WILL E GILLYARD (NPI# 1841507753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841507753 |
| Entity Type | Individual |
| Full Name | WILL E GILLYARD |
| Credential | LPT |
| Practice Address |
2620 26th Ave Oakland CA 94601-1907 |
| Mailing Address |
1232 E 19th St Apt. 103 Oakland CA 94606-3174 |
| Practice Telephone | 5104372363 |
| Practice Fax Number | 5105372366 |
| Mailing Telephone | 5105331837 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 14787 | CA | Nursing Service Providers |
| Street Address |
2620 26TH AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629154786 | Telecare Corporation | Clinic/Center | 2620 26th Ave, Oakland, CA 94601 | 2006-10-31 |
| 1801493887 | Chidozie Ephrem Ibe | Nurse Practitioner | 2620 26th Ave, Oakland, CA 94601-1907 | 2020-10-02 |
| 1346863032 | Rachel Alison Thompson-ray | Counselor | 2620 26th Ave, Oakland, CA 94601-1907 | 2020-05-28 |
| 1730701467 | Anna Michelle Guha | Counselor | 2620 26th Ave, Oakland, CA 94601-1907 | 2020-05-15 |
| 1508496647 | Kendall Testa | Peer Specialist | 2620 26th Ave, Oakland, CA 94601-1907 | 2020-01-16 |
| 1942788724 | Tali E Felson | Case Manager/Care Coordinator | 2620 26th Ave, Oakland, CA 94601-1907 | 2018-08-02 |
| 1861987885 | Emily Regal | Marriage & Family Therapist | 2620 26th Ave, Oakland, CA 94601-1907 | 2018-06-22 |
| 1770095069 | Deandrea Ward | Counselor | 2620 26th Ave, Oakland, CA 94601-1907 | 2017-10-26 |
| 1518349687 | Makela Nicole Benoit | Counselor | 2620 26th Ave, Oakland, CA 94601-1907 | 2015-06-24 |
| 1639551708 | Brenda Li | Behavioral Analyst | 2620 26th Ave, Oakland, CA 94601-1907 | 2015-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518589662 | Carol Lynn Davis | Licensed Psychiatric Technician | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-05-12 |
| 1073134581 | Matthew Mendez | Licensed Psychiatric Technician | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2020-05-06 |
| 1699317628 | Tameka R Purnell | Licensed Psychiatric Technician | 280 17th St, Oakland, CA 94612-4124 | 2019-10-10 |
| 1659418911 | Carol Ann Upton | Licensed Psychiatric Technician | 280 17th St, Oakland, CA 94612-4124 | 2007-01-30 |
| 1770629693 | Charles Paul Hastings | Licensed Psychiatric Technician | 4368 Lincoln Ave, Attention Nursing Office, Oakland, CA 94602-2529 | 2007-01-29 |
| 1720145923 | Luis Manuel Diaz | Licensed Psychiatric Technician | 7200 Bancroft Ave, Eastmont Town Center Bldg. B Suite 133, Oakland, CA 94605-2403 | 2007-01-03 |
| 1336206572 | Marie Ann Long | Licensed Psychiatric Technician | 7200 Bancroft Ave, Eastmont Town Center Bldg. B Suite 133, Oakland, CA 94605-2403 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
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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.