JEFFERSON NERNEY (NPI# 1407030968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MARRIAGEFAMILYTHERAPIST | MFT 39795 | 01 |
CA | PROFESSIONAL LICENSE# | PSY 21250 | 01 |
Street Address |
46900 OCEAN DR |
City | GUALALA |
State | CA |
Zip Code | 95445-8353 |
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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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 |
Find all providers in zip 95445 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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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 |
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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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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.