DR. SUSAN ANVIN (NPI# 1659420594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659420594 |
| Entity Type | Individual |
| Full Name | DR. SUSAN ANVIN |
| Credential | PH.D. |
| Practice Address |
1769 Park Ave Ste 110 San Jose CA 95126-2025 |
| Practice Telephone | 4082949905 |
| Practice Fax Number | 4086929988 |
| Mailing Telephone | 4082949905 |
| Mailing Fax Number | 4086929988 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY 21185 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1769 PARK AVE STE 110 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396906897 | Nina Lim | Psychologist | 2516 Autumnvale Ave, San Jose, CA 95131-3443 | 2008-06-18 |
| 1710045612 | H. Nicole Hess | Psychologist | 6620 Via Del Oro, San Jose, CA 95119-1451 | 2006-12-04 |
| 1538235759 | Beverly Jacobson | Psychologist | 1210 S Bascom Ave, San Jose, CA 95128-3543 | 2006-11-28 |
| 1255579363 | Gerri Lane Armstrong-walker | Psychologist | 3500 Zanker Rd, San Jose, CA 95134-2201 | 2009-01-27 |
| 1285894279 | Adriana Weyandt | Psychologist | 2400 Moorpark Ave, Suite 300, San Jose, CA 95128-2631 | 2008-06-12 |
| 1811022775 | Liza Bathori | Psychologist | 1101 S Winchester Blvd, Suite C-120, San Jose, CA 95128-3901 | 2007-02-22 |
| 1679623599 | Robert R Hardy | Psychologist | 175 Bernal Rd, Suite 140, San Jose, CA 95119-1343 | 2007-01-11 |
| 1578627956 | Theresa Ann Abrams | Psychologist | 175 Bernal Rd, San Jose, CA 95119-1343 | 2006-12-20 |
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| Find all providers with the same taxonomy | ||||
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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.