Raeda Salim Joudy

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

28972 Issued in CA

Practice address

26081 Mocine Ave
Hayward, CA 94544-2923

Phone

(510) 881-5921

Fax

(510) 881-5925

NPI assigned

Aug 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

James Petros MD IncGroup PAC ID 0941479216, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James Petros, M.D., Inc.

  • Physical Medicine & Rehabilitation Physician
  • Los Gatos, CA
  • NPI 1336448299
  Medicare reassignment Care Compare group NPD
• James Petros, M.D., Inc.

  • Physical Medicine & Rehabilitation Physician
  • San Leandro, CA
  • NPI 1710620554

  Clinical

  NPD

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1295925501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 CORTE DE MEDEA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244804",
            "telephone_number": "408-265-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26081 MOCINE AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442923",
            "telephone_number": "510-881-5921",
            "fax_number": "510-881-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUDY",
        "first_name": "RAEDA",
        "middle_name": "SALIM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Joseph
• Lindsey Ann Joseph, RN
• Nashin Joseph
• Shari Ann Joseph, RPH
• Mohit Y Joshipura
• Jacqueline Joya, B.S
• JQ American, Inc.
• JRV It Services LLC
• Kim Bryant Antonio Juane, RN
• Claudia Juarez Castaneda

• Clinical Psychologist in Hayward, CA
• Providers in Hayward, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.