VANESSA CLARK (NPI# 1881169860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881169860 |
| Entity Type | Individual |
| Full Name | VANESSA CLARK |
| Credential | AMFT |
| Practice Address |
10717 Camino Ruiz Ste 207 San Diego CA 92126-2364 |
| Mailing Address |
317 N El Camino Real Ste 306 Encinitas CA 92024-2814 |
| Practice Telephone | 8586952211 |
| Mailing Telephone | 7607173343 |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
74535 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 74535 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 317 N El Camino Real Ste 306, Encinitas, CA 920242814 | 7607173343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347714 | Vanessa Clark | Homemaker | 8305 Bottom Woods Cir Apt 102, Tampa, FL 33637-5082 | 2020-08-17 |
| 1336656271 | Vanessa Clark | Social Worker | 76605 Gallatin Rd, Gallatin Gateway, MT 59730-8711 | 2018-01-01 |
| 1265868368 | Vanessa Young Clark | Physical Therapist | 12047 Lake Estates Ave, Baton Rouge, LA 70810-7323 | 2013-09-20 |
| 1649516949 | Vanessa Clark | Registered Nurse | 3794 E 147th St, Cleveland, OH 44128-1025 | 2012-12-14 |
| 1306492699 | Vanessa Ann Clark | Chore Provider | 343 Fairview Dr, Carson City, NV 89701-5798 | 2019-08-13 |
| 1154873818 | Vanessa Clark I | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2016-10-28 |
| 1225588171 | Vanessa Clark | Physician Assistant | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 | 2016-10-04 |
| 1003363946 | Vanessa Clark | Pharmacist | 1308 S Harris St, Sandersville, GA 31082-6913 | 2016-09-08 |
| Street Address |
10717 CAMINO RUIZ STE 207 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92126-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326120916 | Tara Eileen Mcgrath | Marriage & Family Therapist | 10717 Camino Ruiz Ste 207, San Diego, CA 92126-2364 | 2006-10-20 |
| 1740887363 | Corinn Lippert | Student in an Organized Health Care Education/Training Program | 10717 Camino Ruiz Ste 207, San Diego, CA 92126-2364 | 2020-10-06 |
| 1023634623 | Kelsi S Harron | Student in an Organized Health Care Education/Training Program | 10717 Camino Ruiz Ste 207, San Diego, CA 92126-2364 | 2020-06-19 |
| 1962042390 | Kadirah Mubashshir | Marriage & Family Therapist | 10717 Camino Ruiz Ste 207, San Diego, CA 92126-2364 | 2020-01-14 |
| 1154961431 | Joan Mcfadden | Counselor | 10717 Camino Ruiz Ste 207, San Diego, CA 92126-2364 | 2020-01-14 |
| 1114566460 | Melissa Taylor | Social Worker | 10717 Camino Ruiz Ste 207, San Diego, CA 92126-2364 | 2020-01-04 |
| 1043856081 | Jadianna Hugle | Licensed Vocational Nurse | 10717 Camino Ruiz Ste 207, San Diego, CA 92126-2364 | 2019-11-25 |
| 1427699545 | Beverly Sharifian | Counselor | 10717 Camino Ruiz Ste 207, San Diego, CA 92126-2364 | 2019-09-30 |
| 1700430196 | Jessica Carrie Imhoff | Counselor | 10717 Camino Ruiz Ste 207, San Diego, CA 92126 | 2019-07-24 |
| 1629538061 | Zhao Jia | Student in an Organized Health Care Education/Training Program | 10717 Camino Ruiz Ste 207, San Diego, CA 92126-2364 | 2019-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1811450935 | Anne Phabmixay | Student in an Organized Health Care Education/Training Program | Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 | 2019-04-08 |
| 1679035588 | Emily Nguyen | Registered Nurse | 8210 Elston Place, San Diego, CA 92126 | 2019-04-01 |
| 1558832139 | Dana Douglas-hiley | Speech-Language Pathologist | 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 | 2018-12-08 |
| 1275022873 | Breeann Nicole Poulson | Speech-Language Pathologist | 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 | 2018-05-09 |
| 1659878882 | My Phuong Thi Phan | Registered Nurse | 10938 Hyades Way, San Diego, CA 92126 | 2018-04-13 |
| 1083132153 | Ruth Tamar Morales | Occupational Therapist | Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 | 2017-09-08 |
| 1487184339 | Chelsea Irene Johnson | Marriage & Family Therapist | 8670 New Salem St. Unit 106, San Diego, CA 92126 | 2017-06-14 |
| 1336508506 | Brenda L. Bebal | Nurse Practitioner | 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 | 2016-02-17 |
| 1700245099 | Naval Medical Center San Diego | Pharmacy | Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 | 2016-02-16 |
| Find all providers in zip 92126 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1558974378 | Monica Dixon | Counselor | 4930 Naples St Fl 1, San Diego, CA 92110-3820 | 2020-08-31 |
| 1952911612 | Shannon Kathleen Nolte | Counselor | 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 | 2020-08-06 |
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1487279493 | Christi Susan Leyva | Counselor | 10417 Crosscreek Ter, San Diego, CA 92131-1344 | 2020-06-15 |
| 1285256099 | Jehna Barnes | Counselor | 3636 Camino Del Rio N, San Diego, CA 92108-1703 | 2020-05-14 |
| 1457973455 | Cassandra Detgen | Counselor | 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 | 2020-05-12 |
| 1972131589 | Douglas Baker Marriage and Family Therapy, Inc. | Counselor | 2911 Adams Ave # 5, San Diego, CA 92116-1509 | 2020-03-30 |
| 1255966859 | Job Brunat | Counselor | 4169 38th St Apt 10, San Diego, CA 92105-1367 | 2020-03-04 |
| Find all providers in SAN DIEGO | ||||
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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.