JUDITH WAN (NPI# 1942564133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942564133 |
| Entity Type | Individual |
| Full Name | JUDITH WAN |
| Credential | PHD |
| Practice Address |
3301 E 12th St Ste 259 Oakland CA 94601-2940 |
| Practice Telephone | 5102699030 |
| Practice Fax Number | 5106983869 |
| Mailing Telephone | 5102699030 |
| Mailing Fax Number | 5106983869 |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |
| 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 |
3301 E 12TH ST STE 259 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-2940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558424374 | Westcoast Children's Clinic | Community/Behavioral Health | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2006-12-19 |
| 1013517531 | Simone Miriam Weber | Marriage & Family Therapist | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2020-10-26 |
| 1083220016 | Brittnay Nichele Stevens | Counselor | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2020-09-16 |
| 1306459037 | Nicole Cabigao Francisco | Counselor | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2020-08-24 |
| 1245849140 | Steven Henry | Marriage & Family Therapist | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2020-07-27 |
| 1548894439 | Hailey Holl-valdez | Counselor | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2020-02-28 |
| 1780226365 | Quynh H Nguyen | Community Health Worker | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2019-10-15 |
| 1184265407 | Kemi Oladipo | Counselor | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2019-10-08 |
| 1659921500 | Alana Turner | Counselor | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2019-09-12 |
| 1518510783 | Saul Mendoza-loera | Counselor | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2019-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| 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 |
|---|---|---|---|---|
| 1285813493 | Claire Ellen Craig | Psychologist | 10901 Macarthur Blvd, 202, Oakland, CA 94605-5200 | 2007-10-24 |
| 1952469173 | Nina Rudnick | Psychologist | 738 Alcatraz Ave, #1, Oakland, CA 94609-1040 | 2006-12-04 |
| 1124673173 | Shareef Nashid Salaam | Psychologist | 747 52nd St, Oakland, CA 94609-1809 | 2019-08-06 |
| 1386208569 | Thao-chau T Trinh | Psychologist | 444 Hegenberger Rd, Oakland, CA 94621-1418 | 2019-04-24 |
| 1487125480 | John Moore IIi | Psychologist | 1000 Broadway Ste 460, Oakland, CA 94607-4033 | 2018-12-17 |
| 1326301227 | Herminia Hernandez | Psychologist | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2012-06-17 |
| 1023339157 | James De Quinto | Psychologist | 5236 Claremont Ave Fl 2, Oakland, CA 94618-1033 | 2010-06-11 |
| 1841423332 | Melanie R Clemons | Psychologist | 470 27th St, Bawar, Oakland, CA 94612-2413 | 2009-08-31 |
| 1801029624 | Wei Ki Elsie Chan | Psychologist | 747 52nd St, Oakland, CA 94609-1809 | 2009-08-27 |
| 1639355613 | Debbara J Monroe | Psychologist | 505 14th St, Suite 900, Oakland, CA 94612-1406 | 2008-01-21 |
| Find all providers in OAKLAND | ||||
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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.