ANNA LISA JOHANNSDOTTIR (NPI# 1902238348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902238348 |
| Entity Type | Individual |
| Full Name | ANNA LISA JOHANNSDOTTIR |
| Credential | PSY.D |
| Practice Address |
2275 Arlington Dr San Leandro CA 94578-1132 |
| Practice Telephone | 5103171444 |
| Mailing Telephone | 5103171444 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2018-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
2275 ARLINGTON DR |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114001906 | Seneca Family of Agencies | Residential Treatment Facility, Emotionally Disturbed Children | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2006-10-25 |
| 1730787409 | Rocio Soto | Community Health Worker | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-10-14 |
| 1457959215 | Tracy Nguyen | Technician, Health Information | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-10-14 |
| 1891393526 | Kristian J Aclan | Registered Nurse | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-10-14 |
| 1225636244 | Pooja Prasad | Technician, Health Information | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-10-12 |
| 1790382091 | Emerald Lacy | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-10-08 |
| 1447866454 | Jason Andre Ernest Mcgann | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-09-16 |
| 1043825979 | Maksin Puzar | Community Health Worker | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-09-08 |
| 1164037099 | Rosa Jennifer Colin | Social Worker | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-09-08 |
| 1588279418 | Daniel Alejandro Gallegos | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578905907 | Pooja Gopal | Psychologist | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2013-07-26 |
| 1740469543 | Brenda Nichelle Mckinley | Psychologist | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2007-10-29 |
| 1457542797 | Roberta Marzia Gambetti | Psychologist | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2007-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631312 | Kathleen Carroll-wray | Psychologist | 818 W 7th St Ste 930, Los Angeles, CA 90017-3476 | 2020-08-26 |
| 1568082113 | Laura Adery | Psychologist | 760 Westwood Plz # 27-448, Los Angeles, CA 90095-8353 | 2020-04-23 |
| 1073148938 | Kristine Fleming | Psychologist | 4309 Campbell Dr, Pittsburg, CA 94565-6017 | 2020-03-11 |
| 1730711375 | Benjamin Alpert, Psyd, A Psychological Corporation | Psychologist | 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 | 2020-02-11 |
| 1073144010 | Melissa Alexis Ramirez | Psychologist | 1514 Caminito Soria Unit 2, Chula Vista, CA 91913-2503 | 2020-01-29 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1184264533 | New Vision Counseling Center | Psychologist | 8050 La Mesa Blvd, La Mesa, CA 91942-0335 | 2020-01-14 |
| 1235778614 | Jessica Herbold | Psychologist | 1044 Sir Francis Drake Blvd Ste 7, Kentfield, CA 94904-1454 | 2020-01-02 |
| 1003478405 | Melissa Berrenge-browde | Psychologist | 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 | 2019-07-05 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
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| City | SAN LEANDRO |
| Zip Code | 94578 |
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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.