SELENE FABIANO (NPI# 1649371634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649371634 |
| Entity Type | Individual |
| Full Name | SELENE FABIANO |
| Credential | PH.D. |
| Practice Address |
510 16th St Oakland CA 94612-1520 |
| Practice Telephone | 5103575515 |
| Practice Fax Number | 5103185396 |
| Mailing Telephone | 5103575515 |
| Mailing Fax Number | 5103185396 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 14541 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE - GROUP PIN | ZZZ22806Z | 01 |
| Street Address |
510 16TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376023804 | Anthony Ronald Morice I | Psychologist | 510 16th St, Oakland, CA 94612-1520 | 2018-08-15 |
| 1326541749 | Mariela Colmenero | Case Manager/Care Coordinator | 510 16th St, Oakland, CA 94612-1520 | 2018-03-12 |
| 1912423609 | Verena Elisabeth Metz | Psychologist | 510 16th St, Oakland, CA 94612-1520 | 2017-08-15 |
| 1417472465 | Tristan O Hansell | Counselor | 510 16th St, Oakland, CA 94612-1520 | 2017-08-11 |
| 1235651910 | Chhori Laxmi Maharjan | Student in an Organized Health Care Education/Training Program | 510 16th St, Oakland, CA 94612-1520 | 2017-07-13 |
| 1427570621 | Mariah Lynne Beltran | Counselor | 510 16th St, Oakland, CA 94612-1520 | 2017-07-10 |
| 1982126314 | Suzanne Fischer Comelo | Marriage & Family Therapist | 510 16th St, Oakland, CA 94612-1520 | 2017-07-07 |
| 1538680483 | Yara Herman | Marriage & Family Therapist | 510 16th St, Oakland, CA 94612-1520 | 2017-06-30 |
| 1942721907 | Mercedes Ann Zapata | Counselor | 510 16th St, Oakland, CA 94612-1520 | 2017-06-29 |
| 1326576380 | Alexandra Hinson | Counselor | 510 16th St, Oakland, CA 94612-1520 | 2017-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661430 | Gina M Arias | Psychologist | 3287 Madera Ave, Oakland, CA 94619-3412 | 2020-05-22 |
| 1871127464 | Karena Berghold Passaro | Psychologist | 5665 College Ave Ste 230d, Oakland, CA 94618-1639 | 2020-02-24 |
| 1053883025 | Lindsey Brooke Hopkins | Psychologist | 287 17th St Ste A, Oakland, CA 94612-4191 | 2018-12-31 |
| 1164903563 | Mindhealth, A Professional Psychology Corporation | Psychologist | 585 Mandana Blvd Ste 1, Oakland, CA 94610-2265 | 2018-08-23 |
| 1306338892 | Mark Fromm | Psychologist | 3296 Jordan Rd, Oakland, CA 94602-3535 | 2018-05-31 |
| 1205363199 | Holly Lynn Buckman | Psychologist | 1440 Broadway Ste 314, Oakland, CA 94612-2023 | 2017-05-22 |
| 1871942904 | Terri Marie Rech | Psychologist | 5835 College Ave Ste C, Oakland, CA 94618-1653 | 2016-06-09 |
| 1760867329 | William Barone | Psychologist | 360 Monte Vista Ave Apt 309, Oakland, CA 94611-4559 | 2015-07-24 |
| 1568853067 | Jason Carpenter | Psychologist | 715 62nd St, Oakland, CA 94609-1213 | 2015-02-05 |
| 1235535568 | Monique Thompson | Psychologist | 5297 College Ave # 206, Oakland, CA 94618-1462 | 2014-11-13 |
| Find all providers in OAKLAND | ||||
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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.