DR. DANIEL FORKIN (NPI# 1639320674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639320674 |
| Entity Type | Individual |
| Full Name | DR. DANIEL FORKIN |
| Credential | M.D. |
| Practice Address |
1420 Willow Pass Rd Suite 200 Concord CA 94520-5823 |
| Practice Telephone | 9256465480 |
| Mailing Telephone | 9256465480 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2012-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G-20349 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1420 WILLOW PASS RD SUITE 200 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-5823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447342902 | Douglas Eugene Hanlin | Psychiatry & Neurology | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5223 | 2006-09-29 |
| 1912505314 | Tyler Evans | Registered Nurse | 1420 Willow Pass Rd, Concord, CA 94520-5823 | 2020-10-16 |
| 1356998132 | Dave Tingzon | Registered Nurse | 1420 Willow Pass Rd, Concord, CA 94520-5823 | 2019-08-26 |
| 1063985455 | Matthew Kubasta | Student in an Organized Health Care Education/Training Program | 1420 Willow Pass Rd, Concord, CA 94520 | 2019-01-08 |
| 1508388430 | Kirsten Heher | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520 | 2017-07-12 |
| 1114459161 | Joy Witt | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520-5823 | 2017-03-29 |
| 1306378401 | Keith Hall | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520-5823 | 2017-03-29 |
| 1073064358 | John Kayode Ojewole | Counselor | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2016-10-20 |
| 1730540782 | Candelario Jack Castillo IIi | Social Worker | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2016-03-17 |
| 1881031896 | Mark R Patras | Registered Nurse | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2013-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| 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 |
|---|---|---|---|---|
| 1215537287 | Carolyn Rosa Mallon | Psychiatry & Neurology | 3 Pleasant St Ste 5-6, Concord, NH 03301-4003 | 2020-10-29 |
| 1669977682 | Cep America - Psychiatry PC | Psychiatry & Neurology | 4080 Port Chicago Hwy, Concord, CA 94520-1121 | 2018-03-30 |
| 1891002952 | Outlook Forensic & Behavioral Health | Psychiatry & Neurology | 280 Executive Park Dr, Suite 100, Concord, NC 28025-1837 | 2010-09-09 |
| 1497913255 | Dennis Barry Bealick | Psychiatry & Neurology | 1957 Parkside Dr #300, Concord, CA 94519 | 2008-05-29 |
| 1548473218 | Sunita Kumari Mall | Psychiatry & Neurology | 1420 Willow Pass Rd # 200, Concord, CA 94520-5823 | 2007-05-08 |
| 1427278696 | Sumana Gadde | Psychiatry & Neurology | 845 Church St N Ste 203, Concord, NC 28025-4374 | 2007-04-27 |
| 1356461156 | Scott Morris | Psychiatry & Neurology | 1150 Main St Ste 10, Concord, MA 01742-3058 | 2007-03-29 |
| 1386761815 | Wendi Diamond | Psychiatry & Neurology | 1150 Main Street, Suite 9, Concord, MA 01742-3053 | 2007-03-22 |
| 1780710376 | Frank Guastella Anderson | Psychiatry & Neurology | 70 Junction Square Dr # A, Concord, MA 01742-3049 | 2007-02-26 |
| 1255485322 | Steven M Mirin | Psychiatry & Neurology | 384 Caterina Hts, Concord, MA 01742-4752 | 2007-01-23 |
| Find all providers in CONCORD | ||||
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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.