Individual provider Active NPI

Patricia Mary Maher-Cosenza

  • Addiction (Substance Use Disorder) Counselor
  • Hayward, CA
National Provider Identifier
1093996571
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
RW0357 Issued in CA
Practice address
2595 Depot Rd
Hayward, CA 94545-2341
Phone
(510) 784-9198
Fax
(510) 784-9194
NPI assigned
Nov 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X RW0357 CA Primary

Addresses

Primary practice location

2595 Depot Rd
Hayward, CA 94545-2341

Mailing address

1177 Thiel Rd
Hayward, CA 94544-6318
Phone (510) 784-9198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RW0357CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1093996571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 THIEL RD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945446318",
            "telephone_number": "510-784-9198",
            "fax_number": "510-784-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 DEPOT RD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452341",
            "telephone_number": "510-784-9198",
            "fax_number": "510-784-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER-COSENZA",
        "first_name": "PATRICIA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RW0357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.