DIANA KIMBERLY AVARY FALLON (NPI# 1710527916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710527916 |
| Entity Type | Individual |
| Full Name | DIANA KIMBERLY AVARY FALLON |
| Other Name | DIANA KIMBERLY AVARY |
| Credential | MA |
| Practice Address |
832 Sunny Glen Court San Pablo CA 94806-6113 |
| Practice Telephone | 6507144993 |
| Mailing Telephone | 6507144993 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
AMFT116501 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | AMFT116501 | CA | Behavioral Health & Social Service Providers |
| Street Address |
832 SUNNY GLEN COURT |
| City | SAN PABLO |
| State | CA |
| Zip Code | 94806-6113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
| 1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
| 1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
| 1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
| 1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
| 1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
| 1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
| 1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
| 1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
| 1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
| Find all providers in zip 94806 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868333 | Kathleen Marie Lovett | Marriage & Family Therapist | 10 Las Moradas Cir, San Pablo, CA 94806-3838 | 2019-02-21 |
| 1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
| 1164806113 | Jessa Metcalfe Goldstein | Marriage & Family Therapist | 1870 19th St, San Pablo, CA 94806 | 2015-07-18 |
| 1093976912 | Arian Alexandra Sarris | Marriage & Family Therapist | 25 Las Moradas Cir, San Pablo, CA 94806-3839 | 2008-06-23 |
| 1962693713 | Salvador Lopez Palomares | Marriage & Family Therapist | 13201 San Pablo Ave Ste 305, San Pablo, CA 94806-3958 | 2007-08-07 |
| 1104953538 | Heftsi Assaf | Marriage & Family Therapist | 13201 San Pablo Ave Ste 316, San Pablo, CA 94806-3965 | 2007-02-27 |
| 1578618575 | Frances Mcculloch Doughty | Marriage & Family Therapist | 13201 San Pablo Ave Ste 310, San Pablo, CA 94806-3965 | 2007-01-23 |
| 1861565277 | Allison M. Bowne | Marriage & Family Therapist | 2465 Dolan Way, San Pablo, CA 94806-1668 | 2006-11-15 |
| 1831675792 | Kristina Kimberly Sterling | Marriage & Family Therapist | 2465 Dolan Way, San Pablo, CA 94806-1668 | 2018-07-13 |
| 1851883748 | Natalie Burger | Marriage & Family Therapist | 2465 Dolan Way, San Pablo, CA 94806 | 2018-06-05 |
| Find all providers in SAN PABLO | ||||
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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.