LIZA BATHORI (NPI# 1811022775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811022775 |
Entity Type | Individual |
Full Name | LIZA BATHORI |
Other Name | LIZA STEVENS |
Credential | PSY.D. |
Practice Address |
1101 S Winchester Blvd Suite C-120 San Jose CA 95128-3901 |
Mailing Address |
467 Hamilton Ave Suite 22 Palo Alto CA 94301-1830 |
Practice Telephone | 4086549311 |
Mailing Telephone | 6503231676 |
Mailing Fax Number | 6503231277 |
Enumeration Date | 2007-02-22 |
Last Update Date | 2012-07-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY#20160 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | EASTER SEALS BAY AREA | EIN:94-3120231 | 01 |
Street Address |
1101 S WINCHESTER BLVD SUITE C-120 |
City | SAN JOSE |
State | CA |
Zip Code | 95128-3901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467488627 | Sleepmed Therapies Inc | Durable Medical Equipment & Medical Supplies | 1101 S Winchester Blvd, Suite G-180, San Jose, CA 95128 | 2006-06-22 |
1700499100 | Laura Gail Hastings | Marriage & Family Therapist | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2020-08-25 |
1316579378 | Melissa Perez Ibarra | Behavior Technician | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2020-02-07 |
1689205171 | Daniel Mainwald | Behavior Technician | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2020-02-03 |
1144880857 | Ailan Michelle Nguyen | Behavior Technician | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2019-06-14 |
1548736770 | Samantha Colleen Disalvo | Behavior Technician | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2018-10-15 |
1154896231 | Christian Legaspi | Behavior Technician | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2018-10-04 |
1992280200 | Jennifer Leblanc | Assistant Behavior Analyst | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2018-10-02 |
1972088573 | Cierilyn Legaspi | Behavior Technician | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2018-09-28 |
1316422041 | Katelyn Short | Behavior Technician | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2018-09-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
Find all providers in zip 95128 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
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1396906897 | Nina Lim | Psychologist | 2516 Autumnvale Ave, San Jose, CA 95131-3443 | 2008-06-18 |
1659420594 | Susan Anvin | Psychologist | 1769 Park Ave Ste 110, San Jose, CA 95126-2025 | 2007-01-09 |
1710045612 | H. Nicole Hess | Psychologist | 6620 Via Del Oro, San Jose, CA 95119-1451 | 2006-12-04 |
1538235759 | Beverly Jacobson | Psychologist | 1210 S Bascom Ave, San Jose, CA 95128-3543 | 2006-11-28 |
1255579363 | Gerri Lane Armstrong-walker | Psychologist | 3500 Zanker Rd, San Jose, CA 95134-2201 | 2009-01-27 |
1285894279 | Adriana Weyandt | Psychologist | 2400 Moorpark Ave, Suite 300, San Jose, CA 95128-2631 | 2008-06-12 |
1679623599 | Robert R Hardy | Psychologist | 175 Bernal Rd, Suite 140, San Jose, CA 95119-1343 | 2007-01-11 |
1578627956 | Theresa Ann Abrams | Psychologist | 175 Bernal Rd, San Jose, CA 95119-1343 | 2006-12-20 |
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1730711375 | Benjamin Alpert, Psyd, A Psychological Corporation | Psychologist | 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 | 2020-02-11 |
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1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
1184264533 | New Vision Counseling Center | Psychologist | 8050 La Mesa Blvd, La Mesa, CA 91942-0335 | 2020-01-14 |
1235778614 | Jessica Herbold | Psychologist | 1044 Sir Francis Drake Blvd Ste 7, Kentfield, CA 94904-1454 | 2020-01-02 |
1003478405 | Melissa Berrenge-browde | Psychologist | 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 | 2019-07-05 |
1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
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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.