MR. JEFFREY BROMBERG (NPI# 1568531580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568531580 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY BROMBERG |
| Credential | PH.D. |
| Practice Address |
2450 Peralta Blvd Suite 212 Fremont CA 94536-3827 |
| Practice Telephone | 5107918120 |
| Mailing Telephone | 5107918120 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY11132 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2450 PERALTA BLVD SUITE 212 |
| City | FREMONT |
| State | CA |
| Zip Code | 94536-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548286271 | Carolyn Ann Rogers | Social Worker | 2450 Peralta Blvd, Suite 212, Fremont, CA 94536-3827 | 2006-07-14 |
| 1841606241 | Stephanie Nguyen | Social Worker | 2450 Peralta Blvd, Suite 212, Fremont, CA 94536-3827 | 2014-07-07 |
| 1932287117 | Joann Rodrigues | Marriage & Family Therapist | 2450 Peralta Blvd, Suite 212, Fremont, CA 94536 | 2006-11-02 |
| 1457438228 | Deborah Lefferts | Marriage & Family Therapist | 2450 Peralta Blvd, Suite #212, Fremont, CA 94536 | 2006-11-01 |
| 1538178207 | Lara Cyndeyrn Ferguson | Psychologist | 2450 Peralta Blvd, Suite 106, Fremont, CA 94536-3823 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342036 | Aria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 37179 Fremont Blvd, Fremont, CA 94536 | 2020-10-06 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
| 1972958247 | Priyanka Gwalani | Internal Medicine | 656 Mowry Ave., Fremont, CA 94536 | 2016-04-25 |
| 1700258522 | Mats Hellsten | Marriage & Family Therapist | 38950 Blacow Road, Suite D, Fremont, CA 94536 | 2015-10-21 |
| 1255727293 | Nicholas Andrew Phillips | Family Medicine | 556 Mowry Ave Ste 200, Fremont, CA 94536 | 2015-04-07 |
| 1356735120 | Anthony Chukwunonso Okereke | Pharmacist | 35829 Cabrillo Drive, Fremont, CA 94536 | 2015-03-19 |
| 1992118590 | Aaron Jake Bera | Chiropractor | 35666 Gleason Ln, Fremon, CA 94536 | 2014-06-11 |
| 1467898809 | Vijayalakshmi Natarajan | Health Educator | 4941 Roselle Cmn, Fremont, CA 94536 | 2013-05-13 |
| 1184968919 | Linda Kim | Behavioral Analyst | 3750 Tamayo St Apt 93, Fremont, CA 94536 | 2012-11-16 |
| 1346518487 | Arsen Rhoel Donesa | Dentist | 37149 Fremont Boulevard, Fremont, CA 94536 | 2011-12-04 |
| Find all providers in zip 94536 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437649290 | Myrella Thompson | Psychologist | 89 Montalban Dr, Fremont, CA 94536-1679 | 2018-05-16 |
| 1720512957 | Cherie Page | Psychologist | 39199 Guardino Dr, Fremont, CA 94538-3014 | 2017-04-14 |
| 1114327806 | High Top Manor Psychological Services | Psychologist | 503 Garrison St., Fremont, OH 43420-2946 | 2014-08-29 |
| 1235556812 | Raymond Grimm | Psychologist | 3100 Mowry Ave Ste 402, Fremont, CA 94538-1509 | 2014-03-21 |
| 1134490725 | Marta Schneider Brody | Psychologist | 34016 Webfoot Loop, Fremont, CA 94555-2975 | 2012-01-13 |
| 1720379613 | Odlinx Incorporated | Psychologist | 39825 Paseo Padre Pkwy Ste B, Fremont, CA 94538-3031 | 2011-04-26 |
| 1942500491 | Gurminder Kaur Sahasi | Psychologist | 3110 Dunsanay Court, Fremont, CA 94536 | 2010-11-01 |
| 1518196427 | Kristin Nicole Moore | Psychologist | 39100 Gallaudet Dr, Fremont, CA 94538-2325 | 2009-07-13 |
| 1750534467 | John Arthur Rekart | Psychologist | 37702 Logan Dr, Fremont, CA 94536-5868 | 2008-10-24 |
| 1285808915 | Anne M Bisek | Psychologist | 3602 Thornton Ave # 54, Fremont, CA 94536-7400 | 2008-04-14 |
| Find all providers in FREMONT | ||||
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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.