JUDY JACKSON (NPI# 1629205224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629205224 |
| Entity Type | Individual |
| Full Name | JUDY JACKSON |
| Credential | MFT |
| Practice Address |
110 N Santa Cruz Ave Suite C Los Gatos CA 95030-5919 |
| Practice Telephone | 4083803038 |
| Practice Fax Number | 4083803038 |
| Mailing Telephone | 4083803038 |
| Mailing Fax Number | 4083803038 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 42499 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144860255 | Judy Jackson | Private Vehicle | 29 Morris Dr, Cumberland, VA 23040-2625 | 2020-01-07 |
| 1548671316 | Judy Marie Jackson | Custodial Care Facility | 5941 Wilerson Rd., Rex, GA 30273-1506 | 2014-05-15 |
| 1962624387 | Judy Eva Jackson | Physical Therapist | 38435 5th St. W, Apt J155, Palmdale, CA 93551 | 2007-05-03 |
| 1528286705 | Judy Carlene Jackson | Registered Nurse | 10 Davis Ct, Glen Burnie, MD 21060-7709 | 2007-04-23 |
| 1376512145 | Judy M Jackson | Radiology | 1180 N. Indian Canyon Dr, Ste E218, Palm Springs, CA 92262-4800 | 2006-03-15 |
| 1851931026 | Judy Jackson | Registered Nurse | 206 Gatewood Ave, High Point, NC 27262-4820 | 2020-01-15 |
| 1255700571 | Judy Jackson | Counselor | 2801 Buford Hwy Ne, Suite T30, Brookhaven, GA 30329-2149 | 2015-09-16 |
| 1235486473 | Judy Goldson Jackson | Nurse Practitioner | 2020 S Independence Blvd, Suite 5, Virginia Beach, VA 23453-4776 | 2012-08-07 |
| 1578847505 | Judy Ellen Jackson | Counselor | 1950 N Okmulgee, Okmulgee, OK 74447-6534 | 2011-10-10 |
| Street Address |
110 N SANTA CRUZ AVE SUITE C |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95030-5919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417121476 | Richard Brian Mahan | Psychologist | 110 N Santa Cruz Ave, Suite B, Los Gatos, CA 95030-5919 | 2008-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1942840046 | Juniper Psychology Group, PC | Psychologist | 15814 Winchester Blvd., Suite 105, Los Gatos, CA 95030 | 2020-01-07 |
| 1487169561 | Kimberly Gladysz | Counselor | 499 Loma Alta Ave Bldg 5, Los Gatos, CA 95030 | 2017-12-11 |
| 1104364546 | Holland Wrenn Pauselius | Case Manager/Care Coordinator | 449 Loma Alta Avenue, Los Gatos, CA 95030 | 2017-02-06 |
| 1679017974 | Gillian Sands | Marriage & Family Therapist | 330 N. Santa Cruz Avenue, Suite B, Los Gatos, SANTA CLARA COUNTY 95030 | 2016-12-06 |
| 1649628579 | Yun Chung Wang | Acupuncturist | 430 Monterey Ave. Ste 1b, Los Gatos, CA 95030 | 2016-06-01 |
| 1619308186 | Chia-tsen Chen | Audiologist | 15861 Winchester Blvd., Los Gatos, CA 95030 | 2013-12-09 |
| 1144592825 | Eric Alan Hansen | Pediatrics | 17611 Foster Road, Los Gatos, CA 95030 | 2012-01-27 |
| 1356628085 | Teresa C. Yang | Physical Therapist | 110 Wood Rd., Los Gatos, CA 95030 | 2011-11-09 |
| 1093025314 | Susan Greenberg-englander | Psychiatry & Neurology | 20 South Santa Cruz Ave., #315, Los Gatos, CA 95030 | 2010-10-20 |
| Find all providers in zip 95030 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072348 | Vicki Oliverio | Marriage & Family Therapist | 220c Oak Meadow Dr, Los Gatos, CA 95032-4407 | 2020-04-21 |
| 1811542657 | Brian James Thomason | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste S, Los Gatos, CA 95032-2544 | 2019-08-08 |
| 1467004457 | Gloria Teresa Saldana | Marriage & Family Therapist | 16579 Los Gatos Almaden Rd, Los Gatos, CA 95032-3536 | 2019-07-10 |
| 1366000283 | Christine Senter | Marriage & Family Therapist | 15466 Los Gatos Blvd Ste 109-105, Los Gatos, CA 95032-2542 | 2019-06-05 |
| 1598236077 | Joanna Leung | Marriage & Family Therapist | 499 Loma Alta Ave Bldg 10, Los Gatos, CA 95030-6227 | 2018-12-10 |
| 1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
| 1679017974 | Gillian Sands | Marriage & Family Therapist | 330 N. Santa Cruz Avenue, Suite B, Los Gatos, SANTA CLARA COUNTY 95030 | 2016-12-06 |
| 1780078410 | Jessica Sorci | Marriage & Family Therapist | 431 Monterey Ave Ste 7, Los Gatos, CA 95030-5319 | 2015-03-19 |
| 1497191324 | Alexandra Stoltz | Marriage & Family Therapist | 15891 Los Gatos Almaden Rd Ste 276, Los Gatos, CA 95032-3742 | 2013-05-19 |
| 1073860581 | Thedy Oscar Veliz | Marriage & Family Therapist | 330 N Santa Cruz Ave Ste B, Los Gatos, CA 95030-7277 | 2012-08-14 |
| Find all providers in LOS GATOS | ||||
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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.