DAMALI MAIA TILLMAN BA NPI 1013146810

Counselor in San Jose, CA

NPI 1013146810 Individual Female Counselor

About DAMALI TILLMAN

Damali Tillman is a provider established in San Jose, California and her medical specialization is counselor. The NPI number of Damali Tillman is 1013146810 and was assigned on July 2009. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 12 years ago.

Damali Tillman is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1013146810

Provider Name DAMALI MAIA TILLMAN BA
Provider Location Address232 E GISH RD SAN JOSE, CA 95112
Provider Mailing Address880 CANFIELD CT APT 4 SAN JOSE, CA 95136
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-14-2009
Last Update Date07-14-2009


Primary Taxonomy

Taxonomy Code101Y00000X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
Taxonomy DescriptionA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Business Address

DAMALI MAIA TILLMAN BA
232 E GISH RD
SAN JOSE, CA
ZIP 95112
Phone: (408) 849-9550

Get Directions


Mailing Address

DAMALI MAIA TILLMAN BA
880 CANFIELD CT APT 4
SAN JOSE, CA
ZIP 95136
Phone: (408) 300-0950



Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750306197DR. SHERYL DAGANG PH.D.
Individual
Psychologist (Clinical)232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4177
1801966759 EKTA LOOMBA M.S., MFTI
Individual
Marriage & Family Therapist232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4180
1174693030 BRIANNE LAYNE BAKER MFTI,
Individual
Marriage & Family Therapist232 E GISH RD
SAN JOSE, CA 95112
(650) 954-4097
1538239058 FRANCISCO CASTANEDA
Individual
Case Manager/Care Coordinator232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4221
1174693683 TRINITY MCWILLIAMS
Individual
Case Manager/Care Coordinator232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4223
1700956216 GRACE AMIAN
Individual
Case Manager/Care Coordinator232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4203
1366512717 CAITLIN INGRAM MACCALLA MFTI
Individual
Marriage & Family Therapist232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4257
1861562241MRS. ALLYSON D HAUN M.A., MFTI
Individual
Marriage & Family Therapist232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4177
1770653206 JOYCE BUTLER
Individual
Case Manager/Care Coordinator232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4197
1740350289 BARBARA MACK
Individual
Case Manager/Care Coordinator232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4179
1518037951 PHILLIP POST
Individual
Case Manager/Care Coordinator232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4224
1073683595 SARAH PACK MFT
Individual
Marriage & Family Therapist232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4189
1740350271 SARA BLEIWEISS M.A.
Individual
Counselor (Mental Health)232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4150
1962572495 TAYESA KNIGHT
Individual
Case Manager/Care Coordinator232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4184
1629148168MS. SUSAN KRISTINE ISAAC MA MFT
Individual
Marriage & Family Therapist232 E GISH RD
SAN JOSE, CA 95112
(408) 437-8385
1699846303MS. HEATHER CAVANAGH
Individual
Case Manager/Care Coordinator232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4202
1144391780MR. JASON JAMES HALL IMF 47684
Individual
Marriage & Family Therapist232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4208
1801968946 KAREEB JAMEL HARBIN B.A., M.H.R.S
Individual
Counselor (Mental Health)232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4218
1477626059 ALESSANDRA G HOLMES MA, MHRS
Individual
Counselor (Mental Health)232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4143
1437222098MISS ARI KRISTINE SPALDING B.A.
Individual
Counselor (Mental Health)232 E GISH RD
SAN JOSE, CA 95112
(408) 876-4165

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.