CHAD CRYDER (NPI# 1699229005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699229005 |
| Entity Type | Individual |
| Full Name | CHAD CRYDER |
| Credential | PHD |
| Practice Address |
793 S Tracy Blvd # 329 Tracy CA 95376-4753 |
| Practice Telephone | 4088133030 |
| Mailing Telephone | 4088133030 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY31305 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1951 W Middlefield Dr Apt 115, Tracy, CA 953778365 | 4088133030 |
| Street Address |
793 S TRACY BLVD # 329 |
| City | TRACY |
| State | CA |
| Zip Code | 95376-4753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757150 | James Burgess Angel | Technician, Other | 455 W. Eaton Ave., Tracy, CA 95376 | 2019-08-30 |
| 1477079655 | Cassandra Sierra | Specialist/Technologist | 632 W 11th St Ste 119, Tracy, CA 95376 | 2017-08-18 |
| 1922465491 | Jasmeer Kaur Uppal | Registered Nurse | 1411 N. Tracy Bl., Tracy, CA 95376 | 2016-01-28 |
| 1679957773 | Amy Forester | Physical Therapy Assistant | 1752 Schantz Way, Tracy, CA 95376 | 2015-07-17 |
| 1477966265 | Sarah Ojeda | Marriage & Family Therapist | 19 East 6th Street, Tracy, CA 95376 | 2014-06-09 |
| 1356761209 | Lucille Nowakowski | Registered Nurse | 95 West 11 Th St, Tracy, CA 95376 | 2014-04-18 |
| 1821417718 | Ricardo Echon | Nurse Practitioner | 644 W 12th Street, Tracy, CA 95376 | 2014-04-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1790034056 | Amy Powers | Counselor | 902 N Central Ave Ste 308, Tracy, CA 95376 | 2012-09-02 |
| 1982951554 | Gurpreet Singh Dhaliwal Md Inc. | Anesthesiology | 1530 Bessie Ave Ste 104, Tracy, CA 95376 | 2012-08-13 |
| Find all providers in zip 95376 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730530460 | Dr. Speed, Inc. | Psychologist | 672 W 11th St Ste 100, Tracy, CA 95376-3821 | 2016-06-23 |
| 1821412974 | Carol Roberta Anderson | Psychologist | 23500 Kasson Rd., Tracy, CA 95378-0400 | 2014-02-10 |
| 1346372950 | Erin K Sicard | Psychologist | 1660 W Linne Rd Ste J25, Tracy, CA 95377-8024 | 2007-03-09 |
| 1326174913 | Roger James Carey | Psychologist | 652 W 11th St Ste 133, Tracy, CA 95376-3869 | 2007-02-26 |
| 1215277207 | Dawn Bramley | Psychologist | 23500 Kasson Rd, Tracy, CA 95304 | 2013-02-27 |
| 1073870150 | Grant Joel Franceschi | Psychologist | 23500 Kasson Rd, Tracy, CA 95378 | 2012-04-13 |
| 1649504259 | Tripti Bawari | Psychologist | 672 W 11th St, Suite 317, Tracy, CA 95376-3821 | 2009-09-29 |
| 1467786079 | Patrick Victor Faggianelli Jr. | Psychologist | 227 E 11th St, Tracy, CA 95376-4015 | 2009-09-29 |
| 1386808194 | Mildred Medina | Psychologist | 23500 Kasson Rd, Tracy, CA 95376 | 2008-07-11 |
| 1336202597 | Carol Kocke Caruso | Psychologist | 445 W Beverly Pl, Tracy, CA 95376 | 2006-12-19 |
| Find all providers in TRACY | ||||
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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.