DR. JESSICA ERIN PULLINS


Address: 1299 4th St Ste 401, San Rafael, CA 94901-3030
Phone: 4154886245

DR. JESSICA ERIN PULLINS (NPI# 1932497377) 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) 1932497377
Entity Type Individual
Full Name DR. JESSICA ERIN PULLINS
Credential PH.D.
Practice Address 1299 4th St Ste 401
San Rafael
CA 94901-3030
Practice Telephone 4154886245
Mailing Telephone 4154886245
Enumeration Date 2011-07-19
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY 24831 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
15047 Los Gatos Blvd Ste 200, Los Gatos, CA 950322054 4083646799

Office Location

Street Address 1299 4TH ST STE 401
City SAN RAFAEL
State CA
Zip Code 94901-3030

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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
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
1447471891 Stacey M Rodgers Psychologist 1330 Lincoln Ave Ste 108-b, San Rafael, CA 94901-2141 2007-05-02
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Competitor

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City SAN RAFAEL
Zip Code 94901

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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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