JEFFERSON NERNEY


Address: 46900 Ocean Dr, Gualala, CA 95445-8353
Phone: 7078844005

JEFFERSON NERNEY (NPI# 1407030968) 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) 1407030968
Entity Type Individual
Full Name JEFFERSON NERNEY
Credential PSYD
Practice Address 46900 Ocean Dr
Gualala
CA 95445-8353
Mailing Address 46900 Ocean Dr
P.o. Box 1100
Gualala
CA 95445-8353
Practice Telephone 7078844005
Mailing Telephone 7078844005
Enumeration Date 2007-12-19
Last Update Date 2013-06-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY 21250 CA Behavioral Health & Social Service Providers
N 103TF0200X Psychologist
Specialization: Forensic
PSY 21250 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA MARRIAGEFAMILYTHERAPIST MFT 39795 01
CA PROFESSIONAL LICENSE# PSY 21250 01

Office Location

Street Address 46900 OCEAN DR
City GUALALA
State CA
Zip Code 95445-8353

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649279233 Northern California Medical Assoc Inc Internal Medicine 46900 Ocean Dr, Gualala, CA 95445-8353 2005-07-18
1558707968 Adele Zita Registered Nurse 46900 Ocean Dr, Gualala, CA 95445-8353 2013-05-13
1093833659 Jere Alm Physician Assistant 46900 Ocean Dr, Gualala, CA 95445-8353 2007-03-26
1164555769 Leon Koenck Physician Assistant 46900 Ocean Dr, Ste 1100, Gualala, CA 95445-8353 2007-03-13
1962530725 Redwood Coast Medical Services, Inc. Clinic/Center 46900 Ocean Dr, Gualala, CA 95445-8353 2007-03-01
1952494817 Joanne C. Brooks Family Medicine 46900 Ocean Dr, Gualala, CA 95445-8353 2006-10-02
1346332335 Lois Falk Nurse Practitioner 46900 Ocean Dr, Gualala, CA 95445-8353 2006-09-28
1780776682 Roberta U. Rams Dentist 46900 Ocean Dr, Gualala, CA 95445-8353 2006-09-28
1851379705 Elizabeth J Nagle Nurse Practitioner 46900 Ocean Dr, Gualala, CA 95445-8353 2006-01-01
1316937931 Mark Kal Family Medicine 46900 Ocean Dr, Gualala, CA 95445-8353 2005-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205453586 Mendocino Pharmacy Holdings Inc. Pharmacy 39251 South Highway 1, Gualala, CA 95445 2020-07-02
1922659499 Lucinda Weaver Physical Therapy Clinic/Center 39120 Ocean Dr, Gualala, CA 95445 2019-09-25
1275858573 James Edwin Platt Chiropractor 38820 Hwy. 1, Suite 108, Gualala, CA 95445 2010-03-30
1184862013 Lucinda Weaver I Physical Therapist 39120 Ocean Dr., Gualala, CA 95445 2009-01-30
1902050669 Gena Lynn Davis Optometrist 39150 Ocean Drive, Suite 2a, Gualala, CA 95445 2008-11-07
1477731032 Carolee Brady Marriage & Family Therapist 38550 S Hwy 1, Gualala, CA 95445 2008-02-06
1053432971 Barbara Brittell Physician Assistant 46900 Ocean Drive, Redwood Coast Medical Services, Gualala, CA 95445 2007-04-02
1174658298 Richard T Miner Chiropractor 38690 Pacific Dr., Suite 3, Gualala, CA 95445 2007-02-22
1104962638 Robert Arnold Nelson Ophthalmology 30150 So Hwy One, Gualala, CA 95445 2007-01-30
1982808119 Allen B. Cox Jr. Dentist 38460 S. Highway One, Gualala, CA 95445-1199 2007-06-12
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164023867 Watson, Sanchez, & Navarro Psychological Group Psychologist 270 E 7th St Ste 1c, Upland, CA 91786-6602 2020-11-08
1558962324 Marjan-marcia Khalitchi-alavi Psychologist 12400 Wilshire Blvd #230, Los Angeles, CA 90025 2020-11-06
1982203568 Gautami Polepally Ashok Psychologist 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 2020-10-23
1851990626 Sarah R Martin Psychologist 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 2020-10-22
1184223851 Emily Jenchura Psychologist 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 2020-10-22
1588261580 Pamela J Newman Psychologist 3737 Elderberry Gln, Escondido, CA 92025-7910 2020-10-04
1689271785 Michelle Sullivan Psychologist 2419 44th Ave, San Francisco, CA 94116-2062 2020-10-02
1184231730 Joanna Lesley Kaye Psychologist 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 2020-09-28
1174130181 Pamela F. Benyas Psychologist Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 2020-09-24
1730795634 Maya Boustani Psychologist 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 2020-09-17
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Competitor

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City GUALALA
Zip Code 95445

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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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