SRIJANA O'CONNELL (NPI# 1598043648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598043648 |
Entity Type | Individual |
Full Name | SRIJANA O'CONNELL |
Credential | M.D. |
Practice Address |
39899 Balentine Dr Ste 210 Newark CA 94560-5361 |
Mailing Address |
3835 N Freeway Blvd Ste 100 Sacramento CA 95834-1954 |
Practice Telephone | 5106579700 |
Practice Fax Number | 5106577335 |
Mailing Telephone | 9165767900 |
Mailing Fax Number | 9162850338 |
Enumeration Date | 2011-07-22 |
Last Update Date | 2018-03-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
142844 | CA | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
142844 | CA | Allopathic & Osteopathic Physicians |
Street Address |
39899 BALENTINE DR STE 210 |
City | NEWARK |
State | CA |
Zip Code | 94560-5361 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023322567 | Priyanka Baweja | Psychiatry & Neurology | 39899 Balentine Dr Ste 210, Newark, CA 94560-5361 | 2010-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
1942788971 | Evelyn Ibanez | Behavioral Analyst | 35201 Lido Blvd, Newark, CA 94560 | 2018-08-01 |
1851892954 | Chito Pascual | Nurse Practitioner | 7600 Gateway Blvd., Newark, CA 94560 | 2018-02-23 |
1700295466 | Juan Emanuel Tan Santos | Dentist | 5270 Newpark Mall Road, Newark, CA 94560 | 2014-08-07 |
1063761146 | Sarah Larae Devoe Scribner | Physical Therapist | 5600 John Muir Road, Newark, CA 94560 | 2012-09-05 |
1285983858 | Louie Crespo Ortiz-luis | General Practice | 35455 Dumbarton Court, Newark, CA 94560 | 2012-08-29 |
1184932535 | Annie Thanh-yen Du | Psychologist | 3900 Newpark Mall Rd, Ste 300, Newark, CA 94560 | 2010-09-20 |
1083931836 | Susan Elizabeth Hanaburgh | Marriage & Family Therapist | 39899 Balentine Drive #212, Family Service of The Tri-cities, Newark, CA 94560 | 2010-05-03 |
1306098694 | Maria Isabelle Santos Tuohy | Dentist | 5270 Newpark Plaza, Newark, CA 94560 | 2008-10-17 |
1699955765 | Jaspreet Kaur Harika | Dentist | 39736 Cedar Blvd, Newark, CA 94560 | 2007-11-06 |
Find all providers in zip 94560 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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1205218757 | Markian Yuriy Pazuniak | Psychiatry & Neurology | 4755 Ogletown Stanton Rd Ste 116, Newark, DE 19718-2200 | 2015-06-22 |
1699970608 | Family & Youth Institute | Psychiatry & Neurology | 14 Sandalwood Drive, Newark, OH 43055 | 2007-06-19 |
1396205563 | Essex Psychiatric Center for Children & Adults LLC | Psychiatry & Neurology | 111 Central Ave, Newark, NJ 07102-1909 | 2019-03-22 |
1972845410 | Tenzing Yangchen | Psychiatry & Neurology | 183 S Orange Ave, Newark, NJ 07103 | 2013-03-22 |
1003127101 | Ayesha Silman | Psychiatry & Neurology | 100 Rockford Dr, Newark, DE 19713-2120 | 2010-06-23 |
1275869612 | Jessica Elizabeth Shabo | Psychiatry & Neurology | 183 South Orange Ave, Bhsb E-1447 Psychiatry Department, Newark, NJ 07101-1709 | 2009-10-20 |
1194982900 | Cecilia Del Carmen Belardinelli | Psychiatry & Neurology | 183 S Orange Ave, Newark, NJ 07103-2757 | 2008-05-20 |
1578574919 | Charles W Snyder | Psychiatry & Neurology | 1445 W Main St, Newark, OH 43055-1989 | 2006-08-11 |
1679583272 | University Physician Associates of New Jersey Inc | Psychiatry & Neurology | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
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1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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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.