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).
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 |
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 |
Street Address |
100 ROSE ST |
City | WALNUT CREEK |
State | CA |
Zip Code | 94595-1341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740770916 | Paul Vincent Holland | Pathology | 1821 Wales Drive, Walnut Creek, CA 94595 | 2018-05-14 |
1669979381 | Alpha Pharmaceutical Inc | Pharmacy | 1870 Tice Valley Blvd, Walnut Creek, CA 94595 | 2018-04-09 |
1104245711 | Lillian Darlene Lanka | Obstetrics & Gynecology | 634 Shadowhawk Way, Walnut Creek, CA 94595 | 2014-04-10 |
1376969774 | Richard Allen Kaplan | Obstetrics & Gynecology | 1808 Castle Gate Road, Walnut Creek, CA 94595 | 2014-03-10 |
1619302692 | Karl Erik Engdahl | Dentist | 2225 Olympic Bovlevard, Walnut Creek, CA 94595 | 2013-09-09 |
1609186733 | Theresa Virginia Iverson | Physical Therapist | 1874 Tice Valley Blvd., Walnut Creek, CA 94595 | 2010-10-07 |
1285867606 | Gayle Dendaas | Marriage & Family Therapist | 94 Grandview Place, Walnut Creek, CA 94595 | 2009-09-02 |
1982861126 | Mai-anh Thi Tran | Nurse Practitioner | 1475 South Main St, Walnut Creek, CA 94595 | 2008-05-16 |
1467620229 | Sean A Karimian Dds Inc | Dentist | 1928 Tice Valley Blvd, Walnut Creek, CA 94595 | 2008-02-14 |
1548383318 | Csg Better Hearing Services, Inc. | Audiologist-Hearing Aid Fitter | 31 Panoramic Way, 1st Fl, Walnut Creek, CA 94595 | 2007-04-09 |
Find all providers in zip 94595 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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 |
Find all providers in WALNUT CREEK |
City | WALNUT CREEK |
Zip Code | 94595 |
Please comment or provide details below to improve the information on DR. COURTNEY KEENE VISCOMI.
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.