JENNIFER BRODIE (NPI# 1699790535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699790535 |
| Entity Type | Individual |
| Full Name | JENNIFER BRODIE |
| Other Name | JENNIFER BRODIE |
| Credential | MFT |
| Practice Address |
3000 Citrus Cir Ste 112 Walnut Creek CA 94598-2694 |
| Practice Telephone | 9259391985 |
| Mailing Telephone | 9259391985 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MFT 22572 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235699398 | Jennifer Brodie | Case Manager/Care Coordinator | 15301 Fox Run Dr, Claremore, OK 74017-0929 | 2019-03-23 |
| 1144883216 | Jennifer Brodie | Behavior Technician | 710 S Broadway Ste 250, Walnut Creek, CA 94596-5234 | 2019-04-15 |
| 1821099029 | Jennifer Brodie | Nurse Practitioner | 7425 E Shea Blvd, Suite 101, Scottsdale, AZ 85260-6411 | 2005-08-10 |
| Street Address |
3000 CITRUS CIR STE 112 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154778827 | Stephen Edward Gigliotti | Counselor | 420 N Wiget Ln, Walnut Creek, CA 94598-2408 | 2016-05-23 |
| 1366817710 | Danielle Doedens | Counselor | 800 S Broadway Ste 310, Walnut Creek, CA 94596-5218 | 2015-12-10 |
| 1487054748 | Kathleen Malone | Counselor | 120 La Casa Via Ste 210, Walnut Creek, CA 94598-3007 | 2014-08-23 |
| 1124427711 | Donald Preson Elium | Counselor | 2168 Norris Rd, Walnut Creek, CA 94596-5839 | 2014-08-19 |
| 1225463029 | Maria Rheba Estante | Counselor | 420 N Wiget Ln Bldg 2, Walnut Creek, CA 94598-2408 | 2013-09-11 |
| 1932479987 | Emily Linaman | Counselor | 38 Quail Ct Ste 100, Walnut Creek, CA 94596-8726 | 2012-01-09 |
| 1497984751 | Richard Sorrentino | Counselor | 1310 Alma Ave, Ste 417, Walnut Creek, CA 94596-5044 | 2009-07-08 |
| 1902054794 | Bonnie Susan Landfield | Counselor | 1445 Quail View Cir, Walnut Creek, CA 94597-2267 | 2008-09-04 |
| 1477716298 | Rosy Garcia | Counselor | 1200 Mt Diablo Blvd Ste 312, Walnut Creek, CA 94596-4854 | 2008-07-02 |
| 1073707451 | Alicia Maris Grefenson | Counselor | 2970 Camino Diablo Fl 3, Walnut Creek, CA 94597-4001 | 2007-08-29 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
Please comment or provide details below to improve the information on JENNIFER BRODIE.
| 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.