JORDAN PETERSON (NPI# 1407396476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407396476 |
| Entity Type | Individual |
| Full Name | JORDAN PETERSON |
| Practice Address |
22505 Woodroe Ave Hayward CA 94541-3410 |
| Practice Telephone | 5105371688 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114538170 | Jordan B Peterson | Physical Therapist | 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601-4485 | 2020-08-13 |
| 1306454079 | Jordan Marie Peterson | Pharmacist | 737 W 12th St, Grafton, ND 58237-2117 | 2020-07-20 |
| 1124650171 | Jordan Peterson | Student in an Organized Health Care Education/Training Program | 509 University Dr, Eau Claire, WI 54701 | 2020-02-07 |
| 1003457466 | Jordan Matthew Peterson | Chiropractor | 103 N 1st St, Elma, WA 98541-9854 | 2019-10-07 |
| 1588129423 | Jordan Peterson | Physician Assistant | 1010 4th St Sw Ste 105, Mason City, IA 50401-2856 | 2019-02-05 |
| 1609325828 | Jordan Peterson | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2016-09-28 |
| 1851847578 | Jordan Peterson | Psychologist | 500 South Navajo Drive, Page, AZ 86040 | 2016-09-01 |
| 1306228366 | Jordan Dane Peterson | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2015-06-25 |
| 1861767469 | Jordan Anne Peterson | Nurse Anesthetist, Certified Registered | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2012-03-14 |
| Street Address |
22505 WOODROE AVE |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932268711 | Muna El-shaieb | Psychologist | 22505 Woodroe Ave, Hayward, Hayward, CA 94541-3410 | 2006-12-07 |
| 1841806668 | Yogini B Patel | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2020-09-17 |
| 1316407091 | Kabre Woods | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2019-03-20 |
| 1407337637 | Veronica Macedo | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2018-08-25 |
| 1407359433 | Angella Tatum | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2018-03-15 |
| 1649773714 | Isela M Dominguez | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2018-03-14 |
| 1487153771 | Kenneth Gordon Tyeskey | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2018-02-02 |
| 1386162378 | Keisha Brittany Pearson | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2017-08-30 |
| 1649797754 | Khalil Tokhey | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2017-08-29 |
| 1417474818 | Ratha Nith | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2017-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| Find all providers in zip 94541 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043840523 | Trinae Porter | Counselor | 26603 Gading Rd Apt 226, Hayward, CA 94544-3632 | 2020-01-23 |
| 1265992622 | Aaron Ulysses Chandler | Counselor | 107 Jackson St # 9232, Hayward, CA 94544-1948 | 2019-03-21 |
| 1518424183 | Rachel Chinn | Counselor | 22254 Main St, Hayward, CA 94541-4005 | 2019-03-01 |
| 1003301474 | Gabriela Rodriguez | Counselor | 26574 Flamingo Ave, Hayward, CA 94544-3164 | 2018-06-27 |
| 1235642307 | Ana Cecilia Contreras | Counselor | 550 Berry Ave, 1, Hayward, CA 94544 | 2017-11-13 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1831628262 | Edith Mcneal | Counselor | 31518 Medinah St., Hayward, CA 94544 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1376078295 | Nanette Francois | Counselor | 22505 Woodroe Avenue, Hayward, CA 94541-3410 | 2017-04-28 |
| 1801343132 | Allison Marie Kendrick | Counselor | 23219 Sally Ct, Hayward, CA 94541-3505 | 2016-09-02 |
| Find all providers in HAYWARD | ||||
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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.