THOMAS PEREZ JEWELL M.A.
NPI 1568517647
Student in an Organized Health Care Education/Training Program in Martinez, CA

Active since January 25, 2007
100 GLACIER DR, MARTINEZ, CA 94553(925) 646-2110(925) 646-2024 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Thomas Perez Jewell M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS PEREZ JEWELL M.A. (NPI 1568517647) is an individual student in an organized health care education/training program in Martinez, California, licensed in California (IMF51524) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1568517647
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHOMAS PEREZ JEWELLCredential: M.A.
Location Address100 GLACIER DRMartinez, CA 94553-4824
Mailing Address597 Stewart WayRio Vista, CA 94571-1290 · (707) 330-2964 · Fax (925) 646-2024
Fax(925) 646-2024
Sole ProprietorNo
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1568517647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CA · IMF51524
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

100 GLACIER DR, Martinez, CA 94553

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
100 GLACIER DR
MARTINEZ, CA 94553
Marriage & Family Therapist
100 GLACIER DR
MARTINEZ, CA 94553
Counselor (Mental Health)
100 GLACIER DR
MARTINEZ, CA 94553
Clinic/Center (Adolescent and Children Mental Health)
100 GLACIER DR
MARTINEZ, CA 94553

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568517647, enumerated as an "individual" on January 25, 2007.

The provider is located at 100 GLACIER DR MARTINEZ, CA 94553 and the phone number is (925) 646-2110.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.