MS. SHARMILA RAEVETTE WALLACE (NPI# 1609057389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609057389 |
| Entity Type | Individual |
| Full Name | MS. SHARMILA RAEVETTE WALLACE |
| Credential | BA |
| Practice Address |
5425 Holland St Apt 3 Oakland CA 94601-5742 |
| Practice Telephone | 5105333627 |
| Mailing Telephone | 5105333627 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers |
| Street Address |
5425 HOLLAND ST APT 3 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-5742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467740373 | Elizabeth Tang-liang | Psychologist | 510 16th Street, Oakland, CA 94577 | 2011-07-12 |
| 1609929652 | Robert Sargent | Psychologist | 4374 Norton Ave, Oakland, CA 94602-3541 | 2007-01-20 |
| 1033294509 | Paul S. D. Berg | Psychologist | 400 29th St Ste 315, Oakland, CA 94609-3548 | 2006-10-25 |
| 1356871446 | Inka Kristiina Hanhivaara | Psychologist | 1440 Broadway Ste 314, Oakland, CA 94612-2023 | 2017-06-12 |
| 1023364346 | Lauren Kristin Collins | Psychologist | 519 17th St, Suite # 210, Oakland, CA 94612-1527 | 2012-07-25 |
| 1619222924 | Allyson Vincent | Psychologist | 1440 Broadway, Oakland, CA 94612-2041 | 2012-07-24 |
| 1669727202 | Sarah Stephenson Evans | Psychologist | 1440 Broadway, Oakland, CA 94612-2041 | 2012-07-19 |
| 1114214368 | Melissa Anne Murphy | Psychologist | 1440 Broadway, Suite 610, Oakland, CA 94612-2041 | 2011-07-07 |
| 1407171580 | Charles Meyers | Psychologist | 445 Bellevue Ave, Suite 201, Oakland, CA 94610-4923 | 2010-04-01 |
| 1003059593 | Joan Jersey Ponath | Psychologist | 1515 Clay St Fl 10, Oakland, CA 94612-1499 | 2009-04-13 |
| Find all providers in OAKLAND | ||||
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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.