbrae, CA 94904-1752 | 2008-10-14 |
| 1184872798 | Clare H Dennis-gregory | Counselor | 350 Bon Air Rd, Suite 240, Greenbrae, CA 94904-1752 | 2008-09-08 |
| 1184801854 | Plastic Surgery Specialists, Inc | Clinic/Center | 350 Bon Air Rd, Suite 300, Greenbrae, CA 94904-1752 | 2008-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235536459 | Brittany Rudolph | Psychologist | 250 Bon Air Rd Unit B, Greenbrae, CA 94904-1702 | 2014-12-03 |
| 1487976874 | Leslie E Arno | Psychologist | 1251 S Eliseo Dr, Greenbrae, CA 94904-2005 | 2010-02-25 |
| 1396079653 | Vanessa Cirulli | Psychologist | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2009-09-18 |
| 1932331113 | Amany Issa Hararah | Psychologist | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2009-08-20 |
| 1396956629 | Rebecca Stein | Psychologist | 250 Bon Air Rd, Cmhs/psychiatric Emergency Services, Greenbrae, CA 94904-1702 | 2007-05-25 |
| 1407936685 | Katherine Forry Hargitt | Psychologist | 250 Bon Air Rd Unit B, Greenbrae, CA 94904-1702 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306690 | Eileen Kay Laughman | Psychologist | 24545 Town Center Dr Apt 5406, Valencia, CA 91355-1397 | 2020-11-08 |
| 1194324954 | Rachel Charman | Psychologist | 1001 Dove St Ste 110, Newport Beach, CA 92660-2845 | 2020-10-22 |
| 1700485760 | Melissa Ernestine Munoz | Psychologist | 353 H St # 1517, Chula Vista, CA 91910-5501 | 2020-10-21 |
| 1235737669 | Maha Nasrallah-babenko | Psychologist | 33442 Valley View Ct, Dana Point, CA 92629-1515 | 2020-10-16 |
| 1689272544 | Kaleidoscope Solutions Family Therapy | Psychologist | 25876 The Old Road, #85, Stevenson Ranch, CA 91381 | 2020-10-13 |
| 1992302814 | Sheena Gill | Psychologist | 2501 E Chapman Ave Ste 265, Fullerton, CA 92831-3108 | 2020-10-04 |
| 1255948600 | Kesha Patrice | Psychologist | 939 Ellis St, San Francisco, CA 94109-7714 | 2020-09-29 |
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1376159541 | Jill Caryn Campbell | Psychologist | 342 Ocho Rios Way, Oak Park, CA 91377-5541 | 2020-09-22 |
| 1225644487 | Brock Louis Pistel | Psychologist | 939 Ellis St Fl 67, San Francisco, CA 94109-7714 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
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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.