MAYRA BERENISE RODRIGUEZ
NPI 1699976738
Counselor - Mental Health in Oakland, CA
Active since May 29, 2007
About Mayra Berenise Rodriguez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYRA BERENISE RODRIGUEZ (NPI 1699976738) is an individual mental health provider in Oakland, California and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1699976738
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMAYRA BERENISE RODRIGUEZ
Location Address1501 FRUITVALE AVEOakland, CA 94601-2322
Mailing Address2057 High StOakland, CA 94601-4619 · (510) 532-3361
Phone(510) 535-6200
Sole ProprietorNo
Enumeration DateMay 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699976738 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1501 FRUITVALE AVE, Oakland, CA 94601
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Psychiatry)
1501 FRUITVALE AVE
OAKLAND, CA 94601
OAKLAND, CA 94601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699976738, enumerated as an "individual" on May 29, 2007.
The provider is located at 1501 FRUITVALE AVE OAKLAND, CA 94601 and the phone number is (510) 535-6200.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.