BERYL HATTORI (NPI# 1619116316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619116316 |
| Entity Type | Individual |
| Full Name | BERYL HATTORI |
| Other Name | BERYL GAO |
| Credential | PH.D. |
| Practice Address |
881 Fremont Ave Ste B8 Los Altos CA 94024-5637 |
| Mailing Address |
Po Box 3992 Los Altos CA 94024-0992 |
| Practice Telephone | 6502668209 |
| Practice Fax Number | 6502668209 |
| Mailing Telephone | 6502668209 |
| Mailing Fax Number | 6502668209 |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2016-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY22521 | CA | Behavioral Health & Social Service Providers |
| Street Address |
881 FREMONT AVE STE B8 |
| City | LOS ALTOS |
| State | CA |
| Zip Code | 94024-5637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487985503 | Kevin Doyle Brock | Psychologist | 881 Fremont Ave Ste B8, Los Altos, CA 94024-5637 | 2010-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912383431 | Panakos Acupuncture Clinic | Clinic/Center | 851 Fremont Ave, Suite 114, Los Altos, CA 94024 | 2015-08-06 |
| 1487030078 | Nicole Lew | Physical Therapist | 1330 Bright Oaks Ct., Los Altos, CA 94024 | 2015-08-05 |
| 1255718144 | Ciara Johnson | Physical Medicine & Rehabilitation | 1635 Candace Way, Los Altos, CA 94024 | 2015-04-30 |
| 1639479744 | Eileen R Goldman | Marriage & Family Therapist | 2551 Grant Road, Mountain View, CA 94024 | 2010-10-25 |
| 1285890368 | Neilesh Shashikant Patel | Dentist | 595 Loyola, Los Altos, CA 94024 | 2008-07-29 |
| 1841478328 | Alejandro A Zaffaroni Md Inc | Ophthalmology | 762 Altos Oaks Drive, Suite 1, Los Altos, CA 94024 | 2008-02-06 |
| 1710164843 | Donald Robert Watters | Dentist | 851 Fremont Ave., Suite 101, Los Altos, CA 94024 | 2008-01-31 |
| 1508060443 | Verna Lee Stivender | Durable Medical Equipment & Medical Supplies | 1564 Miramonte Avenue, #a, Los Altos, CA 94024 | 2007-06-13 |
| 1770700627 | Deborah Amy Rovine | Psychiatry & Neurology | 1000 Fremont Ave Ste 250d, Los Altos, CA 94024 | 2007-04-20 |
| 1669503082 | Sheila Huang Humphries | Internal Medicine | 811 Altos Oaks Drive, Suite 2, Los Altos, CA 94024 | 2007-03-08 |
| Find all providers in zip 94024 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291419 | Sharon Greenberg | Psychologist | 919 Fremont Ave Ste 202, Los Altos, CA 94024-6045 | 2019-05-22 |
| 1093231581 | Yishan Xu | Psychologist | 885 N San Antonio Rd Ste O, Los Altos, CA 94022-1341 | 2017-08-16 |
| 1902328446 | Ella Shechtman-cory | Psychologist | 4966 El Camino Real Ste 115, Los Altos, CA 94022-1406 | 2017-07-15 |
| 1700106085 | Shaina Jill Katz-lindquist | Psychologist | 1000 Fremont Ave Ste 145, Los Altos, CA 94024-6057 | 2010-06-09 |
| 1023299625 | Elizabeth Biggart | Psychologist | 241 S San Antonio Rd, Los Altos, CA 94022-3751 | 2007-11-25 |
| 1669505640 | Stephen G Newton | Psychologist | 425 First Street, Suite E, Los Altos, CA 94022 | 2007-03-13 |
| 1275686826 | Dee A Haynie | Psychologist | 2251 Grant Rd, Suite H, Los Altos, CA 94024-6984 | 2007-01-18 |
| 1427111640 | Renee Pyle | Psychologist | 5150 El Camino Real Ste B16, Los Altos, CA 94022-1550 | 2006-12-18 |
| 1881789493 | Quyen Tiet | Psychologist | 949 Sherwood Ave, Los Altos, CA 94022-1376 | 2006-10-03 |
| 1871516658 | Eric J Cohen | Psychologist | 2251 Grant Rd Ste H, Los Altos, CA 94024-6958 | 2006-07-25 |
| Find all providers in LOS ALTOS | ||||
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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.