Dr Jessica Leigh Thivierge, PSYD is a
Psychologist - Addiction (substance Use Disorder) based in San Diego, California. Dr Jessica Leigh Thivierge is licensed to practice in California (license number PSB94021710) and her current practice location is
1501 5th Ave, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 306-3225.
NPI number for Dr Jessica Leigh Thivierge is 1225297609 and her current mailing address is 1501 5th Ave, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225297609.
Healthcare Provider's Profile
| Full Name | Dr Jessica Leigh Thivierge |
|---|
| Gender | Female |
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| Speciality | Psychologist - Addiction (substance Use Disorder) |
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| Location | 1501 5th Ave, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225297609
- Provider Enumeration Date: 06/02/2008
- Last Update Date: 02/26/2016
Medical Identifiers
Medical identifiers for Dr Jessica Leigh Thivierge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225297609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | PSB94021710 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jessica Leigh Thivierge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jessica Leigh Thivierge, PSYD
1501 5th Ave,
San Diego, CA 92101-3291
Ph: (619) 306-3225 | Dr Jessica Leigh Thivierge, PSYD
1501 5th Ave,
San Diego, CA 92101-3291
Ph: (619) 306-3225 |
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