DR. JEFFREY E HALL


Address: 555 Northgate Dr, Family Service Agency, San Rafael, CA 94903-3680
Phone: 4154915700

DR. JEFFREY E HALL (NPI# 1922151554) 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) 1922151554
Entity Type Individual
Full Name DR. JEFFREY E HALL
Credential PSY.D
Practice Address 555 Northgate Dr
Family Service Agency
San Rafael
CA 94903-3680
Mailing Address 1122 Clement St
San Francisco
CA 94118-2115
Practice Telephone 4154915700
Practice Fax Number 4154915750
Mailing Telephone 4152036950
Mailing Fax Number 8883840984
Enumeration Date 2007-01-18
Last Update Date 2018-02-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
20967 CA Behavioral Health & Social Service Providers

Other Providers JEFFREY HALL

NPI Name Taxonomy Address Enumeration
1376880732 Jeffrey Wayne Hall Chiropractor 3604 Sawmill Dr, Austin, TX 78749-6948 2013-01-05
1053547042 Jeffrey David Hall Dentist 420 S Broadway St Ste 104, Forest City, NC 28043-4092 2009-06-03
1528273067 Jeffrey Warren Hall Specialist 2382 Sadler Rd, St 1, Fernandina Beach, FL 32034-4548 2007-05-10
1578616355 Jeffrey W Hall Chiropractor 6923 39th Avenue, Kenosha, WI 53142-7129 2007-01-18
1912929365 Jeffrey Hall Anesthesiology 8132 Cordova Rd, Cordova, TN 38016 2006-07-24
1154308765 Jeffrey Wayne Hall Family Medicine 3209 Colonial Drive, Columbia, SC 29203 2005-12-23
1609868496 Jeffrey Maurice Hall Surgery 18245 E 10 Mile Rd, Suite 130, Roseville, MI 48066-5807 2005-08-17
1568467512 Jeffrey P Hall Podiatrist 2000 E Layton Ave, St Francis, WI 53235-6053 2005-06-16
1740819580 Jeffrey Robert Hall II Student in an Organized Health Care Education/Training Program 701 Park Ave South - Medicine, Minneapolis, MN 55415-1829 2020-04-03
1750861605 Jeffrey Hall Pharmacy Technician 265 S Eagle Rd, Eagle, ID 83616-5907 2018-08-20

Office Location

Street Address 555 NORTHGATE DR
FAMILY SERVICE AGENCY
City SAN RAFAEL
State CA
Zip Code 94903-3680

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548270267 Family Service Agency of Marin Clinic/Center 555 Northgate Dr, San Rafael, CA 94903-3680 2006-08-08
1851807077 Jose Luis Tijero Jr. Counselor 555 Northgate Dr, San Rafael, CA 94903-3680 2017-12-26
1952845869 Jessica Copeland Counselor 555 Northgate Dr, San Rafael, CA 94903-3680 2016-12-12
1235599036 Connie Mann Counselor 555 Northgate Dr, Suite 200, San Rafael, CA 94903-3680 2016-03-07
1932595683 Stephanie Schuman Counselor 555 Northgate Dr, Suite 200, San Rafael, CA 94903-3680 2015-04-09
1285043620 Megan Fuller O'donnell Counselor 555 Northgate Dr, Suite 100 Family Service Agency of Marin, San Rafael, CA 94903-3680 2014-08-11
1801147103 Marion Turner-riley Counselor 555 Northgate Dr, Family Service Agency of Marin, San Rafael, CA 94903-3680 2012-09-26
1801147616 Teresa Michelle Vera Counselor 555 Northgate Dr, San Rafael, CA 94903-3680 2012-09-20
1629326798 Stephanie Claire Lai Counselor 555 Northgate Dr, Suite 100, San Rafael, CA 94903-3680 2012-08-21
1831460476 Joanne Forman Counselor 555 Northgate Dr, San Rafael, CA 94903-3680 2012-01-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467089524 Christopher Sazo Counselor 1 St. Vincents Drive, San Rafael, CA 94903 2020-03-26
1134769482 Katherine Sieger Music Therapist 400 Civic Center Dr. #300, San Rafael, CA 94903 2020-01-14
1679064836 California In Home Care & Registry, Inc In Home Supportive Care 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 2018-05-23
1922557586 Helen Elizabeth Shamis Marriage & Family Therapist 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 2016-09-23
1033572771 Henry Colbert Counselor 1 St. St. Vincent Drive, San Rafael, CA 94903 2016-03-31
1659736924 Robyn Bloom Marriage & Family Therapist 4 Joseph Court, San Rafael, CA 94903 2015-12-30
1851760565 Cheryl Clementson Substance Abuse Rehabilitation Facility 301 Smith Ranch Road, San Rafael, CA 94903 2015-09-23
1588043731 Chelsea Cooney Counselor 1 St. Vincent's Drive, San Rafael, CA 94903 2015-05-20
1083002315 Kaiser Permanente Psychiatric Unit 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 2015-01-09
1366857856 Travel Well Corporation Preventive Medicine 28 Mitchell Blvd, San Rafael, CA 94903 2014-06-24
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871135665 Tina M Galordi Psychologist 1414 4th St Ste 201, San Rafael, CA 94901-2857 2019-10-13
1497299812 Vesna Sturman Psychologist 712 D St Ste L, San Rafael, CA 94901 2016-12-05
1134581986 Stephen Willis Psychologist 4460 Redwood Hwy # 16-320, San Rafael, CA 94903-1951 2016-03-22
1720367956 Albert Wong Psychologist 1 H Street, Suite 203, San Rafael, CA 94901 2011-08-05
1932497377 Jessica Erin Pullins Psychologist 1299 4th St Ste 401, San Rafael, CA 94901-3030 2011-07-19
1194031872 Duy D. Vu Psychologist 4460 Redwood Hwy Ste 16-303, San Rafael, CA 94903-1951 2010-08-19
1871826487 Aninha Esperanza Livingstone Psychologist 700 E St San Rafael Ca 94901, Suite 201, San Rafael, CA 94901 2009-09-14
1609012574 Ruud Vanwijnen Psychologist 15 North Ave, 2-a, San Rafael, CA 94903-4823 2008-12-26
1033386768 Boukje Elisabeth Eerkens Psychologist 101 Lucas Valley Rd Ste 269, San Rafael, CA 94903-1761 2008-05-12
1255547154 Geraldine Alpert Psychologist 33 Bungalow Ave, San Rafael, CA 94901-5140 2007-05-15
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Competitor

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City SAN RAFAEL
Zip Code 94903

Improve Information

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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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