| Brain Wellness Institute | |
|
940 S Coast Dr Ste 225 Costa Mesa CA 92626-7757 | |
| (949) 743-1457 | |
| (974) 274-8299 |
| Full Name | Brain Wellness Institute |
|---|---|
| Speciality | Psychologist |
| Location | 940 S Coast Dr Ste 225, Costa Mesa, California |
| Authorized Official Name and Position | Julia Evans (OWNER/ NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 9499814566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Wellness Institute 940 S Coast Dr Ste 225 Costa Mesa CA 92626-7757 Ph: (949) 743-1457 | Brain Wellness Institute 940 S Coast Dr Ste 225 Costa Mesa CA 92626-7757 Ph: (949) 743-1457 |
| NPI Number | 1861902280 |
|---|---|
| Provider Enumeration Date | 10/11/2017 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Medicare PECOS PAC ID | 0446510309 |
|---|---|
| Medicare Enrollment ID | O20180214001586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861902280 | NPI | - | NPPES |
| Provider Name | Nonnette H Mosley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649316043 PECOS PAC ID: 1456302587 Enrollment ID: I20050207000612 |
| Provider Name | Diane L Dunne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699988113 PECOS PAC ID: 7517099401 Enrollment ID: I20100712000479 |
| Provider Name | Andrius Baskys |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124110069 PECOS PAC ID: 1759578347 Enrollment ID: I20101208000780 |
| Provider Name | Shirin Shenasi-azari |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578681532 PECOS PAC ID: 2062732423 Enrollment ID: I20150526002469 |
| Provider Name | Jason Dorin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427365337 PECOS PAC ID: 8022312552 Enrollment ID: I20160203002435 |
| Provider Name | Leighann Denise Dejesse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750578712 PECOS PAC ID: 5890099899 Enrollment ID: I20160211002727 |
| Provider Name | Rasoul Malekjah |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538613740 PECOS PAC ID: 4688952195 Enrollment ID: I20161102002802 |
| Provider Name | Nicole Sally Lightman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164735551 PECOS PAC ID: 4880967348 Enrollment ID: I20170905001177 |
| Provider Name | Julia L Evans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760924849 PECOS PAC ID: 7214200336 Enrollment ID: I20170911003139 |
| Provider Name | Stephanie Van Stralen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013464239 PECOS PAC ID: 0749610178 Enrollment ID: I20200424002741 |
| Provider Name | Brooke Nadine Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538568407 PECOS PAC ID: 4284056458 Enrollment ID: I20200616001864 |
| Provider Name | Kalyan R Dandala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336295864 PECOS PAC ID: 9739262932 Enrollment ID: I20200909001630 |
| Provider Name | Arabelle Estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376029157 PECOS PAC ID: 4284987769 Enrollment ID: I20210219002432 |
| Provider Name | Hussah Alkharafi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447890116 PECOS PAC ID: 1850709940 Enrollment ID: I20210408001633 |
| Provider Name | Andrew Hartwig Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376036772 PECOS PAC ID: 0446642235 Enrollment ID: I20220128001989 |
| Provider Name | Erik Jauire Welsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629437363 PECOS PAC ID: 5193119378 Enrollment ID: I20220304000304 |
| Provider Name | Renee Prince |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467737908 PECOS PAC ID: 5799182002 Enrollment ID: I20220317001174 |
| Provider Name | Stephanie Oleson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932872934 PECOS PAC ID: 4880089473 Enrollment ID: I20220317001379 |
| Provider Name | Jacob Felix Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982921417 PECOS PAC ID: 7214323963 Enrollment ID: I20220405001544 |
| Provider Name | Marian Nashed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962872572 PECOS PAC ID: 1951784685 Enrollment ID: I20220812002767 |
| Provider Name | Natalie Do |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770229940 PECOS PAC ID: 9830566108 Enrollment ID: I20221031001952 |
| Provider Name | Joy Suh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881318814 PECOS PAC ID: 4082086178 Enrollment ID: I20230220000879 |
| Provider Name | Timothy Richard Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174792097 PECOS PAC ID: 8123488558 Enrollment ID: I20230718000616 |
| Provider Name | Elliott Hastings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285891549 PECOS PAC ID: 1850753716 Enrollment ID: I20230809004212 |
| Provider Name | Angela Marie Alvarado |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194380238 PECOS PAC ID: 5991156655 Enrollment ID: I20240105003959 |
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