JERRY A BORISKIN (NPI# 1689812364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689812364 |
| Entity Type | Individual |
| Full Name | JERRY A BORISKIN |
| Credential | PH.D. |
| Practice Address |
150 Muir Rd Martinez CA 94553-4668 |
| Mailing Address |
150 Muir Road Martinez CA 94553 |
| Practice Telephone | 5617036106 |
| Mailing Telephone | 5617036106 |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
PY0003779 | FL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0003779 | FL | Behavioral Health & Social Service Providers |
| Street Address |
150 MUIR RD |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-4668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740262872 | Christine Melanie Leyba | Psychiatry & Neurology | 150 Muir Rd, Martinez, CA 94553-4668 | 2005-11-15 |
| 1033728852 | Khai Nguyen | Pharmacist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-07-28 |
| 1043835226 | Melissa Nagel | Registered Nurse | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-06-12 |
| 1316560618 | Katie Chan | Pharmacist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-05-20 |
| 1477176782 | John Widenmann | Recreation Therapist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-05-20 |
| 1437787686 | Irwin Beltran Lorico | Nurse Practitioner | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-31 |
| 1689200016 | Sandy Lwi | Psychologist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-17 |
| 1346874120 | Adam Yumang | Registered Nurse | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-02 |
| 1972135119 | Marisol Jackson | Nurse Practitioner | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-02-05 |
| 1336770312 | Morayo Olatunbosun | Nurse Practitioner | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1811416936 | Rebecca Chandler | Psychologist | Va Northern California Healthcare System, 150 Muir Road, Building 24/116, Martinez, CA 94553-4668 | 2017-09-11 |
| 1467850776 | Astra Maestas | Psychologist | 1155-c Arnold Dr. #429, Martinez, CA 94553 | 2014-12-18 |
| 1306185327 | Ewa Halina Paziak | Psychologist | 522 Blackburn Dr, Martinez, GA 30907-8202 | 2013-02-12 |
| 1649537119 | David Wayne Proefrock | Psychologist | 4684 Oakley Pirkle Rd, Martinez, GA 30907-8853 | 2012-04-20 |
| 1093011686 | Robin Farrell | Psychologist | 1391 Hull Ln, Martinez, CA 94553-4758 | 2011-01-31 |
| 1245379452 | Sarah Mcgehee Bunch | Psychologist | 535 Main St., Suite 207, Martinez, CA 94553 | 2007-02-05 |
| 1447333091 | Patrick J. Williams | Psychologist | 4145 Columbia Road, Martinez, GA 30907 | 2006-10-24 |
| 1437184710 | Steven Cloutier | Psychologist | 1134 Alhambra Ave, Martinez, CA 94553-2353 | 2006-07-12 |
| 1689200016 | Sandy Lwi | Psychologist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-17 |
| Find all providers in MARTINEZ | ||||
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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.