KENNY MEAGHER


Address: 39217 Liberty St, Suite B 10, Fremont, CA 94538-1501
Phone: 5107913322

KENNY MEAGHER (NPI# 1558408690) 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) 1558408690
Entity Type Individual
Full Name KENNY MEAGHER
Credential MFTI
Practice Address 39217 Liberty St
Suite B 10
Fremont
CA 94538-1501
Mailing Address 2476 Balmoral St
Union City
CA 94587-1864
Practice Telephone 5107913322
Practice Fax Number 5107913325
Mailing Telephone 5104418824
Enumeration Date 2007-01-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YM0800X Counselor
Specialization: Mental Health
IMF48558 CA Behavioral Health & Social Service Providers
X 106H00000X Marriage & Family Therapist MFTI 48558 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA MENTAL HEALTH 101YM0800X 01

Office Location

Street Address 39217 LIBERTY ST
SUITE B 10
City FREMONT
State CA
Zip Code 94538-1501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881730299 Robert Michael Schwartz Marriage & Family Therapist 39217 Liberty St, Fremont, CA 94538-1501 2007-01-30
1720227242 Kiri Ann H. Siu Counselor 39217 Liberty St, B-10, Fremont, CA 94538-1501 2009-02-05
1689838435 Alisyn Lorenza Rubio Counselor 39217 Liberty St, Suite B-10, Fremont, CA 94538-1501 2008-07-10
1295873610 Adrienne Susanne Oberstein Marriage & Family Therapist 39217 Liberty St, Suite B-10, Fremont, CA 94538-1501 2007-02-01

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1740847284 Gloria Ann Federico Behavior Technician 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 2019-05-21
1093270688 Timothy Lorne Haynes Chiropractor 3775 Beacon Ave., Suite 200, Fremont, CA 94538 2019-02-07
1902370067 Nicole Sandoval Counselor 39155 Liberty St Suite E500, Fremont, CA 94538 2019-01-11
1497225015 Megan Galban Behavior Technician 39210 State St. Suite 220, Fremont, CA 94538 2018-11-27
1780154302 Karla Patricia Plascencia Behavior Technician 39210 State Street Suite 220, Fremont, CA 94538 2018-11-27
1215407846 Sydney J Torrens Behavior Technician 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 2018-11-27
1932676277 Jarah Harvan Psychologist 1999 Mowry Ave Ste F, Fremont, CA 94538 2018-10-24
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871101279 Compass Behavioral Health, LLC Counselor 915 Croghan St, Fremont, OH 43420-2337 2020-07-21
1447897293 Brandon Tomlinson Counselor 101 Norbert Dr, Fremont, OH 43420-9296 2019-11-27
1881166973 Erin Kathleen Wegener Counselor 1835 E Military Ave Ste 115, Fremont, NE 68025-5477 2018-12-29
1417442997 Bingqing Cui Counselor 39210 State St Ste 109, Fremont, CA 94538-1456 2018-06-26
1235629940 Sharon Campbell Counselor 3100 Mowry Ave Ste 303, Fremont, CA 94538-1531 2018-05-17
1013447473 Alicia Michelle Falcone Counselor 424 W 23rd St Ste D, Fremont, NE 68025-1211 2017-06-18
1194259853 Fang Xie Counselor 39155 Liberty St. Suite E500, Fremont, CA 94538 2017-04-19
1184078974 Jacqueline Rezac Counselor 424 W 23rd St Ste E, Fremont, NE 68025-1211 2016-04-18
1669848081 Orchid of Hope Counseling Counselor 1835 E Military Ave Ste 129, Fremont, NE 68025-5477 2015-08-19
1336539626 Rob A. Owens Counselor 230 E 22nd St Ste 4, Fremont, NE 68025-2661 2015-01-26
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Competitor

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City FREMONT
Zip Code 94538

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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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