| Aloha Psych Associates | |
|
3517 Camino Del Rio S Ste 302 San Diego CA 92108-4029 | |
| (619) 996-3195 | |
| (619) 996-3196 |
| Full Name | Aloha Psych Associates |
|---|---|
| Speciality | Psychologist |
| Location | 3517 Camino Del Rio S Ste 302, San Diego, California |
| Authorized Official Name and Position | Sean Hodges (PRESIDENT) |
| Authorized Official Contact | 6199963195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aloha Psych Associates 3517 Camino Del Rio S Ste 302 San Diego CA 92108-4029 Ph: (619) 996-3195 | Aloha Psych Associates 3517 Camino Del Rio S Ste 302 San Diego CA 92108-4029 Ph: (619) 996-3195 |
| NPI Number | 1770918674 |
|---|---|
| Provider Enumeration Date | 09/10/2013 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 3476783978 |
|---|---|
| Medicare Enrollment ID | O20140301000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770918674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY20658 (California) | Primary |
| Provider Name | Sean David Hodges |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134182058 PECOS PAC ID: 8628085933 Enrollment ID: I20060310000689 |
| Provider Name | Mojgan J Jahan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245330067 PECOS PAC ID: 1052319936 Enrollment ID: I20061204000542 |
| Provider Name | Murray B Rudenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336368331 PECOS PAC ID: 4183872229 Enrollment ID: I20120917000041 |
| Provider Name | Jada Cade |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356620827 PECOS PAC ID: 1355647629 Enrollment ID: I20160311002094 |
| Provider Name | Stephanie Abel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376770099 PECOS PAC ID: 6901181494 Enrollment ID: I20170324000309 |
| Provider Name | Carol Tyler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902842370 PECOS PAC ID: 5799676359 Enrollment ID: I20170828004653 |
| Provider Name | Tatiana Anastasia Chircop-rollick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336458124 PECOS PAC ID: 9032549811 Enrollment ID: I20200417003010 |
| Provider Name | Kristin Steele |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710284666 PECOS PAC ID: 5799106779 Enrollment ID: I20200529000295 |
| Provider Name | Kathryn May Wiens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134470701 PECOS PAC ID: 0840550745 Enrollment ID: I20200918002434 |
| Provider Name | Frederick Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669671699 PECOS PAC ID: 5991116436 Enrollment ID: I20201204001027 |
| Provider Name | Andreas Marwick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184182214 PECOS PAC ID: 0547674764 Enrollment ID: I20210129002393 |
| Provider Name | Jonathan D Rapp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780793505 PECOS PAC ID: 5395849368 Enrollment ID: I20210303001283 |
| Provider Name | Salvatore Augustine Dinovo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023337052 PECOS PAC ID: 1658787775 Enrollment ID: I20210315001615 |
| Provider Name | Milena Dun |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639439565 PECOS PAC ID: 3274933403 Enrollment ID: I20210609003662 |
| Provider Name | Eli Matthew Van Dusen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518126010 PECOS PAC ID: 2769870385 Enrollment ID: I20211101000092 |
| Provider Name | Bruce Allan Heller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215684873 PECOS PAC ID: 8921485194 Enrollment ID: I20220510001838 |
| Provider Name | Jean Kay Stapp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134786031 PECOS PAC ID: 7911383740 Enrollment ID: I20221003001466 |
| Provider Name | Jacquelyn Summers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104361203 PECOS PAC ID: 0749652097 Enrollment ID: I20230214002278 |
| Provider Name | Judith Adams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578174496 PECOS PAC ID: 7911318225 Enrollment ID: I20240115001699 |
| Provider Name | Kimberly Fitzgerald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033568209 PECOS PAC ID: 0547612855 Enrollment ID: I20240122004050 |
| Provider Name | Erin Lynne Miggantz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710503610 PECOS PAC ID: 0042653909 Enrollment ID: I20240207002353 |
| Provider Name | Brittany Bell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831739457 PECOS PAC ID: 8921441650 Enrollment ID: I20240208004153 |
| Provider Name | Iris Melo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073281697 PECOS PAC ID: 1254775927 Enrollment ID: I20240221002019 |
| Provider Name | Megan Frazier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235653262 PECOS PAC ID: 4587072574 Enrollment ID: I20240506001520 |
| Provider Name | Kelsey Marie Fitzgerald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679987846 PECOS PAC ID: 7012453897 Enrollment ID: I20240729003372 |
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