DR. JUDITH JANE PROCHASKA


Address: 1265 Welch Rd # X306, Stanford, CA 94305-5102
Phone: 6507243608

DR. JUDITH JANE PROCHASKA (NPI# 1548417561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548417561
Entity Type Individual
Full Name DR. JUDITH JANE PROCHASKA
Credential PHD
Practice Address 1265 Welch Rd # X306
Stanford
CA 94305-5102
Practice Telephone 6507243608
Mailing Telephone 6507243608
Enumeration Date 2008-08-20
Last Update Date 2017-02-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
CA PSY 20687 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1265 WELCH RD # X306
City STANFORD
State CA
Zip Code 94305-5102

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NPI Name Taxonomy Address Enumeration
1760092126 Meilin Liang Physician Assistant 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 2020-07-31
1356962484 Shuo Cai Student in an Organized Health Care Education/Training Program 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 2020-04-29
1760046916 Jennifer M Piselli Physician Assistant 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 2019-04-23
1912482365 Martin Nikolaus Stienen Neurological Surgery Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 2018-10-02
1043797434 Natalie Lynn Dykzeul Genetic Counselor, MS 300 Pasteur Drive H315, Stanford, CA 94305 2018-07-27
1144727223 Kingsley Anuoluwapo Oladeji Student in an Organized Health Care Education/Training Program Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 2018-04-06
1437675402 Abhinav Sharma Internal Medicine 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 2017-08-21
1194258491 Silvia Paola Russo Student in an Organized Health Care Education/Training Program 300 Pasteur Dr # H3144, Palo Alto, CA 94305 2017-04-04
1649629155 Jason Ross Student in an Organized Health Care Education/Training Program Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 2016-06-06
1588010235 Brian Dang Pharmacist 500 Pasteur Drive Room J010, Stanford, CA 94305 2016-05-12
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982929303 Kamal Fuad Freiha Psychologist 962 Cottrell Way, Stanford, CA 94305-1012 2010-03-29
1740403823 Naomi Brown Psychologist Caps-vaden Health Center, 866 Campus Drive, Stanford University, Stanford, CA 94305-8580 2007-04-10
1598837510 Kathy Lee Psychologist Stanford University-caps, 866 Campus Drive, Stanford, CA 94305-8580 2006-11-14
1235747478 Aaron Israel Rosales Psychologist 866 Campus Dr, Stanford, CA 94305-8508 2020-07-14
1154852655 David Camacho Talavera Psychologist 300 Pasteur Dr, Stanford, CA 94305-2200 2017-03-25
1285007427 Rie Lebus Psychologist 401 Quarry Road, Stanford, CA 94305-5722 2015-11-10
1790153153 Valerie Hoover Psychologist 300 Pasteur Dr, Room A-343, Stanford, CA 94305-2200 2015-09-02
1568838050 Nichole Olson Psychologist 401 Quarry Road, Stanford, CA 94305 2015-08-19
1396121653 Erin Lynne Cassidy Eagle Psychologist 401 Quarry Road, Mc 5723, Stanford, CA 94305 2015-08-09
1568853547 Lauren Lee Psychologist 585 Capistrano Way, Office 209, Stanford, CA 94305-8200 2015-02-11
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Competitor

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City STANFORD
Zip Code 94305

Improve Information

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Dataset Information

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.

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