DEBORAH RUTH BERENBOIM (NPI# 1972026425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972026425 |
| Entity Type | Individual |
| Full Name | DEBORAH RUTH BERENBOIM |
| Practice Address |
4020 Civic Center Dr San Rafael CA 94903 |
| Mailing Address |
555 Northgate Dr San Rafael CA 94903-3680 |
| Practice Telephone | 4154912525 |
| Mailing Telephone | 4155267500 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2018-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 555 Northgate Dr, San Rafael, CA 949033680 | 4155267500 |
| Street Address |
4020 CIVIC CENTER DR |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902910342 | Gail Mosconi | Social Worker | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2006-08-19 |
| 1770120107 | Amy Bower | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2019-12-04 |
| 1205306750 | Kathleen Marie Moran | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2018-11-27 |
| 1871016931 | Keyanna Rene Learson | Rehabilitation Practitioner | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2017-07-20 |
| 1568911816 | Dana Perez | Rehabilitation Practitioner | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-09-28 |
| 1629439708 | Samantha Guzowski | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-03-16 |
| 1689035750 | Kimberly Carroll | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-03-16 |
| 1588024608 | Aaron Magee | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-03-02 |
| 1497115034 | Jennifer Andrade | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-02-24 |
| 1124484712 | Ernest Guomas | Marriage & Family Therapist | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-01-12 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982748588 | Irene Grace Birch | Rehabilitation Practitioner | 3020 Kerner Blvd, Suite A, San Rafael, CA 94901-5444 | 2007-02-16 |
| 1659935161 | Percy Scott | Rehabilitation Practitioner | 3230 Kerner Blvd, San Rafael, CA 94901 | 2019-04-30 |
| 1174096937 | Emilia Olavarrieta | Rehabilitation Practitioner | 920 Grand Ave, San Rafael, CA 94901-3506 | 2019-01-04 |
| 1720561335 | Christiana Rebecca Bosscher | Rehabilitation Practitioner | 13 Peter Behr Dr, San Rafael, CA 94903-5216 | 2018-09-10 |
| 1659858405 | Veronica Ponce | Rehabilitation Practitioner | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2018-07-24 |
| 1245725290 | Irish Krings | Rehabilitation Practitioner | 920 Grand Ave, San Rafael, CA 94901-3506 | 2018-06-22 |
| 1578089793 | Tanya Hunt | Rehabilitation Practitioner | 3270 Kerner Blvd Ste B, San Rafael, CA 94901-4840 | 2017-08-18 |
| 1871016931 | Keyanna Rene Learson | Rehabilitation Practitioner | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2017-07-20 |
| 1326581422 | Jose Cesar Leiva | Rehabilitation Practitioner | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2016-11-22 |
| 1427590587 | Egda Haro | Rehabilitation Practitioner | 3270 Kerner Blvd Ste B, San Rafael, CA 94901-4840 | 2016-11-07 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on DEBORAH RUTH BERENBOIM.
| 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.