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JAMIE SOUTHERLAND
NPI 1629784236
Rehabilitation Practitioner in San Leandro, CA

Active since January 26, 2023
777 DAVIS ST, SAN LEANDRO, CA 94577(414) 656-0116 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Jun 21, 2023, May 18, 2023 and 1 more (4 updates tracked since 2023).

About Jamie Southerland NPPES

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

JAMIE SOUTHERLAND (NPI 1629784236) is an individual rehabilitation practitioner in San Leandro, California and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1629784236
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameJAMIE SOUTHERLAND
Location Address777 DAVIS STSan Leandro, CA 94577-6923
Mailing Address777 Davis StSan Leandro, CA 94577-6923
Phone(414) 656-0116
Sole ProprietorYes
Enumeration DateJanuary 26, 2023
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1629784236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
777 DAVIS ST, San Leandro, CA 94577
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Other Providers at the Same Location NPPES 18

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

LEEMORE FEDERMAN
Social Worker (Clinical)
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (415) 578-0791
VERONICA RODRIGUES
Day Training/Habilitation Specialist
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 746-2800
MR. JOHN CHARLES ROEDEL LMFT
Marriage & Family Therapist
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (513) 400-5460
DR. BETHANY FRIEDMAN PSY.D.
Psychologist (Clinical)
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 626-2800
CRISTINA MARIA CARRILLO
Rehabilitation Practitioner
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (415) 656-0116
MARY TIEH
Day Training/Habilitation Specialist
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 609-2854
JONATHAN BLOCH
Social Worker
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 839-3800
DENNYS MONTOYA
Rehabilitation Practitioner
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 839-3800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamie Southerland's NPI number?

The NPI number for Jamie Southerland is 1629784236. It was assigned to this individual provider in the NPPES registry on January 26, 2023.

Where is Jamie Southerland located?

Jamie Southerland practices at 777 Davis St, San Leandro, CA 94577. The listed phone number is (414) 656-0116.

What is Jamie Southerland's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Jamie Southerland was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.