DR. DUDLEASA STACIE HARRIS-THOMAS (NPI# 1932265170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932265170 |
| Entity Type | Individual |
| Full Name | DR. DUDLEASA STACIE HARRIS-THOMAS |
| Other Name | DR. STACIE HARRIS-THOMAS |
| Credential | PH.D |
| Practice Address |
969 Broadway Oakland CA 94607-4017 |
| Mailing Address |
Po Box 20422 Oakland CA 94620-0422 |
| Practice Telephone | 5102513905 |
| Mailing Telephone | 5102513905 |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
PSY17974 | CA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PSY17974 | CA | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY17974 | CA | Behavioral Health & Social Service Providers |
| Street Address |
969 BROADWAY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94607-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730297102 | Scott B. Smolar | Psychiatry & Neurology | 969 Broadway, Oakland, CA 94607-4017 | 2006-08-27 |
| 1497126288 | Douglas J Meyer | Marriage & Family Therapist | 969 Broadway, Oakland, CA 94607-4017 | 2015-10-19 |
| 1487889499 | Blake Carol Ann Harbin | Counselor | 969 Broadway, Oakland, CA 94607-4017 | 2009-05-19 |
| 1437312899 | Katherine Lydecker | Counselor | 969 Broadway, Oakland, CA 94607-4017 | 2008-07-07 |
| 1811034820 | Jennifer Gaito | Marriage & Family Therapist | 969 Broadway, Oakland, CA 94607-4017 | 2007-01-31 |
| 1679619308 | Jody Binkoff | Psychologist | 969 Broadway, Oakland, CA 94607-4017 | 2007-01-29 |
| 1942355086 | Daniel B Fronczak | Psychologist | 969 Broadway, Oakland, CA 94607-4017 | 2007-01-25 |
| 1518019363 | Nelida Geonetta | Psychologist | 969 Broadway, Oakland, CA 94607-4017 | 2007-01-18 |
| 1306998562 | Jeffrey Blair | Counselor | 969 Broadway, Oakland, CA 94607 | 2007-01-17 |
| 1750431359 | Hannah Judith Kusterer | Marriage & Family Therapist | 969 Broadway, Oakland, CA 94607-4017 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1053947812 | Deanna Karraa | Registered Nurse | 1111 Jackson 6th Floor, Oakland, CA 94607 | 2020-03-12 |
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1912422528 | Maria H Cho | Registered Nurse | 2511 Market St, Oakland, CA 94607 | 2017-08-04 |
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| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293199 | Corinne Guerrero | Psychologist | 4820 Melrose Ave, Oakland, CA 94601-5346 | 2020-10-19 |
| 1467483123 | Robert Anthony Matano | Psychologist | 5665 College Ave, Suite 320b, Oakland, CA 94618-1625 | 2006-07-05 |
| 1326527581 | Center for Adolescent Studies, Inc. | Psychologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2018-08-08 |
| 1265749790 | Samuel Himelstein | Psychologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2010-09-03 |
| 1700079530 | Andreas Bollinger | Psychologist | 525 21st St, Oakland, CA 94612-1605 | 2007-08-24 |
| 1679619308 | Jody Binkoff | Psychologist | 969 Broadway, Oakland, CA 94607-4017 | 2007-01-29 |
| 1942355086 | Daniel B Fronczak | Psychologist | 969 Broadway, Oakland, CA 94607-4017 | 2007-01-25 |
| 1245307529 | Patrick Brian O'hearn | Psychologist | 969 Broadway, Oakland, CA 94607-4017 | 2006-11-29 |
| 1902971310 | Laura M Krum | Psychologist | 969 Broadway, Oakland, CA 94607-4017 | 2006-11-21 |
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| 1851955181 | Matthew Taylor | Psychologist | 27645 E Trail Ridge Way Apt 1007, Moreno Valley, CA 92555-3122 | 2019-04-23 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1639640766 | Lidia Janette Aguilar | Psychologist | 4958 Gabrielieno Ave, Oceanside, CA 92057-4434 | 2018-12-16 |
| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1295253953 | Raphael Gidharry Johnson | Psychologist | 1753 N. Country Ln., Pasadena, CA 91107-1104 | 2017-09-01 |
| 1417402066 | Aldo Ramirez | Psychologist | 1402 W Juniper St, Oxnard, CA 93033-3321 | 2016-08-23 |
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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.