DR. SURINA KAMDAR MAZZOLA


Address: 3860 Blackhawk Rd, Suite 160, Danville, CA 94506-4905
Phone: 9255492610

DR. SURINA KAMDAR MAZZOLA (NPI# 1871723965) 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) 1871723965
Entity Type Individual
Full Name DR. SURINA KAMDAR MAZZOLA
Credential PSYD
Practice Address 3860 Blackhawk Rd
Suite 160
Danville
CA 94506-4905
Practice Telephone 9255492610
Mailing Telephone 9255492610
Enumeration Date 2009-07-22
Last Update Date 2015-01-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Office Location

Street Address 3860 BLACKHAWK RD
SUITE 160
City DANVILLE
State CA
Zip Code 94506-4905

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NPI Name Taxonomy Address Enumeration
1528680659 Diane Lindsey Baggett Registered Nurse # 155 9000 Crow Canyon, Danville, CA 94506 2020-05-12
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1871728279 Dana Libby Kapp Dentist 4135 Blackhawk Plaza Cir Ste 260, Danville, CA 94506 2009-05-28
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1497784169 Donald I Galen Obstetrics & Gynecology 13 Homestead Court, Danville, CA 94506 2006-07-03
1144259870 Blackhawk Surgery Center, A Medical Corp. Clinic/Center 3601 Blackhawk Plaza Circle, Danville, CA 94506 2006-07-03
1629038351 William Kemerer Anesthesiology 3600 Blackhawk Plaza Circle, Danville, CA 94506 2006-03-25
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922574078 Ashley Mitchell-roberts Psychologist 321 Lynn St Ste A, Danville, VA 24541-1421 2018-10-16
1184085920 William Dodge Psychologist 617 Logan Ln, Danville, CA 94526-1511 2016-03-07
1093946915 Latonya Carey-wright Psychologist 1900 E. Main Street, Building 98 Room 3118, Department of Veterans Affairs Vamc, Danville, IL 61832 2009-07-28
1154568061 Kathryn Marie Guiney Psychologist 109 Cavalcade Dr, Danville, KY 40422-9211 2009-01-14
1720269038 Wanda Mae Mandell Psychologist 200 State Hospital Drive, Danville, PA 17821-9198 2007-11-15
1386709426 Brian S Ward Psychologist 238 Greenbanks Hollow Rd, Danville, VT 05828-9611 2006-12-27
1942300504 Mary Callaway Wiley Psychologist 145 East Prospect Avenue, Suite 215d, Danville, CA 94526 2006-09-24
1770590747 Sara Stauffacher Denman Psychologist 171 Front St, Suite 204, Danville, CA 94526 2006-08-02
1689604001 Herbert B Popolow Psychologist 2438 Snydertown Rd, Danville, PA 17821-7428 2006-07-03
1174138150 Anna Marie Cruz Psychologist 100 N Academy Ave, Geisinger Medical Center, Danville, PA 17822-1335 2020-09-15
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City DANVILLE
Zip Code 94506

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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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