DR. PHILIP JOSEPH VERDERAME (NPI# 1619032083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619032083 |
| Entity Type | Individual |
| Full Name | DR. PHILIP JOSEPH VERDERAME |
| Other Name | DR. PHILIP J. VERDERAME |
| Credential | M.D. |
| Practice Address |
2020 Coffee Rd Suite H-1 Modesto CA 95355-2427 |
| Practice Telephone | 2095221023 |
| Practice Fax Number | 0000000000 |
| Mailing Telephone | 2095221023 |
| Mailing Fax Number | 0000000000 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A35450 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE NUMBER | A35450 | 01 |
| Street Address |
2020 COFFEE RD SUITE H-1 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033107438 | Kathleen S. Rawe | Pharmacy | 2020 Coffee Rd, Suite C2, Modesto, CA 95355-2427 | 2005-10-10 |
| 1063772846 | Charles Wickersham | Pharmacist | 2020 Coffee Rd, Suite C2, Modesto, CA 95355-2427 | 2012-05-25 |
| 1326326281 | Raymond Nepomuceno | Dentist | 2020 Coffee Rd, Suite B-4, Modesto, CA 95355-2427 | 2011-07-26 |
| 1275786733 | Kim Tran Vu | Dentist | 2020 Coffee Rd, Ste. G-2, Modesto, CA 95355-2427 | 2008-10-28 |
| 1770772287 | Daniel T. Vu | Dentist | 2020 Coffee Rd, Ste. G-2, Modesto, CA 95355-2427 | 2007-10-20 |
| 1023217999 | Lavedita Levette Parker | Dentist | 2020 Coffee Rd, Suite E, Modesto, CA 95355-2427 | 2007-07-12 |
| 1851502793 | Yvonne Marie Mcloughlin | Marriage & Family Therapist | 2020 Coffee Rd, Suite H-4, Modesto, CA 95355-2427 | 2007-05-24 |
| 1194943035 | Trinh Mai Ngoc Vo | Dentist | 2020 Coffee Rd, A-4, Modesto, CA 95355-2427 | 2007-04-24 |
| 1104049386 | Kristi Abigail Carson | Massage Therapist | 2020 Coffee Rd, Ste. D-3, Modesto, CA 95355-2427 | 2007-04-10 |
| 1164544698 | Jerold Rosenthal | Marriage & Family Therapist | 2020 Coffee Rd, H-6, Modesto, CA 95355-2427 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538405865 | David Michael Hirchak Jr. | Psychiatry & Neurology | 1505 Claus Road, Modesto, CA 95355-4701 | 2012-12-13 |
| 1104071885 | Jaaneali Mehdi | Psychiatry & Neurology | 1501 Claus Rd Ste F, Modesto, CA 95355-9711 | 2008-11-23 |
| 1164673455 | Juan Antonio Galvez-buccollini Abanto | Psychiatry & Neurology | 3501 Coffee Rd Ste 201, Modesto, CA 95355-1343 | 2008-10-05 |
| 1194974295 | Omer Liran | Psychiatry & Neurology | 1551 Claus Road, Modesto, CA 95355 | 2008-09-12 |
| 1689897365 | Mark Hamilton Henigan | Psychiatry & Neurology | 1729 Tully Rd, Suite Eight, Modesto, CA 95350-4082 | 2007-04-11 |
| 1104986165 | Vinita Wadhwani | Psychiatry & Neurology | 1400 Celeste Drive, Crestwood Mannor, Modesto, CA 95355 | 2006-12-11 |
| 1710050158 | Dao Xuanthi Tran | Psychiatry & Neurology | 1100 Kansas Ave, Suite A, Modesto, CA 95351-1596 | 2006-11-15 |
| 1588742498 | Gilbert Eggen | Psychiatry & Neurology | 3509 Coffee Rd, Ste D18, Modesto, CA 95355-1358 | 2006-11-01 |
| 1790868834 | Bernardo Joven Mora | Psychiatry & Neurology | 421 E Morris Ave, Modesto, CA 95354-0437 | 2006-10-23 |
| 1306931522 | Sukhnandan Sidhu | Psychiatry & Neurology | 2937 Veneman Ave, Suite A110, Modesto, CA 95356 | 2006-10-04 |
| Find all providers in MODESTO | ||||
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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.