MS. LORRAINE PETERS WILSON (NPI# 1659561504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659561504 |
Entity Type | Individual |
Full Name | MS. LORRAINE PETERS WILSON |
Credential | MFT |
Practice Address |
25580 Campus Dr Hayward CA 94542-1137 |
Practice Telephone | 5108812245 |
Practice Fax Number | 5108812248 |
Mailing Telephone | 5108812245 |
Mailing Fax Number | 5108812248 |
Enumeration Date | 2007-07-26 |
Last Update Date | 2007-07-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
MFC28022 | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MED-CAL | 01AZ | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407469992 | Lorraine Wilson | Registered Nurse | 8001 S Us Highway 75, Sherman, TX 75090-5707 | 2020-08-25 |
1982123451 | Lorraine Marie Wilson | Counselor | 901 Arsenal Ave Ste 202, Fayetteville, NC 28305-5478 | 2017-09-15 |
1720180029 | Lorraine T Wilson | Internal Medicine | 13901 Mcauley Blvd, Suite 303, Oklahoma City, OK 73134-8700 | 2006-09-05 |
Street Address |
25580 CAMPUS DR |
City | HAYWARD |
State | CA |
Zip Code | 94542-1137 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306036546 | Roman Catholic Bishop of Oakland, A Corporation Sole | Community/Behavioral Health | 25580 Campus Dr, Hayward, CA 94542-1137 | 2007-07-25 |
1841480514 | Liann Osborne | Counselor | 25580 Campus Dr, Hayward, CA 94542-1137 | 2007-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225453095 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 27971 Fairview Ave, Hayward, CA 94542 | 2014-03-03 |
1023312139 | Ashley Seo | Acupuncturist | 25538 Del Mar Avenue,apt 6, Hayward, CA 94542 | 2011-01-04 |
1528293438 | Michelle Renee Longo | Counselor | 25200 Carlos Bee Blvd Apt413, Hayward, CA 94542 | 2009-05-20 |
1356406649 | Rita Lafaye Davis Marten | Nurse Practitioner | 700 Adeline Street, West Oakland Health Council, Oakland, CA 94542 | 2006-12-27 |
1578575445 | Benjamin Wolsztejn | Obstetrics & Gynecology | 26929 Halifax Place, Hayward, CA 94542 | 2006-08-12 |
1366422776 | California State University East Bay | Clinic/Center | 25800 Carlos Bee Blvd, Hayward, CA 94542 | 2006-01-20 |
1871922450 | Edrose Perez Retodo | Nurse Practitioner | 24301 Southland Drive, Suite 213, Hayward, CA 94542 | 2013-11-05 |
1477703726 | Kristal Teamer | Counselor | 2495 Oakes Dr, Hayward, CA 94542 | 2008-09-23 |
1275194318 | Nicole Marie Griffiths | Behavior Technician | 24574 Leona Dr, Hayward, CA 94542-1010 | 2019-06-27 |
1386954642 | Nhi Xuan Huynh | Dentist | 3400 Sonoma Blvd., Vallejo, CA 94542-1050 | 2010-10-20 |
Find all providers in zip 94542 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780193219 | Kellyn Ruth Ann Gutmann | Counselor | 150 Benmore Dr, Hayward, CA 94542-7936 | 2017-09-27 |
1386097756 | Marlene Elizabeth Economides | Counselor | 21866 Main St, Hayward, CA 94541-2614 | 2016-07-20 |
1275986739 | Fred Finch Youth Center | Counselor | 23515 Maud Ave, Hayward, CA 94541-4519 | 2016-07-20 |
1174976633 | Fred Finch Youth Center | Counselor | 2184 Thayer Ave, Hayward, CA 94545-2925 | 2016-07-20 |
1114370665 | Fred Finch Youth Center | Counselor | 26268 Flamingo Ave, Hayward, CA 94544-3159 | 2016-07-20 |
1083052542 | Eury Ramos | Counselor | 2048 B St, Hayward, CA 94541-3204 | 2013-06-06 |
1063776896 | Susan Lambert | Counselor | 27790 Portsmouth Ave, Hayward, CA 94545-4013 | 2012-06-26 |
1699058180 | Shelly Kwong | Counselor | 1318 B St Apt B-113, Hayward, CA 94541-2944 | 2011-09-21 |
1578861498 | Tracy Charisse Larson | Counselor | 15655 County Rd B, Hayward, WI 54843-3251 | 2011-03-01 |
1851608913 | Vanessa Padilla Mahaffey | Counselor | 307 Toscana Way, Hayward, CA 94545-1922 | 2010-09-09 |
Find all providers in HAYWARD |
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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.