REBECCA KERRY VAN SICKLE (NPI# 1871847889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871847889 |
| Entity Type | Individual |
| Full Name | REBECCA KERRY VAN SICKLE |
| Practice Address |
9500 Malech Rd San Jose CA 95138 |
| Mailing Address |
Po Box 13219 Coyote CA 95013-3219 |
| Practice Telephone | 4082816592 |
| Practice Fax Number | 4082816580 |
| Mailing Telephone | 4082816592 |
| Mailing Fax Number | 4082816580 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215353552 | Rebecca Van Sickle | Counselor | 35160 Hulihee St, Winchester, CA 92596-8515 | 2014-03-11 |
| Street Address |
9500 MALECH RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543228 | Isabel Ayala | Counselor | 9500 Malech Rd, San Jose, CA 95138 | 2020-09-16 |
| 1497314025 | Angela Tilatha Chavez | Counselor | 9500 Malech Rd, San Jose, CA 95138 | 2019-06-07 |
| 1295232940 | Stephanie Lorraine Reyes | Counselor | 9500 Malech Rd, San Jose, CA 95138 | 2018-04-10 |
| 1265939144 | Jasmine Orlan Coombs | Counselor | 9500 Malech Rd, San Jose, CA 95138 | 2018-04-09 |
| 1477050342 | Lisa Marie Velez | Counselor | 9500 Malech Rd, San Jose, CA 95138 | 2018-04-09 |
| 1205333085 | Elizabeth Marie Herndon | Counselor | 9500 Malech Rd, San Jose, CA 95138 | 2018-04-09 |
| 1912376369 | Mona Calhoun-collins | Counselor | 9500 Malech Rd, San Jose, CA 95138 | 2015-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623865 | Nguyen and Tran Dental Corporation | Dentist | 6130 Hellyer Avenue, San Jose, CA 95138 | 2020-09-09 |
| 1821564485 | Indian Health Center of Santa Clara Valley | Clinic/Center | 9501 Malech Rd, San Jose, CA 95138 | 2018-10-22 |
| 1548690324 | Megan Chang | Occupational Therapist | 5900, Pistoia Way, San Jose, CA 95138 | 2013-11-15 |
| 1720428410 | Cristina Duenas | Social Worker | 5855 Silver Creek Valley Pl, San Jose, CA 95138 | 2013-06-27 |
| 1174967079 | Guardian Sleep Clinic, LLC | Clinical Medical Laboratory | 315 Piercy Rd, San Jose, CA 95138 | 2013-04-22 |
| 1366720906 | Ariosa Diagnostics, Inc. | Clinical Medical Laboratory | 5945 Optical Court, San Jose, CA 95138 | 2011-08-01 |
| 1043406713 | Umaru Fofana | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138 | 2007-09-17 |
| 1316140569 | Dickman & Bourla Chiropractic Inc | Chiropractor | 2311 Silver Breeze Ct, San Jose, CA 95138 | 2007-06-06 |
| 1508983032 | Traci Pickett | Counselor | 9500 Malech Road, San Jose, CA 95138 | 2007-03-22 |
| 1154457828 | Ladonna Jacklyn Cooper | Social Worker | 445 Silicon Valley Boulevard, San Jose, CA 95138 | 2007-02-26 |
| Find all providers in zip 95138 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1609412469 | Cathy Logie | Counselor | 2682 Coit Dr, San Jose, CA 95124-1611 | 2019-11-26 |
| 1831692722 | Nicholas Jordon Thompson | Counselor | 2218 North First Street, San Jose, CA 95131 | 2018-03-16 |
| 1376045591 | Michael Li | Counselor | 2202 N 1st St, San Jose, CA 95131-2007 | 2018-03-03 |
| 1104338805 | Sydney Louise Tai | Counselor | 1370 Tully Rd Ste 301, San Jose, CA 95122-3056 | 2017-11-02 |
| 1932624871 | Linh Tuyet Vong | Counselor | 760 Pelleas Ln, San Jose, CA 95127-1030 | 2017-08-12 |
| 1760907273 | Marina Marie Mendonca | Counselor | 650 S. Bascom Ave, San Jose, CA 95128 | 2017-08-04 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1386171221 | Mia Yvone Jaurigue | Counselor | 151 W Mission St # A1, San Jose, CA 95110-1713 | 2017-05-22 |
| 1396296307 | Andres Lujan Jr. | Counselor | 1867 Senter Rd, San Jose, CA 95112-2527 | 2016-10-14 |
| Find all providers in SAN JOSE | ||||
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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.