DR. ROSEMARY PUERTO (NPI# 1750641189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750641189 |
| Entity Type | Individual |
| Full Name | DR. ROSEMARY PUERTO |
| Credential | PSYD |
| Practice Address |
1070 Concord Ave Ste 109 Concord CA 94520-5608 |
| Practice Telephone | 9258495349 |
| Mailing Telephone | 9258495349 |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LA CONCORDIA PSYCHOTHERAPY AND WELLNESS CLINIC | 1154933026 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1904 Franklin St, Suite 400, Oakland, CA 946122912 | 5104282028 | |
| 3230 Kerner Blvd Ste 120, San Rafael, CA 94901 | 4154734274 |
| Street Address |
1070 CONCORD AVE STE 109 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-5608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558558676 | Manuel Enrique Fernandez | Psychologist | 1070 Concord Ave Ste 109, Concord, CA 94520-5608 | 2007-10-02 |
| 1154933026 | La Concordia Psychotherapy and Wellness Clinic | Psychologist | 1070 Concord Ave Ste 109, Concord, CA 94520-5608 | 2020-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497372197 | Sandrina Nabil Kldas | Psychologist | 1333 Willow Pass Rd Ste 122, Concord, CA 94520-7930 | 2020-06-29 |
| 1598385114 | Barbara Pritchard Nash | Psychologist | 1410-2 Monument St, Concord, MA 01742-5323 | 2020-04-23 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1205322005 | Gwendolyn Coke Atwood | Psychologist | 117 Seymour St, Concord, MA 01742-5759 | 2018-07-03 |
| 1356881080 | John Fraire Aldava Iv, Phd, Psychology Group P.C. | Psychologist | 1866 Clayton Rd Ste 103a, Concord, CA 94520-2566 | 2017-02-28 |
| 1619421575 | Janine Hill | Psychologist | 107 Westford Rd, Concord, MA 01742-5220 | 2016-08-09 |
| 1265831739 | Julia Wymer Sollenberger | Psychologist | 45 Walden St, Concord, MA 01742-2533 | 2014-08-20 |
| 1790032183 | Kathryn Elizabeth Schoenfeldt | Psychologist | 79 Washington Ln Se, Concord, NC 28025-3505 | 2012-08-06 |
| 1407184237 | Ivonne Monique Klatt | Psychologist | 2600 Stanwell Dr Ste 220, Concord, CA 94520-4828 | 2009-12-07 |
| 1255561072 | Lucina Miranda | Psychologist | 1866 Clayton Rd Ste 107, Concord, CA 94520 | 2009-07-15 |
| Find all providers in CONCORD | ||||
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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.