DR. PAUL ROHDE HEBERLEIN (NPI# 1730239914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730239914 |
| Entity Type | Individual |
| Full Name | DR. PAUL ROHDE HEBERLEIN |
| Credential | PHD |
| Practice Address |
602 E Santa Clara St San Jose CA 95112-1908 |
| Practice Telephone | 4084453400 |
| Mailing Telephone | 4084453400 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY11450 | CA | Behavioral Health & Social Service Providers |
| Street Address |
602 E SANTA CLARA ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699154138 | Stephanie Gregory | Case Manager/Care Coordinator | 602 E Santa Clara St, 230, San Jose, CA 95112-1908 | 2015-05-28 |
| 1386033140 | Apryl Diane Kennedy | Counselor | 602 E Santa Clara St, San Jose, CA 95112-1908 | 2015-01-16 |
| 1386982007 | Michael Alan Bennett | Community Health Worker | 602 E Santa Clara St, San Jose, CA 95112-1908 | 2013-01-31 |
| 1346591807 | Ariana Leah Davdison | Social Worker | 602 E Santa Clara St, San Jose, CA 95112-1908 | 2012-09-25 |
| 1801159280 | Elisa Marina Alvarado | Counselor | 602 E Santa Clara St, San Jose, CA 95112-1908 | 2012-06-20 |
| 1528342995 | Indian Health Center of Santa Clara | Clinic/Center | 602 E Santa Clara St, Suite 230, San Jose, CA 95112-1908 | 2011-10-04 |
| 1366726903 | Indian Health Center of Santa Clara Valley | Clinic/Center | 602 E Santa Clara St, San Jose, CA 95112-1908 | 2011-09-30 |
| 1518240118 | Indian Health Center of Santa Clara Valley | Clinic/Center | 602 E Santa Clara St, Suite 230, San Jose, CA 95112-1908 | 2011-09-21 |
| 1194005413 | Ashley Thomas | Social Worker | 602 E Santa Clara St, Suite 200, San Jose, CA 95112-1908 | 2011-08-17 |
| 1124307525 | Daniel Edward Pensler | Social Worker | 602 E Santa Clara St, San Jose, CA 95112-1908 | 2011-08-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
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|---|---|---|---|---|
| 1548896236 | Gregory P. Salerno, Ph.d., A Psychology Corporation | Psychologist | 390 Spar Ave Ste 205, San Jose, CA 95117-1644 | 2020-03-13 |
| 1548766454 | Jenifer Miri | Psychologist | 6370 Mojave Dr, San Jose, CA 95120-5310 | 2018-04-01 |
| 1417460676 | Belinda Sangrat | Psychologist | 275 Hospital Pkwy Ste 370, San Jose, CA 95119-1136 | 2017-11-09 |
| 1659818060 | Kathlyn Clementelli | Psychologist | 3212 Tenley Dr, San Jose, CA 95148-3639 | 2017-01-23 |
| 1932650223 | Lorena Ho | Psychologist | 199 Laurel Grove Ln, San Jose, CA 95126-4848 | 2016-10-20 |
| 1477906410 | Momentum for Mental Health - Crisis Stabilization | Psychologist | 101 Jose Figueres Ave Ste 50, San Jose, CA 95116-2022 | 2016-07-14 |
| 1215388764 | Momentum for Mental Health - Cr | Psychologist | 101 Jose Figueres Ave Ste 10, San Jose, CA 95116-2022 | 2016-06-27 |
| 1306214325 | Amanda Montgomery | Psychologist | 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 | 2015-09-08 |
| 1386046258 | Nicole Dow | Psychologist | 1417 Allegado Aly, San Jose, CA 95128-4547 | 2014-09-22 |
| 1902219850 | Rohn Taylor Stark Jr. | Psychologist | 150 Palm Valley Blvd, 3128, San Jose, CA 95123-1060 | 2014-06-09 |
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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.