MISS SALLY ANN SHARROCK (NPI# 1871620542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871620542 |
| Entity Type | Individual |
| Full Name | MISS SALLY ANN SHARROCK |
| Credential | MFT |
| Practice Address |
2542 S Bascom Ave 255 Campbell CA 95008-5526 |
| Practice Telephone | 4086084942 |
| Mailing Telephone | 4086084942 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2012-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC 40436 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2542 S BASCOM AVE 255 |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-5526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649253204 | Philip Richard Kavanaugh | Psychiatry & Neurology | 2542 S Bascom Ave, Suite 207, Campbell, CA 95008-5526 | 2005-11-28 |
| 1740639301 | Carolain Suzuki Peregrino | Nurse Practitioner | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5526 | 2016-06-05 |
| 1588083992 | Wk Medical Group | Psychiatry & Neurology | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5526 | 2014-04-14 |
| 1659713329 | Jeweleeh Hanh Yu | Physician Assistant | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5526 | 2013-07-23 |
| 1124141031 | David Frederick Dahl | Clinical Neuropsychologist | 2542 S Bascom Ave, Ste 265, Campbell, CA 95008-5565 | 2007-04-06 |
| 1073645701 | Archana Narayan Kulkarni | Social Worker | 2542 S Bascom Ave, Suite 255, Campbell, CA 95008-5526 | 2007-03-09 |
| 1629104617 | Bruce Melvin Wermuth | Psychiatry & Neurology | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5526 | 2007-02-26 |
| 1194766113 | Maria Virginia Castelli | Registered Nurse | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5541 | 2006-06-09 |
| 1063478964 | Diann Garcia | Nurse Practitioner | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5526 | 2006-04-21 |
| 1902866049 | George D Guido IIi | Physician Assistant | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5541 | 2006-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
| Find all providers in zip 95008 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427679489 | Kaitlin Eastland | Marriage & Family Therapist | 155 E Campbell Ave Ste 220, Campbell, CA 95008-2062 | 2020-04-30 |
| 1285253443 | Mary Jean Walton | Marriage & Family Therapist | 400 Llewellyn Ave, Campbell, CA 95008-1967 | 2020-04-08 |
| 1093340218 | Mary Elizabeth Kane | Marriage & Family Therapist | 621 E Campbell Ave Ste 17, Campbell, CA 95008-2137 | 2020-03-09 |
| 1871133462 | Jennifer Boehlke | Marriage & Family Therapist | 197 E Hamilton Ave, Campbell, CA 95008-0261 | 2020-01-10 |
| 1336703529 | First Always Best Therapy | Marriage & Family Therapist | 45 N 1st St # Gf, Campbell, CA 95008-2033 | 2019-04-24 |
| 1790240596 | Minagrace Drake | Marriage & Family Therapist | 2155 S Bascom Ave Ste 110, Campbell, CA 95008-3200 | 2019-02-05 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1962957126 | Kimberly Jane Mccord | Marriage & Family Therapist | 1925 Winchester Blvd Ste 204, Campbell, CA 95008-1038 | 2016-08-17 |
| 1346644424 | Nicholas Moises Sanchez | Marriage & Family Therapist | 1215 Fewtrell Dr, Campbell, CA 95008-2426 | 2014-10-17 |
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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.