MR. MARIO MACIAS JR. (NPI# 1477843902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477843902 |
| Entity Type | Individual |
| Full Name | MR. MARIO MACIAS JR. |
| Other Name | MARIO MACIAS JR. |
| Credential | MFTI |
| Practice Address |
511 Estudillo Ave San Leandro CA 94577-4611 |
| Mailing Address |
6401 Shellmound St Apt 6216 Emeryville CA 94608-1065 |
| Practice Telephone | 5107467480 |
| Mailing Telephone | 5594170380 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2015-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMF73931 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174881601 | Mario Alejandro Macias II | Obstetrics & Gynecology | 3581 Roger Brooke Dr., Brooke Army Medical Center, Apo, AP 78234 | 2012-05-03 |
| Street Address |
511 ESTUDILLO AVE |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94577-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760448054 | Yasin Mansoor | Psychiatry & Neurology | 511 Estudillo Ave, San Leandro, CA 94577-4611 | 2006-04-25 |
| 1912365453 | Tamar Thomas | Counselor | 511 Estudillo Ave, San Leandro, CA 94577-4611 | 2016-01-28 |
| 1326310327 | Sophia Yu | Social Worker | 511 Estudillo Ave, San Leandro, CA 94577-4611 | 2012-02-06 |
| 1073897153 | James Hong | Social Worker | 511 Estudillo Ave, San Leandro, CA 94577-4611 | 2011-10-06 |
| 1215219258 | Hilary Loo Saam Meu | Social Worker | 511 Estudillo Ave, San Leandro, CA 94577-4611 | 2011-09-15 |
| 1205163086 | Stars, Inc. | Community/Behavioral Health | 511 Estudillo Ave, San Leandro, CA 94577-4611 | 2009-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
| 1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
| 1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
| 1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
| 1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
| 1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
| 1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
| 1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
| Find all providers in zip 94577 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346886678 | Theresa Marie Isidro | Counselor | 500 Davis St Ste 100, San Leandro, CA 94577-2758 | 2019-11-21 |
| 1407367311 | Phil Nastri | Counselor | 14740 Martell Ave Apt E, San Leandro, CA 94578-4447 | 2017-10-18 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1366825499 | Meghan Mchugh | Counselor | 525 Estudillo Ave, San Leandro, CA 94577-4684 | 2015-07-07 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1487999157 | Vanessa Vargas Hernandez | Counselor | 140 Belleview Dr, 3, San Leandro, CA 94577-1756 | 2012-12-06 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1295020238 | Chatani Iman Miller | Counselor | 511 Estudillo Ave., Stars Community Services Tay Program, San Leandro, CA 94577 | 2011-06-17 |
| 1780991604 | Herbert Dominique Smyer II | Counselor | 2233 Fairway Dr Apt 1, San Leandro, CA 94577-5451 | 2010-09-13 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94577 |
Please comment or provide details below to improve the information on MR. MARIO MACIAS JR..
| 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.