NAN THIBODEAUX (NPI# 1639231772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639231772 |
| Entity Type | Individual |
| Full Name | NAN THIBODEAUX |
| Practice Address |
490 Chadbourne Rd Suite A Fairfield CA 94534-9613 |
| Practice Telephone | 7074220464 |
| Mailing Telephone | 9253307813 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC44738 | CA | Behavioral Health & Social Service Providers |
| Street Address |
490 CHADBOURNE RD SUITE A |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-9613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043279201 | Myrha Ohayon | Social Worker | 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 | 2006-03-17 |
| 1366847626 | Kelli Forrester | Counselor | 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 | 2014-10-29 |
| 1700217908 | Tiffany Lopez Solis | Counselor | 490 Chadbourne Rd, Fairfield, CA 94534-9613 | 2013-12-12 |
| 1972930485 | Tessa Searles | Social Worker | 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 | 2013-09-28 |
| 1245665561 | Carol Louise Breiling | Counselor | 490 Chadbourne Rd, Suite C, Fairfield, CA 94534-9613 | 2013-09-05 |
| 1174956692 | Katherine Andrea Morales | Community Health Worker | 490 Chadbourne Rd, Fairfield, CA 94534-9613 | 2013-08-20 |
| 1720424351 | Children's Nurturing Project | Community/Behavioral Health | 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 | 2013-05-22 |
| 1801175237 | Karen Lynn Cunningham | Counselor | 490 Chadbourne Rd, Fairfield, CA 94534-9613 | 2011-08-16 |
| 1588942163 | Rosana M Aguilar | Counselor | 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 | 2011-07-29 |
| 1083902480 | Rita Mccampbell | Counselor | 490 Chadbourne Rd, Fairfield, CA 94534-9613 | 2011-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| 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 |
|---|---|---|---|---|
| 1588262810 | Stacie Handel | Marriage & Family Therapist | 859 Kings Hwy E, Fairfield, CT 06825-5421 | 2020-10-09 |
| 1770192023 | Rosaura De Alvarez | Marriage & Family Therapist | 1745 Enterprise Dr Ste 1a, Fairfield, CA 94533-5838 | 2020-07-23 |
| 1235751348 | Kr Counseling, LLC | Marriage & Family Therapist | 530 Unquowa Rd, Fairfield, CT 06824-5034 | 2020-05-12 |
| 1154942803 | Laura Pitaniello | Marriage & Family Therapist | 147 Trillium Rd, Fairfield, CT 06824-2439 | 2020-05-05 |
| 1114554649 | Juliette Brisman Zuckerman | Marriage & Family Therapist | 2452 Black Rock Tpke Ste O5, Fairfield, CT 06825-2416 | 2020-03-25 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1114576600 | Casey Ann Verlee Johnston | Marriage & Family Therapist | 103 E Adams Ave, Fairfield, IA 52556-3461 | 2019-09-06 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1790242709 | Senja Foster, LLC | Marriage & Family Therapist | 1559 Post Rd Ste 8, Fairfield, CT 06824-5933 | 2019-02-26 |
| Find all providers in FAIRFIELD | ||||
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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.