LAUREN SHELLY (NPI# 1982942454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982942454 |
| Entity Type | Individual |
| Full Name | LAUREN SHELLY |
| Credential | PH.D. |
| Practice Address |
5755 Cottle Rd Building 4 San Jose CA 95123-3640 |
| Practice Telephone | 4089723095 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
25376 | CA | Behavioral Health & Social Service Providers |
| Street Address |
5755 COTTLE RD BUILDING 4 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-3640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144205238 | Jazmine H Jung | Genetic Counselor, MS | 5755 Cottle Rd, Bldg #1, San Jose, CA 95123-3640 | 2005-12-12 |
| 1891240016 | Priyanka Murali | Genetic Counselor, MS | 5755 Cottle Rd, San Jose Genetics Dept Cottle Road, Building 1, San Jose, CA 95123-3640 | 2016-08-17 |
| 1407208226 | Swetha Vajapey | Psychologist | 5755 Cottle Rd, Building #4, San Jose, CA 95123-3640 | 2016-07-05 |
| 1134588163 | Gina Liu | Genetic Counselor, MS | 5755 Cottle Rd, Building 1, San Jose, CA 95123-3640 | 2016-02-18 |
| 1649651480 | Natalie Geeter | Genetic Counselor, MS | 5755 Cottle Rd, San Jose, CA 95123-3640 | 2015-06-17 |
| 1164869772 | Holly Erin Carwana | Genetic Counselor, MS | 5755 Cottle Rd, Building 1, San Jose, CA 95123-3640 | 2013-05-23 |
| 1043655640 | Jianbo James Song | Medical Genetics | 5755 Cottle Rd, Building 2 Genetics, San Jose, CA 95123-3640 | 2013-05-08 |
| 1386924223 | Karen Holbrook | Genetic Counselor, MS | 5755 Cottle Rd, Bldg 1, San Jose, CA 95123-3640 | 2011-08-24 |
| 1033411434 | Melissa Emmert | Psychologist | 5755 Cottle Rd, Building 4, San Jose, CA 95123-3640 | 2010-11-17 |
| 1275856403 | Heena Deepak Panchal | Family Medicine | 5755 Cottle Rd, San Jose, CA 95123-3640 | 2010-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861023020 | Widyasita Sawyer | Psychologist | 1189 Curtner Ave, San Jose, CA 95125-3618 | 2020-01-27 |
| 1861030033 | Maria-christina Stewart | Psychologist | 3141 Stevens Creek Blvd # 40167, San Jose, CA 95117-1141 | 2019-12-18 |
| 1306404504 | Palak Dipak Kothari | Psychologist | 20 S 2nd St Unit 425, San Jose, CA 95113-2532 | 2019-06-03 |
| 1942762299 | Dr. Danessa Mayo, Phd | Psychologist | 1190 Lincoln Ave Ste 7, San Jose, CA 95125-3036 | 2019-04-04 |
| 1104362433 | Samantha Kountz-edwards | Psychologist | 1588 Hallbrook Dr, San Jose, CA 95118-1611 | 2017-01-10 |
| 1306243530 | Kell Fujimoto | Psychologist | 2845 Moorpark Ave, Suite 203, San Jose, CA 95128-3158 | 2014-12-03 |
| 1174964092 | Brandi Marche Brooks | Psychologist | 1866 Half Pence Way, San Jose, CA 95132 | 2013-07-08 |
| 1306181284 | Marion Marsha Wadley | Psychologist | 1443 Lupton Ave, San Jose, CA 95125-3847 | 2012-12-04 |
| 1639433709 | Janice Jaishika Raj | Psychologist | 2400 Moorpark Ave., #300, San Jose, CA 95128 | 2012-07-03 |
| 1114296803 | Amanda M Walters | Psychologist | 1101 S Winchester Blvd Ste P297, San Jose, CA 95128 | 2011-12-24 |
| Find all providers in SAN JOSE | ||||
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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.