JOHN MANZOLATI (NPI# 1689882417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689882417 |
| Entity Type | Individual |
| Full Name | JOHN MANZOLATI |
| Practice Address |
568 W Grand Ave Oakland CA 94612-1618 |
| Practice Telephone | 5102687837 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 14047 | CA | Behavioral Health & Social Service Providers |
| Street Address |
568 W GRAND AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902946924 | Scott Bloom | Social Worker | 568 W Grand Ave, Oakland, CA 94612-1618 | 2007-02-07 |
| 1740483452 | Ken Davis | Counselor | 568 W Grand Ave, Oakland, CA 94612-1618 | 2007-06-08 |
| 1801006952 | Maryann Jacqueline D'onofrio | Psychologist | 568 W Grand Ave, Oakland, CA 94612-1618 | 2007-05-23 |
| 1891904413 | Keith Raymond Olson | Marriage & Family Therapist | 568 W Grand Ave, Oakland, CA 94612-1618 | 2007-05-21 |
| 1871701573 | Timothy Cooper Henry | Social Worker | 568 W Grand Ave, Oakland, CA 94612-1618 | 2007-05-18 |
| 1902014483 | Evelyn Michiko Mihata | Registered Nurse | 568 W Grand Ave, Oakland, CA 94612-1618 | 2007-05-18 |
| 1235347642 | Aaron S. Cohen | Psychologist | 568 W Grand Ave, Oakland, CA 94612-1618 | 2007-05-18 |
| 1861600694 | Gerald Walker | Social Worker | 568 W Grand Ave, Oakland, CA 94612-1618 | 2007-05-17 |
| 1003023961 | Antonia K Fokken | Marriage & Family Therapist | 568 W Grand Ave, Oakland, CA 94612-1618 | 2007-05-17 |
| 1154533230 | Kermit Johnson | Psychiatry & Neurology | 568 W Grand Ave, Oakland, CA 94612-1618 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727906 | Carolina Bacchi Psychotherapy and Psychoanalysis, LLC | Psychologist | 5665 College Ave Ste 340c, Oakland, CA 94618-1658 | 2020-07-07 |
| 1558990770 | Laurie Jean Patraitis | Psychologist | 419 30th St Ste 3, Oakland, CA 94609-3374 | 2020-04-08 |
| 1194354001 | Lyndsay Dell | Psychologist | 4420 Penniman Ave Apt C, Oakland, CA 94619-2659 | 2020-04-02 |
| 1619513223 | Lesley A Parke | Psychologist | 445 Bellevue Ave Ste 302, Oakland, CA 94610-4923 | 2019-11-19 |
| 1700437233 | Laurette Schiff Gennis | Psychologist | 5655 College Ave Ste 315b, Oakland, CA 94618-1669 | 2019-09-25 |
| 1477112522 | Paul A Jackson | Psychologist | 459 W Macarthur Blvd, Oakland, CA 94609-2808 | 2019-06-12 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1689173759 | Bay Psychology Group Inc | Psychologist | 5297 College Ave Ste 103, Oakland, CA 94618-1462 | 2018-02-05 |
| 1861925034 | Sarah Carroll | Psychologist | 5757 Morse Dr, Oakland, CA 94605-1137 | 2017-04-05 |
| 1679026991 | Jessica Bol | Psychologist | 5327 College Ave Ste 1, Oakland, CA 94618-1416 | 2016-08-03 |
| Find all providers in OAKLAND | ||||
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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.