WILLIAM OTTO FAUSTMAN (NPI# 1538114640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538114640 |
| Entity Type | Individual |
| Full Name | WILLIAM OTTO FAUSTMAN |
| Credential | PH.D. |
| Practice Address |
3801 Miranda Ave. Psychology Service 116b Palo Alto CA 94304-1207 |
| Practice Telephone | 6504935000 |
| Mailing Telephone | 6504935000 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY8777 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3801 MIRANDA AVE. PSYCHOLOGY SERVICE 116B |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902344013 | Shady Tawfik | Pharmacist | 3801 Miranda Ave., Pharmacy 119, Palo Alto, CA 94304 | 2017-02-09 |
| 1326404252 | Xuejiao Cui | Speech-Language Pathologist | 3801 Miranda Ave., Palo Alto, CA 94305-1290 | 2016-01-07 |
| 1437543436 | Chih Hsuan Chou | Dentist | 3801 Miranda Ave., Va Palo Alto Health Care System, Dental (160), Palo Alto, CA 94304 | 2015-03-27 |
| 1326442138 | Ursula Rosie Quejado | Nurse's Aide | 3801 Miranda Ave., Palo Alto, CA 94504 | 2014-10-22 |
| 1518118785 | Va Palo Alto Health Care System | Military Hospital | 3801 Miranda Ave., Va Palo Alto Health Care System, Cardiology 111c, Palo Alto, CA 94304-1207 | 2008-10-07 |
| 1245270412 | Jon D Fuller | Internal Medicine | 3801 Miranda Ave., Va Palo Alto Hcs, Palo Alto, CA 94304 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255941753 | Mindy Penzias Dirks | Psychologist | 635 Bryant St # 7, Palo Alto, CA 94301-2502 | 2020-08-09 |
| 1306492236 | Johnna Leigh Medina | Psychologist | 401 Quarry Rd # Mc5718, Palo Alto, CA 94304-1419 | 2019-08-15 |
| 1962973321 | Hannah Leslie Weisman | Psychologist | 248 Homer Ave, Palo Alto, CA 94301-2722 | 2018-12-11 |
| 1235606401 | Karen E Otte | Psychologist | 550 Hamilton Ave Ste 240, Palo Alto, CA 94301-2044 | 2018-10-25 |
| 1124594114 | John Paul Rettger | Psychologist | 407 California Ave Ste 10, Palo Alto, CA 94306-1861 | 2018-10-17 |
| 1801361068 | Teresa Yeong-yi Pan | Psychologist | 3801 Miranda Avenue (116b), Palo Alto, CA 93404 | 2018-10-03 |
| 1992294920 | Kile Malcolm Ortigo | Psychologist | 415 Cambridge Ave Ste 8, Palo Alto, CA 94306-1608 | 2018-05-04 |
| 1003335936 | Yelena Blank | Psychologist | 3801 Miranda Ave # 116f, Palo Alto, CA 94304-1207 | 2017-09-12 |
| 1043735970 | Megan Elizabeth Kelly | Psychologist | 401 Quarry Rd # Mc5722, Palo Alto, CA 94304-1419 | 2017-08-11 |
| 1790145092 | Eval Gal-oz | Psychologist | 415 Cambridge Ave Ste 3, Palo Alto, CA 94306-1608 | 2016-02-29 |
| Find all providers in PALO ALTO | ||||
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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.