DR. COURTNEY KEENE VISCOMI


Address: 100 Rose St, Walnut Creek, CA 94595-1341
Phone: 7605769931

DR. COURTNEY KEENE VISCOMI (NPI# 1649521592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649521592
Entity Type Individual
Full Name DR. COURTNEY KEENE VISCOMI
Credential PSYD, BCBA
Practice Address 100 Rose St
Walnut Creek
CA 94595-1341
Mailing Address 4301 Dempster St
Skokie
IL 60076-2037
Practice Telephone 7605769931
Mailing Telephone 7605769931
Enumeration Date 2012-10-01
Last Update Date 2019-09-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
30968 CA Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 100 ROSE ST
City WALNUT CREEK
State CA
Zip Code 94595-1341

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427678127 Danielle G Dollinger Psychologist 55 Cora Ct, Walnut Creek, CA 94597-6803 2020-04-22
1972138287 Center for Modern Therapy LLC Psychologist 1600 S Main St Ste 180, Walnut Creek, CA 94596-8809 2020-03-06
1265907141 Kind Psychological and Behavioral Services, Inc. Psychologist 100 Rose Street, Walnut Creek, CA 94595-1341 2018-10-08
1457866352 Jonathan Henry Feinberg Psychologist 1600 S Main St Ste 177, Walnut Creek, CA 94596-8813 2017-12-13
1194274910 Allan H. Solomon Ph.d. Inc. Psychologist 1200 Mt. Diablo Blvd., Ste. 406, Walnut Creek, CA 94596-4890 2016-09-22
1952789562 Jennifer Paige Petersen Psychologist 39 Quail Ct Ste 205, Walnut Creek, CA 94596-5570 2015-05-14
1457791006 Ellena Fickett Chen Psychologist 700 Ygnacio Valley Rd Ste 320, Walnut Creek, CA 94596-3838 2013-06-27
1518285675 Larissa D. Terry Psychologist 891 Holly Hill Dr, Walnut Creek, CA 94596-6252 2010-05-12
1518197284 Lisa Johnson Wright Psychologist 935 Avondale Ct, Walnut Creek, CA 94596-6030 2009-07-16
1669601647 Patrice Solomon Psychologist 1200 Mt Diablo Blvd Ste 406, Walnut Creek, CA 94596-4890 2009-07-10
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Competitor

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City WALNUT CREEK
Zip Code 94595

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Dataset Information

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.

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