| Cognitive Care Solutions Group Inc | |
|
1526 Brookhollow Dr Ste 73 Santa Ana CA 92705-5421 | |
| (714) 545-3390 | |
| (949) 208-6981 |
| Full Name | Cognitive Care Solutions Group Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1526 Brookhollow Dr Ste 73, Santa Ana, California |
| Authorized Official Name and Position | Allyson L Lehrich (PRESIDENT) |
| Authorized Official Contact | 7143567383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Care Solutions Group Inc 1526 Brookhollow Dr Ste 73 Santa Ana CA 92705-5421 Ph: (714) 545-3390 | Cognitive Care Solutions Group Inc 1526 Brookhollow Dr Ste 73 Santa Ana CA 92705-5421 Ph: (714) 545-3390 |
| NPI Number | 1548614183 |
|---|---|
| Provider Enumeration Date | 04/20/2016 |
| Last Update Date | 07/22/2021 |
| Certification Date | 07/22/2021 |
| Medicare PECOS PAC ID | 5698066124 |
|---|---|
| Medicare Enrollment ID | O20160614000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548614183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (California) | Primary |
| Provider Name | Melissa Claire Soo Hoo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720117708 PECOS PAC ID: 0648378620 Enrollment ID: I20070614000658 |
| Provider Name | Richard Beuttler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194989079 PECOS PAC ID: 3577554492 Enrollment ID: I20090224000051 |
| Provider Name | Marlene Marie Bugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295915650 PECOS PAC ID: 2860546041 Enrollment ID: I20090822000109 |
| Provider Name | Lillian Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619010683 PECOS PAC ID: 3870401912 Enrollment ID: I20091221000660 |
| Provider Name | Kevin L Gutfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912058090 PECOS PAC ID: 5698890960 Enrollment ID: I20100910000495 |
| Provider Name | Sherri A Tanferani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124272695 PECOS PAC ID: 4486840501 Enrollment ID: I20101201000052 |
| Provider Name | Lisa P Dow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396073052 PECOS PAC ID: 6204061864 Enrollment ID: I20131107000072 |
| Provider Name | Heather J Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174657902 PECOS PAC ID: 3971733460 Enrollment ID: I20140228001943 |
| Provider Name | Jennifer Dergregorian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952650038 PECOS PAC ID: 3375867955 Enrollment ID: I20150131000062 |
| Provider Name | Gregory W White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558406900 PECOS PAC ID: 5092030668 Enrollment ID: I20150203001265 |
| Provider Name | Jacqueline K Koppers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376688374 PECOS PAC ID: 4486974045 Enrollment ID: I20150521001236 |
| Provider Name | Jorrie S Mackenzie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447512744 PECOS PAC ID: 5890008866 Enrollment ID: I20150720002448 |
| Provider Name | Marta J Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275729071 PECOS PAC ID: 9931412897 Enrollment ID: I20150721001894 |
| Provider Name | Edward Lei |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538536230 PECOS PAC ID: 1052628286 Enrollment ID: I20150921000316 |
| Provider Name | Carrie Jennifer Eskay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073711354 PECOS PAC ID: 7214244201 Enrollment ID: I20150924000277 |
| Provider Name | Adria E. Navarro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124493572 PECOS PAC ID: 6305149675 Enrollment ID: I20160120000846 |
| Provider Name | Nelson Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326289828 PECOS PAC ID: 5496050080 Enrollment ID: I20160218002222 |
| Provider Name | Stephanie M Ehren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811037930 PECOS PAC ID: 4688979875 Enrollment ID: I20160225002080 |
| Provider Name | Alina M Gram |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700256914 PECOS PAC ID: 1254631294 Enrollment ID: I20160311001365 |
| Provider Name | Vanessa H Austin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609137066 PECOS PAC ID: 4082911037 Enrollment ID: I20160318001228 |
| Provider Name | Iris Lopez-luthi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639531312 PECOS PAC ID: 6406148063 Enrollment ID: I20160630001090 |
| Provider Name | Kathy Lyn Stapel Mccaleb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932560497 PECOS PAC ID: 5294020111 Enrollment ID: I20160817000188 |
| Provider Name | Marie Bonovitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992152383 PECOS PAC ID: 7719273531 Enrollment ID: I20160912002089 |
| Provider Name | Kathryn A Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063963072 PECOS PAC ID: 6305126061 Enrollment ID: I20161215000469 |
| Provider Name | Kevin Scott Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285846741 PECOS PAC ID: 3476835950 Enrollment ID: I20170117002583 |
| Provider Name | Jenyffer Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760734032 PECOS PAC ID: 1557645090 Enrollment ID: I20170301002357 |
| Provider Name | Dana A Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518038785 PECOS PAC ID: 1052698396 Enrollment ID: I20170515001734 |
| Provider Name | Reginaldo Chase Espinoza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992172258 PECOS PAC ID: 3173895729 Enrollment ID: I20170817001294 |
| Provider Name | Sonja Zonee Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255476362 PECOS PAC ID: 4981976255 Enrollment ID: I20170821003477 |
| Provider Name | Melanie Diane Murua |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548541352 PECOS PAC ID: 3375816838 Enrollment ID: I20170905001381 |
| Provider Name | Nicole Louise Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770551749 PECOS PAC ID: 3971878349 Enrollment ID: I20171011001291 |
| Provider Name | Holly L Stefani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891209185 PECOS PAC ID: 6608133624 Enrollment ID: I20171130000074 |
| Provider Name | Nadia Shah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790818276 PECOS PAC ID: 1557620465 Enrollment ID: I20180123002323 |
| Provider Name | Karin Celosse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023457827 PECOS PAC ID: 0446510911 Enrollment ID: I20180131001577 |
| Provider Name | Christina L Averill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760768378 PECOS PAC ID: 6305195793 Enrollment ID: I20180817001959 |
| Provider Name | Alicia Erika Dominguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306241435 PECOS PAC ID: 1456601772 Enrollment ID: I20180907001715 |
| Provider Name | Lisa Dinglasan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679897342 PECOS PAC ID: 6002169521 Enrollment ID: I20181031001830 |
| Provider Name | Yana Drukin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407331739 PECOS PAC ID: 2062766306 Enrollment ID: I20181126002079 |
| Provider Name | David T Kendis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265807119 PECOS PAC ID: 5294079349 Enrollment ID: I20181130001773 |
| Provider Name | Priscilla A Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942467303 PECOS PAC ID: 2466798889 Enrollment ID: I20190107000788 |
| Provider Name | Saarika Rao |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881094613 PECOS PAC ID: 1153662796 Enrollment ID: I20190409002549 |
| Provider Name | Trisha Kim Uyen Tran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104272756 PECOS PAC ID: 2365785441 Enrollment ID: I20190513000297 |
| Provider Name | James Preston Strawn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669550059 PECOS PAC ID: 7810230307 Enrollment ID: I20190524001795 |
| Provider Name | Lorena Elaine Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770058000 PECOS PAC ID: 5799014130 Enrollment ID: I20190910000996 |
| Provider Name | Noemi Lucia Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972708782 PECOS PAC ID: 6103157672 Enrollment ID: I20191015000082 |
| Provider Name | Diana Shipley-miltenburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861641813 PECOS PAC ID: 2567894322 Enrollment ID: I20191115001679 |
| Provider Name | Yajaira Kennison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700031648 PECOS PAC ID: 8820421316 Enrollment ID: I20191216000744 |
| Provider Name | Lisa Cornette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144852906 PECOS PAC ID: 1153758479 Enrollment ID: I20200226002884 |
| Provider Name | Dawn Joosten-hagye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881220804 PECOS PAC ID: 9436588720 Enrollment ID: I20200408001357 |
| Provider Name | Jami Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578861811 PECOS PAC ID: 9830529312 Enrollment ID: I20200423003165 |
| Provider Name | Lacey Trent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538593322 PECOS PAC ID: 5799106696 Enrollment ID: I20200602000219 |
| Provider Name | Cynthia Ludi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528483336 PECOS PAC ID: 6103245469 Enrollment ID: I20201006001630 |
| Provider Name | Sakeenah Hakim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619483559 PECOS PAC ID: 3274949136 Enrollment ID: I20210302000363 |
| Provider Name | Kara Leigh Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003116781 PECOS PAC ID: 0648686022 Enrollment ID: I20210309003179 |
| Provider Name | Elizabeth Cynthia Ledezma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326355769 PECOS PAC ID: 2567878820 Enrollment ID: I20210310002954 |
| Provider Name | Jenny Elizabeth Ann Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831784107 PECOS PAC ID: 0143637835 Enrollment ID: I20210324002946 |
| Provider Name | Sharon Koenig Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962088906 PECOS PAC ID: 9436566957 Enrollment ID: I20210330002103 |
| Provider Name | Lorie Ann Bialobreski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356410757 PECOS PAC ID: 1759628746 Enrollment ID: I20210507002314 |
| Provider Name | Melissa D Park |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598922478 PECOS PAC ID: 9739598269 Enrollment ID: I20210512002631 |
| Provider Name | Rachel S Hirschberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174913057 PECOS PAC ID: 0840691168 Enrollment ID: I20210624000832 |
| Provider Name | Lauren Y Choi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902499627 PECOS PAC ID: 6103233770 Enrollment ID: I20210625002674 |
| Provider Name | Iamee Renae Kling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225645096 PECOS PAC ID: 6103221890 Enrollment ID: I20210818002073 |
| Provider Name | Jessica Lynne Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487802773 PECOS PAC ID: 9234534280 Enrollment ID: I20210910000724 |
| Provider Name | Joanne Eileen Casserly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578223848 PECOS PAC ID: 8426440173 Enrollment ID: I20220110001556 |
| Provider Name | Minerva E Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487315479 PECOS PAC ID: 5698167344 Enrollment ID: I20220110001611 |
| Provider Name | Emily Ann Blicha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992456735 PECOS PAC ID: 5193117968 Enrollment ID: I20220128000875 |
| Provider Name | Laura Jane Treister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427709534 PECOS PAC ID: 4284027764 Enrollment ID: I20220204000629 |
| Provider Name | Leah Michele Massey-longo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366929242 PECOS PAC ID: 6204220569 Enrollment ID: I20220302001703 |
| Provider Name | Maggie Teresa Kube |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710637400 PECOS PAC ID: 1759777410 Enrollment ID: I20220405002109 |
| Provider Name | Sara Sorouri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528015393 PECOS PAC ID: 5395131064 Enrollment ID: I20220405002450 |
| Provider Name | Saige L Downs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215679022 PECOS PAC ID: 2961899752 Enrollment ID: I20220426001114 |
| Provider Name | Alana Marie Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427791789 PECOS PAC ID: 7416334636 Enrollment ID: I20220509002559 |
| Provider Name | Susie Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437762861 PECOS PAC ID: 0042697807 Enrollment ID: I20220517000382 |
| Provider Name | Myriam Renee Cosey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275104192 PECOS PAC ID: 3779966205 Enrollment ID: I20220817000256 |
| Provider Name | Lauren Abram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467187310 PECOS PAC ID: 9335517606 Enrollment ID: I20221116003082 |
| Provider Name | Melissa Ashlynn Rice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033658505 PECOS PAC ID: 0244609782 Enrollment ID: I20221206001111 |
| Provider Name | Jennifer M Vallejo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114234291 PECOS PAC ID: 2961874656 Enrollment ID: I20230206002162 |
| Provider Name | Theresa Nicole Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205244175 PECOS PAC ID: 3779955976 Enrollment ID: I20230216002589 |
| Provider Name | John Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598977647 PECOS PAC ID: 6002288065 Enrollment ID: I20230221001520 |
| Provider Name | Rose Lane Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366798878 PECOS PAC ID: 0042685216 Enrollment ID: I20230331002580 |
| Provider Name | Kristina Anna Lugo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487846143 PECOS PAC ID: 1850756297 Enrollment ID: I20230508001985 |
| Provider Name | Enid A Velasco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831889161 PECOS PAC ID: 3779949300 Enrollment ID: I20230523003331 |
| Provider Name | Michelle Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598166282 PECOS PAC ID: 3971960824 Enrollment ID: I20230607002943 |
| Provider Name | Shawnee Lee Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124363759 PECOS PAC ID: 1456714161 Enrollment ID: I20230829001618 |
| Provider Name | Heather R Gramme |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679986186 PECOS PAC ID: 7810341880 Enrollment ID: I20230925001541 |
| Provider Name | Jacqueline M Ruddy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295390631 PECOS PAC ID: 2264886928 Enrollment ID: I20230928002288 |
| Provider Name | Renee Friend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134476062 PECOS PAC ID: 7810343274 Enrollment ID: I20231023000484 |
| Provider Name | Laura Evon Weissberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184027229 PECOS PAC ID: 4688020779 Enrollment ID: I20231120002442 |
| Provider Name | Cynthia Denise Solomon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295889103 PECOS PAC ID: 8325484181 Enrollment ID: I20240314003497 |
| Provider Name | Suzy Roberts |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427689181 PECOS PAC ID: 0042651614 Enrollment ID: I20240514001478 |
| Provider Name | Adrienne Jeanette Claytor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427805332 PECOS PAC ID: 6305388224 Enrollment ID: I20240606003898 |
| Provider Name | Heather Mesa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841849353 PECOS PAC ID: 4284177205 Enrollment ID: I20240619000625 |
| Provider Name | Jacelynn Alana Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134404379 PECOS PAC ID: 7113464801 Enrollment ID: I20240730003829 |
| Provider Name | Georgia Panagiotou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811534662 PECOS PAC ID: 8628519162 Enrollment ID: I20240924001722 |
| Provider Name | Kristin Michele Harlocker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326861006 PECOS PAC ID: 1052845856 Enrollment ID: I20241115003282 |
| Provider Name | Cynthia Ann Tostado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518782416 PECOS PAC ID: 4587199583 Enrollment ID: I20241127003702 |
| Provider Name | Betsy Fagin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194540096 PECOS PAC ID: 0547796724 Enrollment ID: I20241211002135 |
The Open Door Center For Integrative Healing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 N Golden Circle Dr Ste 312, Santa Ana, CA 92705 Phone: 714-393-1891 Fax: 714-242-1830 | |
Project Kinship Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2215 N Broadway Fl 2, Santa Ana, CA 92706 Phone: 714-941-8009 | |
County Of Orange Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Santa Ana Blvd Ste 180, Santa Ana, CA 92701 Phone: 714-935-2070 | |
Mental Health Association Of Orange County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2416 S Main St, Suite A, Ab2034 Program, Santa Ana, CA 92707 Phone: 714-668-8498 Fax: 714-668-8499 | |
Patricia Ayala-guzman Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N Main St Ste 650, Santa Ana, CA 92701 Phone: 714-824-8140 Fax: 714-824-8141 |