DR. JOHN THOMAS SORRELL (NPI# 1417166695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417166695 |
| Entity Type | Individual |
| Full Name | DR. JOHN THOMAS SORRELL |
| Credential | PHD |
| Practice Address |
222 W 39th Ave San Mateo CA 94403-4364 |
| Mailing Address |
224 Briar Ln San Mateo CA 94403-3342 |
| Practice Telephone | 6505733564 |
| Practice Fax Number | 6505717802 |
| Mailing Telephone | 6507734764 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 21440 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356420442 | John Sorrell | Emergency Medicine | 1200 Johnnie Dodds Blvd, Mount Pleasant, SC 29464-3231 | 2006-11-02 |
| Street Address |
222 W 39TH AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683789 | Diana V Jao | Internal Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2005-07-20 |
| 1306465125 | Rennie Burke | Student in an Organized Health Care Education/Training Program | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-04-11 |
| 1447887856 | Michelle Wong | Physical Therapist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-03-25 |
| 1508406398 | Alexandria Vanessa Perez | Counselor | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-01-09 |
| 1275197899 | Connie Chen | General Practice | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2019-04-29 |
| 1063075596 | Jiaochen Ke | General Practice | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2019-04-19 |
| 1952877524 | Asmi Mehta | Physical Therapist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-10-22 |
| 1649753427 | Ariane Beck | Emergency Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-09-08 |
| 1114408176 | Matthew Tyler Sachs | Registered Nurse | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-08-27 |
| 1679066047 | Niloofar Zabihi | Pharmacist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| Find all providers in zip 94403 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226387 | Elizabeth Sokolik Green | Psychologist | 26 Seville Way, San Mateo, CA 94402-2831 | 2020-05-08 |
| 1306481288 | Andrew Charlton Sweet | Psychologist | 177 Bovet Rd Ste 540, San Mateo, CA 94402-3121 | 2019-11-14 |
| 1265962146 | Soo Uhm | Psychologist | 1010 S El Camino Real Ste A, San Mateo, CA 94402-2802 | 2017-06-14 |
| 1336690924 | Courtney Chappuis Farmer | Psychologist | 87 Lodato Ave, San Mateo, CA 94403-1723 | 2016-10-18 |
| 1730469198 | Ann K Rawley | Psychologist | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2011-08-17 |
| 1104137637 | Marie Sara Rivera Yap | Psychologist | 1720 S Amphlett Blvd Ste 220g, San Mateo, CA 94402-2713 | 2010-06-30 |
| 1235368135 | Patrice Fortune | Psychologist | 63 Bovet Road #221, San Mateo, CA 94402-3104 | 2009-07-13 |
| 1851597058 | Stan Friedman | Psychologist | 100 S Ellsworth Ave Ste 511, San Mateo, CA 94401-3929 | 2007-06-25 |
| 1932303625 | Susan Enochs | Psychologist | 1650 Borel Pl Ste 125, San Mateo, CA 94402-3507 | 2007-06-14 |
| 1184836330 | June Marie Martin | Psychologist | 1100 S. El Camino Real, Suite #3, San Mateo, CA 94402 | 2007-05-03 |
| Find all providers in SAN MATEO | ||||
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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.