JENNIFER G. BRANDT (NPI# 1700943123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700943123 |
Entity Type | Individual |
Full Name | JENNIFER G. BRANDT |
Credential | PSY.D. |
Practice Address |
3558 Roundbarn Blvd Santa Rosa CA 95403-1780 |
Mailing Address |
401 Bicentennial Way Santa Rosa CA 95403-2149 |
Practice Telephone | 7075714000 |
Mailing Telephone | 7075714000 |
Enumeration Date | 2007-01-03 |
Last Update Date | 2015-05-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
PSY19901 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760770648 | Jennifer Brandt | Social Worker | 7050 Austin St Ste Ll110a, Forest Hills, NY 11375-4703 | 2011-07-13 |
1275696197 | Jennifer L Brandt | Social Worker | 642 Broad St Ste 3, Clifton, NJ 07013-1615 | 2006-12-19 |
1659906170 | Jennifer Brandt | Social Worker | 6900 S Orange Blossom Trl Ste 402, Orlando, FL 32809-5734 | 2020-03-04 |
1366922361 | Jennifer Brandt | Occupational Therapist | 1001 E Oregon Rd, Lititz, PA 17543-9205 | 2018-08-19 |
1578812954 | Jennifer Brandt | Physical Therapist | 111 Elwyn Rd, Elwyn, PA 19063-4622 | 2012-08-31 |
1679831929 | Jennifer Elizabeth Brandt | Internal Medicine | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2012-04-24 |
1720372691 | Jennifer C Brandt | Social Worker | 1755 Lancaster Ave, Reynoldsburg, OH 43068-3108 | 2011-06-08 |
1861707721 | Jennifer Brandt | Speech-Language Pathologist | 1000 Mckeen Pl, Monroe, LA 71201-4406 | 2010-08-16 |
1477505832 | Jennifer L Brandt | Nurse Practitioner | 9000 West Wisconsin Avenue, Children's Health Sys Office Bldg, Milwaukee, WI 53226 | 2006-05-16 |
Street Address |
3558 ROUNDBARN BLVD |
City | SANTA ROSA |
State | CA |
Zip Code | 95403-1780 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
Find all providers in zip 95403 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407492101 | Jeremy Berlin | Counselor | 5755 Mountain Hawk Dr Ste 201, Santa Rosa, CA 95409-4451 | 2019-11-18 |
1073069969 | Pauline Laurent | Counselor | 2727 Tachevah Dr Apt 24, Santa Rosa, CA 95405-8441 | 2016-08-30 |
1518314905 | Katherine Nguyen | Counselor | 576 B St Ste 1a, Santa Rosa, CA 95401-5269 | 2016-05-16 |
1538531918 | Gabrielle M Simmons | Counselor | 1625 Terrace Way Ste C, Santa Rosa, CA 95404-3035 | 2015-10-26 |
1417397829 | Kim Mcgrath | Counselor | 865 3rd St Ste 103, Santa Rosa, CA 95404-4518 | 2013-06-28 |
1487804993 | Robin Lynn Reiss | Counselor | 369 Casa Manana Road Room G, Santa Rosa, CA 95409 | 2008-09-22 |
1780297101 | Mishale Ann Rede Ballinger | Counselor | 405 Jackson Dr, Santa Rosa, CA 95409-4209 | 2020-08-25 |
1164055927 | Sunrise Clinics | Counselor | 117 Camino De Vida, Santa Rosa, NM 88435-2267 | 2020-02-19 |
1598307027 | Stephanie Lopez Amaya | Counselor | 2447 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2019-10-16 |
1437701174 | Richard Lamm | Counselor | 5213 El Mercado Pkwy Ste A, Santa Rosa, CA 95403-1301 | 2019-07-12 |
Find all providers in SANTA ROSA |
City | SANTA ROSA |
Zip Code | 95403 |
Please comment or provide details below to improve the information on JENNIFER G. BRANDT.
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.