JOSEPH E. HANNAN JR. (NPI# 1417022377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417022377 |
| Entity Type | Individual |
| Full Name | JOSEPH E. HANNAN JR. |
| Other Name | J. E. PATRICK HANNAN |
| Credential | M.D. |
| Practice Address |
2235 Challenger Way Suite 102 Santa Rosa CA 95407-5458 |
| Practice Telephone | 7075287262 |
| Practice Fax Number | 7075761964 |
| Mailing Telephone | 7075287262 |
| Mailing Fax Number | 7075761964 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
C-35267 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE NUMBER | C 35267 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811170145 | Joseph Thomas Hannan | Specialist | 3715 Northside Parkway Nw, Bldg. 2-100, Atlanta, GA 30327 | 2007-12-10 |
| 1972078525 | Joseph Michael Hannan | Counselor | 237 26th St, Ogden, UT 84401-3105 | 2018-10-10 |
| 1275513822 | Joseph Hannan | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2006-01-19 |
| Street Address |
2235 CHALLENGER WAY SUITE 102 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-5458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770593568 | Joann Hawk | Psychologist | 2235 Challenger Way, Suite 102, Santa Rosa, CA 95407-5458 | 2006-08-08 |
| 1508403551 | Victoria Ojiako | Nurse Practitioner | 2235 Challenger Way, Santa Rosa, CA 95407-5458 | 2019-12-09 |
| 1326693326 | Jacob Benjamin Soled | Registered Nurse | 2235 Challenger Way, Santa Rosa, CA 95407-5458 | 2019-08-06 |
| 1750934766 | Dolores Ann Navarro | Registered Nurse | 2235 Challenger Way, Santa Rosa, CA 95407-5458 | 2019-07-18 |
| 1538376686 | George A. Aiken | Counselor | 2235 Challenger Way, Suite 102, Santa Rosa, CA 95407-5421 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174069371 | Wellmind Center, A Medical Corporation | Psychiatry & Neurology | 1400 N. Dutton Avenue, Suite #6, Santa Rosa, CA 95401-4644 | 2017-01-11 |
| 1508132309 | Cuyler Burns Goodwin | Psychiatry & Neurology | 1506 4th St, Santa Rosa, CA 95404-4018 | 2012-03-26 |
| 1194987255 | North Bay Psychiatric Associates Inc | Psychiatry & Neurology | 3410 Mendocino Ave, Santa Rosa, CA 95403-2244 | 2008-06-30 |
| 1376728022 | Lorette Marie Labataille | Psychiatry & Neurology | 509 7th St Ste 100, Santa Rosa, CA 95401-5297 | 2007-12-31 |
| 1457546517 | Roswell Messing IIi | Psychiatry & Neurology | 633 Cherry Street, Santa Rosa, CA 95404 | 2007-09-12 |
| 1164615589 | Anish Sunderrajan Shah | Psychiatry & Neurology | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 | 2007-08-20 |
| 1184824625 | Robert Elias | Psychiatry & Neurology | 2329 Parkwood Ct, Santa Rosa, CA 95409-2625 | 2007-07-23 |
| 1114073129 | Aleta Drummond | Psychiatry & Neurology | 1605 4th St, Suite D, Santa Rosa, CA 95404-4036 | 2007-01-25 |
| 1174676738 | Murray L Zucker | Psychiatry & Neurology | 2455 Bennett Valley Rd Ste C210, Santa Rosa, CA 95404-5671 | 2007-01-18 |
| 1013078625 | Neil P. Ehrlich | Psychiatry & Neurology | 3322 Chanate Rd., Santa Rosa, CA 95404 | 2006-12-13 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
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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.