DR. JENNIFER A BANTA (NPI# 1629337944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629337944 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER A BANTA |
| Credential | PHD |
| Practice Address |
815 Buena Vista Ave W Walden House-hafc Dual Recovery Program San Francisco CA 94117-4108 |
| Practice Telephone | 4155584206 |
| Practice Fax Number | 4155584235 |
| Mailing Telephone | 4155584206 |
| Mailing Fax Number | 4155584235 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY20473 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY20473 | CA | Behavioral Health & Social Service Providers |
| Street Address |
815 BUENA VISTA AVE W WALDEN HOUSE-HAFC DUAL RECOVERY PROGRAM |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194881854 | Lisa Henri Zaslove | Psychologist | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2006-12-28 |
| 1134728694 | Lindsay Marie Jager | Counselor | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2020-10-25 |
| 1336755743 | Elizabeth Heining Shields | Registered Nurse | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2020-09-21 |
| 1033725049 | Paul D Glantz | Specialist | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2020-09-16 |
| 1790391639 | Catherine Weiss | Specialist | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2020-09-16 |
| 1366067860 | Constance Marie Meneese | Counselor | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2020-06-10 |
| 1922621820 | Kathryn Elina Allen | Counselor | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2020-05-26 |
| 1821637448 | Rikki Mantell Dectis | Registered Nurse | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2019-12-30 |
| 1104469881 | Kavitha Hari | Counselor | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2019-10-24 |
| 1881244275 | Sandra L Coreas | Counselor | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2019-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
| 1235686346 | Amy Burtelow | Massage Therapist | 425 Divisadero Street Suite 300, San Francisco, CA 94117 | 2016-09-07 |
| 1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
| 1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
| 1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
| 1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
| 1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
| 1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
| 1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
| Find all providers in zip 94117 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1295359438 | Robin Ruth | Psychologist | 2443 Fillmore St # 380-7876, San Francisco, CA 94115-1814 | 2020-06-03 |
| 1861020588 | Emma Salzman | Psychologist | 401 Parnassus Ave Rm 111, San Francisco, CA 94143-0984 | 2020-03-29 |
| 1992330518 | Dr. Nicole Mayeda, A Psychological Corporation | Psychologist | 22 Battery St., Suite 426, San Francisco, CA 94111-5542 | 2020-03-04 |
| 1699308726 | Kumar Therapy, A Psychological Corporation | Psychologist | 582 Market St Ste 1210, San Francisco, CA 94104-5313 | 2020-02-17 |
| 1619516010 | Zenobia New Grusky | Psychologist | 255 Jersey St, San Francisco, CA 94114-3822 | 2020-01-02 |
| 1629614144 | Larisa Beckwith | Psychologist | 764 Faxon Ave, San Francisco, CA 94112-1204 | 2019-11-19 |
| 1093360752 | Era A Loewenstein | Psychologist | 4317a 23rd St, San Francisco, CA 94114-3111 | 2019-08-08 |
| 1962054999 | Wendy Lynne Stern | Psychologist | 2104 Bush St., San Francisco, CA 94115 | 2019-07-10 |
| 1144881467 | Julie London | Psychologist | 2309 Noriega St # 302, San Francisco, CA 94122-4239 | 2019-06-26 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94117 |
Please comment or provide details below to improve the information on DR. JENNIFER A BANTA.
| 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.