| Cognitive Care Solutions Inc | |
|
1526 Brookhollow Dr Suite 73 Santa Ana CA 92705-5421 | |
| (714) 545-3390 | |
| Not Available |
| Full Name | Cognitive Care Solutions Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1526 Brookhollow Dr, Santa Ana, California |
| Authorized Official Name and Position | Tonia Vojtkofsky (PRESIDENT & CEO) |
| Authorized Official Contact | 7145453390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Care Solutions Inc 1526 Brookhollow Dr Suite 73 Santa Ana CA 92705-5421 Ph: (714) 545-3390 | Cognitive Care Solutions Inc 1526 Brookhollow Dr Suite 73 Santa Ana CA 92705-5421 Ph: (714) 545-3390 |
| NPI Number | 1437583978 |
|---|---|
| Provider Enumeration Date | 08/31/2013 |
| Last Update Date | 10/03/2013 |
| Medicare PECOS PAC ID | 1355579178 |
|---|---|
| Medicare Enrollment ID | O20140204002031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437583978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 25678 (California) | Primary |
| Provider Name | Richard Beuttler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194989079 PECOS PAC ID: 3577554492 Enrollment ID: I20090224000051 |
| Provider Name | Jacqueline K Koppers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376688374 PECOS PAC ID: 4486974045 Enrollment ID: I20150521001236 |
| Provider Name | Nelson Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326289828 PECOS PAC ID: 5496050080 Enrollment ID: I20160218002222 |
| 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 | Elizabeth Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588962617 PECOS PAC ID: 4789981747 Enrollment ID: I20160318001317 |
| Provider Name | Kathy Lyn Stapel Mccaleb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932560497 PECOS PAC ID: 5294020111 Enrollment ID: I20160817000188 |
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