LIZA BATHORI


Address: 1101 S Winchester Blvd, Suite C-120, San Jose, CA 95128-3901
Phone: 4086549311

LIZA BATHORI (NPI# 1811022775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CA EASTER SEALS BAY AREA EIN:94-3120231 01

Office Location

Street Address 1101 S WINCHESTER BLVD
SUITE C-120
City SAN JOSE
State CA
Zip Code 95128-3901

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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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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1073148938 Kristine Fleming Psychologist 4309 Campbell Dr, Pittsburg, CA 94565-6017 2020-03-11
1730711375 Benjamin Alpert, Psyd, A Psychological Corporation Psychologist 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 2020-02-11
1073144010 Melissa Alexis Ramirez Psychologist 1514 Caminito Soria Unit 2, Chula Vista, CA 91913-2503 2020-01-29
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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Competitor

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City SAN JOSE
Zip Code 95128

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Dataset Information

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.

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