JOHANNA NATANYA RUDNICK (NPI# 1700218278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700218278 |
| Entity Type | Individual |
| Full Name | JOHANNA NATANYA RUDNICK |
| Credential | BA |
| Practice Address |
444 Hegenberger Rd Oakland CA 94621-1418 |
| Practice Telephone | 5103171444 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
444 HEGENBERGER RD |
| City | OAKLAND |
| State | CA |
| Zip Code | 94621-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962569186 | Dennise Moon | Psychologist | 444 Hegenberger Rd, C/o Lighthouse Community Charter School, Oakland, CA 94621-1418 | 2007-01-03 |
| 1386208569 | Thao-chau T Trinh | Psychologist | 444 Hegenberger Rd, Oakland, CA 94621-1418 | 2019-04-24 |
| 1801345194 | Ann Martin Center | Community/Behavioral Health | 444 Hegenberger Rd, Oakland, CA 94621-1418 | 2016-09-27 |
| 1720470214 | Lighthouse Community Charter Public School | Local Education Agency (LEA) | 444 Hegenberger Rd, Oakland, CA 94621-1418 | 2015-02-20 |
| 1225460702 | Ethan Gregor | Counselor | 444 Hegenberger Rd, Oakland, CA 94621-1418 | 2013-08-06 |
| 1457608283 | Seneca Family of Agencies | Community/Behavioral Health | 444 Hegenberger Rd, Oakland, CA 94621-1418 | 2012-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144734864 | Alameda Home Care & Hospice LLC | Home Health | 300 Pendleton Way Ste 328, Oakland, CA 94621 | 2017-11-17 |
| 1760931968 | Maria Martinez | Counselor | 8330 Birch St., Apt. A, Oakland, CA 94621 | 2016-09-28 |
| 1902231301 | East Bay Agencey for Children | Community/Behavioral Health | 1025 81st Ave, Oakland, CA 94621 | 2013-09-05 |
| 1710268016 | Srideep Chatterjee | Pharmacist | 8102 E 14 Th Street, Oakland, CA 94621 | 2011-08-31 |
| 1285953943 | Martin Pacheco | Counselor | 333 Hegenberger Road #600, Oakland, CA 94621 | 2010-05-20 |
| 1821234816 | Raul Mark Miranda Grageda | Physical Therapist | 7817 Oakport Street, Oakland, CA 94621 | 2008-12-23 |
| 1306032156 | Adrienne Claire Lopez Tiley | Counselor | 401 Roland Way Suite 100, Oakland, CA 94621 | 2007-09-14 |
| 1609067610 | Sandra Gaspar | Marriage & Family Therapist | 410 Roland Way. Suite 100, Oakland, CA 94621 | 2007-08-05 |
| 1053512608 | Ellis W. Jones | Counselor | 7501 International Blvd., Oakland, CA 94621 | 2007-05-30 |
| 1851507016 | Keith Reese | Social Worker | 1933-57 Th Avenue, Oakland, CA 94621 | 2007-05-15 |
| Find all providers in zip 94621 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099832 | Marlena Sara Hartman-filson | Counselor | 422 38th St Apt A, Oakland, CA 94609-2778 | 2020-09-23 |
| 1801412689 | Lindsey Schwartz | Counselor | 7200 Bancroft Ave, Building B, Ste 133, Oakland, CA 94605-2480 | 2020-06-17 |
| 1013538487 | Alex Weinstein | Counselor | 4264 Norton Ave, Oakland, CA 94602-4018 | 2020-04-27 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1992342810 | Zoe Karanfilian | Counselor | 62 Vancleave Way, Oakland, CA 94619-2340 | 2019-12-10 |
| 1881154763 | Cia A Robles | Counselor | 3798 Grand Ave Ste 1, Oakland, CA 94610-1527 | 2019-03-25 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1013489954 | Jasmine J Rutherford | Counselor | 3301 E 12th St Ste 116, Oakland, CA 94601-3424 | 2018-12-17 |
| 1366910549 | Raven Porter | Counselor | 2747 76th Ave, Oakland, CA 94605-2809 | 2018-11-06 |
| 1801363288 | Shane Smith | Counselor | 10401 Shaw St, Oakland, CA 94605-5116 | 2018-10-24 |
| 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.