CAROL LYNN DAVIS (NPI# 1518589662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518589662 |
| Entity Type | Individual |
| Full Name | CAROL LYNN DAVIS |
| Practice Address |
7200 Bancroft Ave Ste 133 Oakland CA 94605-2480 |
| Mailing Address |
2308 Saint George Dr Concord CA 94520-1331 |
| Practice Telephone | 5105538500 |
| Mailing Telephone | 9258760195 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 37421 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982129045 | Carol F Davis | Counselor | 1326 Watchung Avenue, Plainfield, NJ 07060 | 2017-08-10 |
| 1437515285 | Carol Diane Davis | Occupational Therapist | 612 Country Club Dr, Evanston, WY 82930-3252 | 2016-01-09 |
| 1073859880 | Carol Davis | Speech-Language Pathologist | 40th St Ct Nw, Artondale Elementary School, Gig Harbor, WA 98335 | 2012-12-26 |
| 1104101344 | Carol A Davis | Registered Nurse | 6900 Alden Dr. Bldg 160, F.e. Warren Afb, Cheyenne, WY 82005-4800 | 2011-10-19 |
| 1821393620 | Carol Denise Davis | Preventive Medicine | 30 Bell Avenue, Bldge 490 Omc Brookhaven National Laboratory, Upton, NY 11973 | 2011-01-26 |
| 1972731065 | Carol Downs Davis | Counselor | 911 E Powell St, Springfield, MO 65807-5125 | 2009-06-26 |
| 1972754653 | Carol Ann Davis I | Massage Therapist | 11611 Ramirez Rd, Klamath Falls, OR 97603-8963 | 2008-10-01 |
| 1780842252 | Carol Elsa Davis | Assisted Living Facility | 8045 Normanshire Ct, Anchorage, AK 99504 | 2008-05-30 |
| 1467651158 | Carol K Davis | Contractor | 9601 W Timberline Dr, Sun City, AZ 85351-2922 | 2007-07-13 |
| 1205054830 | Carol J. Davis | Chiropractor | 1018 College Rd, Fairbanks, AK 99701-1557 | 2007-04-20 |
| Street Address |
7200 BANCROFT AVE STE 133 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94605-2480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801983960 | Telecare Corporation | Clinic/Center | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2006-10-09 |
| 1720686322 | Darryl Wadsworth | Case Manager/Care Coordinator | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-10-15 |
| 1720695802 | Jennifer C Lopez | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-09-23 |
| 1700493871 | Daniel C Firpo | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-09-23 |
| 1437761772 | Emerald Sanderlin | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-08-18 |
| 1053939033 | Gloria Morales | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-07-07 |
| 1669009726 | Nicole Hans | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-03-26 |
| 1689209017 | Kaya Sha Sibley | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-03-05 |
| 1619519857 | Bradley Polson Bachman | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2019-10-09 |
| 1437614674 | Olga Franco-madaris | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2019-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1285296475 | Veronica Aguila | Behavior Technician | 2949 Parker Ave, Oakland, CA 94605 | 2019-07-08 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| 1467930966 | Claudia Sanchez | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 | 2018-08-06 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1073997110 | Sandra Lenoski | Social Worker | 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 | 2015-07-18 |
| 1366831414 | Wing Kit Leung | Physical Therapy Assistant | 2445 64th Ave, Oakland, CA 94605 | 2015-01-13 |
| 1558647735 | Jessica Welsh | Counselor | 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 | 2011-11-01 |
| Find all providers in zip 94605 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073134581 | Matthew Mendez | Licensed Psychiatric Technician | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2020-05-06 |
| 1699317628 | Tameka R Purnell | Licensed Psychiatric Technician | 280 17th St, Oakland, CA 94612-4124 | 2019-10-10 |
| 1841507753 | Will E Gillyard | Licensed Psychiatric Technician | 2620 26th Ave, Oakland, CA 94601-1907 | 2010-09-13 |
| 1659418911 | Carol Ann Upton | Licensed Psychiatric Technician | 280 17th St, Oakland, CA 94612-4124 | 2007-01-30 |
| 1770629693 | Charles Paul Hastings | Licensed Psychiatric Technician | 4368 Lincoln Ave, Attention Nursing Office, Oakland, CA 94602-2529 | 2007-01-29 |
| 1720145923 | Luis Manuel Diaz | Licensed Psychiatric Technician | 7200 Bancroft Ave, Eastmont Town Center Bldg. B Suite 133, Oakland, CA 94605-2403 | 2007-01-03 |
| 1336206572 | Marie Ann Long | Licensed Psychiatric Technician | 7200 Bancroft Ave, Eastmont Town Center Bldg. B Suite 133, Oakland, CA 94605-2403 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
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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.