MRS. AMY GERVASI MAYO (NPI# 1588710453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588710453 |
| Entity Type | Individual |
| Full Name | MRS. AMY GERVASI MAYO |
| Credential | MFT |
| Practice Address |
205 E 3rd Ave San Mateo CA 94401-4051 |
| Practice Telephone | 6504387024 |
| Practice Fax Number | 6503593161 |
| Mailing Telephone | 6504387024 |
| Mailing Fax Number | 6503593161 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 40491 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | 80641 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679866420 | Amy Mayo | Speech-Language Pathologist | Avondale Ave, Hornell, NY 14843-2047 | 2011-05-25 |
| Street Address |
205 E 3RD AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760592901 | Krysta A Banazek | Marriage & Family Therapist | 205 E 3rd Ave, Suite 207a, San Mateo, CA 94401-4051 | 2006-08-30 |
| 1609266402 | Michelle Busch Potter | Marriage & Family Therapist | 205 E 3rd Ave, Suite 307c, San Mateo, CA 94401-4051 | 2015-01-31 |
| 1982954061 | Kimberly Dawn Rich | Marriage & Family Therapist | 205 E 3rd Ave, Suite 303, San Mateo, CA 94401-4051 | 2012-09-14 |
| 1942567615 | Spring Tide Natural Health | Acupuncturist | 205 E 3rd Ave, Suite 206, San Mateo, CA 94401-4051 | 2012-04-18 |
| 1144549916 | Lisa Lavaysse | Psychologist | 205 E 3rd Ave, Mezzanine 1-a, San Mateo, CA 94401-4051 | 2010-05-19 |
| 1013150176 | Eva K Pang | Psychologist | 205 E 3rd Ave, San Mateo, CA 94401-4051 | 2009-04-19 |
| 1427290576 | Mark Sapaen Watan | Acupuncturist | 205 E 3rd Ave, Suite 410, San Mateo, CA 94401-4051 | 2009-04-02 |
| 1295982254 | Terri Lyn Zucker | Psychologist | 205 E 3rd Ave, Ste 208, San Mateo, CA 94401-4051 | 2008-08-21 |
| 1609041185 | Richard Stewart Cameron | Counselor | 205 E 3rd Ave, Suite 203, San Mateo, CA 94401-4051 | 2008-04-25 |
| 1629279757 | Marilyn Mellott Bacigalupi | Marriage & Family Therapist | 205 E 3rd Ave, 315, San Mateo, CA 94401-4051 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679840458 | Noe Chavez Coto | Case Manager/Care Coordinator | 1416 Nadina St, San Mateo, CA 94402 | 2011-11-22 |
| 1851524078 | Trena Lavon Patton | Case Manager/Care Coordinator | 225-37th Avenue, San Mateo, CA 94403 | 2009-09-04 |
| 1023270485 | Christian Rachel Washburn | Case Manager/Care Coordinator | 222 West 39th Ave, San Mateo, CA 94403 | 2008-06-27 |
| 1528667979 | Adeline Rae Mannino | Case Manager/Care Coordinator | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2020-10-17 |
| 1376150490 | Aaron Walter | Case Manager/Care Coordinator | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2020-09-24 |
| 1811501497 | Alexis Guitron | Case Manager/Care Coordinator | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2020-09-01 |
| 1326664301 | Forouzandeh Evotia Hoda | Case Manager/Care Coordinator | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2020-06-24 |
| 1275154254 | Pamela Patton | Case Manager/Care Coordinator | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2020-05-01 |
| 1609497775 | Ioane Cruz Levi | Case Manager/Care Coordinator | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2020-04-30 |
| 1346861465 | Nadrina Weseman | Case Manager/Care Coordinator | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2020-04-29 |
| Find all providers in SAN MATEO | ||||
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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.