DR. ALYSE MICHELE GULACK (NPI# 1609481282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609481282 |
| Entity Type | Individual |
| Full Name | DR. ALYSE MICHELE GULACK |
| Credential | AUD |
| Practice Address |
795 Willow Rd Menlo Park CA 94025-2539 |
| Mailing Address |
610 Hamilton Ave Menlo Park CA 94025-1304 |
| Practice Telephone | 6506149997 |
| Mailing Telephone | 5596962159 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AUD.0001036 | CO | Speech, Language and Hearing Service Providers |
| Street Address |
795 WILLOW RD |
| City | MENLO PARK |
| State | CA |
| Zip Code | 94025-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205899168 | Vivian Chan | Nurse Practitioner | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2006-04-10 |
| 1114571213 | Suzanne Deisher | Art Therapist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2019-07-26 |
| 1003473984 | Timothy J Avery | Psychologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2019-05-25 |
| 1093278483 | Jeane Bosch | Psychologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2019-04-11 |
| 1417436122 | Erin Elena Martinez | Psychologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2018-08-13 |
| 1619484961 | Tequila Webb | Social Worker | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2018-01-09 |
| 1952815987 | Melinda Sue Ward | Social Worker | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2017-11-29 |
| 1992218234 | Ashley Bauer | Psychologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2017-11-08 |
| 1740790898 | Julia Mwangi | Pharmacist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2017-10-03 |
| 1083134993 | Eric Angelo Davis | Counselor | 795 Willow Rd, 332, Menlo Park, CA 94025 | 2017-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350112 | Grail, Inc. | Clinical Medical Laboratory | 1525 O'brien Drive, Menlo Park, CA 94025 | 2020-09-09 |
| 1528673399 | Hanan Wasse | Occupational Therapist | 860 Fremont # Apt 2, Menlo Park, CA 94025 | 2020-09-09 |
| 1356967608 | Raymond Joseph Brinkmann | Counselor | 795 Willow Road Bldg 332, Menlo Park, CA 94025 | 2020-06-23 |
| 1245859883 | Connie Margarita Alonzo-frisz | Marriage & Family Therapist | Garfield Community School, 3600 Middlefield Rd, Menlo Park, CA 94025 | 2020-04-14 |
| 1225661911 | Crossover Health Medical Group | Specialist | 193 Jefferson Dr., Menlo Park, CA 94025 | 2020-02-20 |
| 1942774732 | Irazema Garcia | Health Educator | 3000 Sand Hill Road, Building 3, Suite 240, Menlo Park, CA 94025 | 2019-01-15 |
| 1538639174 | Care Indeed, Inc. | Home Health | 890 Santa Cruz Ave., Menlo Park, CA 94025 | 2018-11-27 |
| 1639644370 | Wendy Figone | Massage Therapist | 575 Gilbert Ave., Menlo Park, CA 94025 | 2018-10-09 |
| 1437667540 | Christina E Kang | Nutritionist | 3639 Haven Ave Unit A424, Menlo Park, CA 94025 | 2018-01-11 |
| 1225492820 | Speachy Learning Center | Speech-Language Pathologist | 1164 Chestnut Street, Menlo Park, CA 94025 | 2016-04-09 |
| Find all providers in zip 94025 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780018135 | Ariel Baxterbeck Fruendt | Audiologist | 3555 Alameda De Las Pulgas Ste 100, Menlo Park, CA 94025-6509 | 2013-08-21 |
| 1134295421 | Ellen J King | Audiologist | 321 Middlefield Rd., Menlo Park, CA 94025 | 2006-11-28 |
| 1144837444 | Valerie Tina Kun | Audiologist | 3555 Alameda De Las Pulgas Ste 100, Menlo Park, CA 94025-6509 | 2020-09-30 |
| 1174022685 | Rachel Lynn Appleton | Audiologist | 3555 Alameda De Las Pulgas Ste 100, Menlo Park, CA 94025-6509 | 2018-02-09 |
| 1477918142 | Hannah Rochelle Wrobel | Audiologist | 3555 Alameda De Las Pulgas, Ste #100, Menlo Park, CA 94025 | 2015-12-23 |
| 1437585023 | Chasity Shea Moore | Audiologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2013-09-16 |
| 1073653325 | Margaret Lisi | Audiologist | 3555 Alameda De Las Pulgas, Ste 1, Menlo Park, CA 94025-6509 | 2007-02-07 |
| 1013057223 | Jane Hildreth Baxter | Audiologist | 3555 Alameda De Las Pulgas, Ste 1, Menlo Park, CA 94025-6509 | 2007-02-07 |
| 1518976067 | Donn Reilley | Audiologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273856 | Jaclyn Marie Moor | Audiologist | 2452 Watson Ct Ste 1700, Palo Alto, CA 94303-3216 | 2020-10-20 |
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1063029635 | Julia Rebecca Drouin | Audiologist | 520 N Brookhurst St Ste 107, Anaheim, CA 92801-5207 | 2020-09-28 |
| 1093329096 | Chad Walker | Audiologist | 20911 Earl St Ste 400, Torrance, CA 90503-4355 | 2020-09-07 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1518570779 | Lauren Jean Sandberg | Audiologist | 1805 N New Hampshire Ave, Los Angeles, CA 90027-4231 | 2020-08-27 |
| 1366052680 | Chenchen Zhang | Audiologist | 2280 Diamond Blvd Ste 520, Concord, CA 94520-5719 | 2020-08-01 |
| 1407464233 | Alexis Marina Ronney | Audiologist | 197 E Caroline St Ste 1100, San Bernardino, CA 92408-3731 | 2020-07-17 |
| 1033727961 | Nicholas Anthony Faillace | Audiologist | 3590 Camino Del Rio N Ste 201, San Diego, CA 92108-1707 | 2020-07-16 |
| 1316565633 | Meagan Michelle Bergeron | Audiologist | 6060 Hellyer Ave Ste 150, San Jose, CA 95138-1047 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
| City | MENLO PARK |
| Zip Code | 94025 |
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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.