Fusion Care Group, A Psychological Professional Corporation | |
2271 Alpine Blvd Ste A Alpine CA 91901-1101 | |
(619) 448-1216 | |
(888) 291-4799 |
Full Name | Fusion Care Group, A Psychological Professional Corporation |
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Speciality | Psychologist |
Location | 2271 Alpine Blvd Ste A, Alpine, California |
Authorized Official Name and Position | Christiana Katarina Silva (PRESIDENT) |
Authorized Official Contact | 6194481216 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fusion Care Group, A Psychological Professional Corporation 2271 Alpine Blvd Ste A Alpine CA 91901-1101 Ph: (619) 448-1216 | Fusion Care Group, A Psychological Professional Corporation 2271 Alpine Blvd Ste A Alpine CA 91901-1101 Ph: (619) 448-1216 |
NPI Number | 1275177982 |
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Provider Enumeration Date | 11/06/2019 |
Last Update Date | 01/03/2020 |
Certification Date | 01/03/2020 |
Medicare PECOS PAC ID | 8921433590 |
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Medicare Enrollment ID | O20200109000932 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275177982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Christiana Silva |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1598955072 PECOS PAC ID: 5991867749 Enrollment ID: I20090103000014 |
Provider Name | Karen Ann Desocio |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497727820 PECOS PAC ID: 3274668546 Enrollment ID: I20100312000250 |
Provider Name | Okechuku R Nwanganga |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285984450 PECOS PAC ID: 0446492375 Enrollment ID: I20130806000430 |
Provider Name | Richard Cabada |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154655298 PECOS PAC ID: 3971745662 Enrollment ID: I20130808000565 |
Provider Name | Bertram Barth |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649342130 PECOS PAC ID: 4082839436 Enrollment ID: I20140627001312 |
Provider Name | Cindy Hope Loeb |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619108511 PECOS PAC ID: 8022385012 Enrollment ID: I20170523000912 |
Provider Name | Michelle Luz Foy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467575449 PECOS PAC ID: 2668737735 Enrollment ID: I20180521002999 |
Provider Name | Suzanne Huxel Mihlon |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1700329851 PECOS PAC ID: 8820343528 Enrollment ID: I20181220003014 |
Provider Name | Radomir M Avila |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487937330 PECOS PAC ID: 6800136177 Enrollment ID: I20190322002072 |
Provider Name | Erika Allen-andere |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659757391 PECOS PAC ID: 4486084886 Enrollment ID: I20200427002482 |
Provider Name | Anne Elizabeth Barber |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093188484 PECOS PAC ID: 3274954946 Enrollment ID: I20200604001655 |
Provider Name | Candace Ward-mckinlay |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1104991322 PECOS PAC ID: 0244654192 Enrollment ID: I20200723003893 |
Provider Name | Jennifer R Velazquez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851904429 PECOS PAC ID: 7911326822 Enrollment ID: I20200925002148 |
Provider Name | Bianca Nelson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073743712 PECOS PAC ID: 7719392000 Enrollment ID: I20210218002327 |
Provider Name | Anna Johnson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427323179 PECOS PAC ID: 6305255985 Enrollment ID: I20210511003173 |
Provider Name | Cybill Bowens-vargas |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437755543 PECOS PAC ID: 6608278536 Enrollment ID: I20210714001681 |
Provider Name | James Foley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881189397 PECOS PAC ID: 2466683776 Enrollment ID: I20210823000176 |
Provider Name | Susan Blair |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255708640 PECOS PAC ID: 6901202597 Enrollment ID: I20210907002866 |
Provider Name | Bianca Sales |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588859441 PECOS PAC ID: 9537557343 Enrollment ID: I20211028000488 |
Provider Name | Thomas D Jones |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1861038846 PECOS PAC ID: 1052706553 Enrollment ID: I20220321000612 |
Provider Name | Terisa Marie Berger |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255784922 PECOS PAC ID: 5496141582 Enrollment ID: I20220329000837 |
Provider Name | Sara Tousi |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508427899 PECOS PAC ID: 6406182138 Enrollment ID: I20220524001400 |
Provider Name | Nicole F Bryant |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134647894 PECOS PAC ID: 6103234034 Enrollment ID: I20220524001722 |
Provider Name | Leslee Sesno |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184134264 PECOS PAC ID: 3870978828 Enrollment ID: I20220912003716 |
Provider Name | Alvin Tan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588079123 PECOS PAC ID: 4385029339 Enrollment ID: I20220912003895 |
Provider Name | Kenia Valdovinos |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699340760 PECOS PAC ID: 4981080553 Enrollment ID: I20221005001016 |
Provider Name | April Nicole Cox-jordan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306128137 PECOS PAC ID: 7810360005 Enrollment ID: I20230309001391 |
Provider Name | Yezenia Arali Vargas |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174232680 PECOS PAC ID: 6305210428 Enrollment ID: I20230313001352 |
Provider Name | Jonathan Ryan Bethel |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962087114 PECOS PAC ID: 4385018209 Enrollment ID: I20230316000373 |
Provider Name | Jessica Elizabeth Wilinski |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003345992 PECOS PAC ID: 8426413295 Enrollment ID: I20230501000358 |
Provider Name | Corinne Odom |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366149841 PECOS PAC ID: 0446619019 Enrollment ID: I20230630000293 |
Provider Name | Nicole Moose |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295440428 PECOS PAC ID: 8820457773 Enrollment ID: I20230710003030 |
Provider Name | Meghan N Brown |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1801963269 PECOS PAC ID: 1557725926 Enrollment ID: I20230919000771 |
Provider Name | Jennifer Rauch |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043428469 PECOS PAC ID: 0749634525 Enrollment ID: I20230927002891 |
Provider Name | Atiya Nathan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053889238 PECOS PAC ID: 3577919554 Enrollment ID: I20231026004000 |
Provider Name | Jennifer Boules-syta |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699300194 PECOS PAC ID: 8921454935 Enrollment ID: I20231027000868 |
Provider Name | Helena B Wade |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043441033 PECOS PAC ID: 9739538174 Enrollment ID: I20231212000374 |
Provider Name | Tashina Renee Jaques |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891225819 PECOS PAC ID: 4385093665 Enrollment ID: I20231212002041 |
Provider Name | Matthew John Kohagen |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1255904421 PECOS PAC ID: 5991157935 Enrollment ID: I20240116001685 |
Provider Name | Candice Marie Hendrickson |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1992922561 PECOS PAC ID: 0345692315 Enrollment ID: I20240116002391 |
Provider Name | Lubna Bashir Waraich |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1609458140 PECOS PAC ID: 2062864218 Enrollment ID: I20240123004362 |
Provider Name | Belinda Martinez Varela |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1356838387 PECOS PAC ID: 4385097435 Enrollment ID: I20240125001618 |
Provider Name | Claire Campbell Foster |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1659578102 PECOS PAC ID: 0345693313 Enrollment ID: I20240125002460 |
Provider Name | Claudia Oreegal |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215575949 PECOS PAC ID: 8729431127 Enrollment ID: I20240201003215 |
Provider Name | Courtney Danielle Painter |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1285085043 PECOS PAC ID: 8921443706 Enrollment ID: I20240303000004 |
Provider Name | Avis Pina Hershfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043739584 PECOS PAC ID: 9830530971 Enrollment ID: I20240507003604 |
Provider Name | Callie Khoury |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1659924066 PECOS PAC ID: 4082055058 Enrollment ID: I20240509000145 |
Provider Name | Roshanda Roberts |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1619427119 PECOS PAC ID: 7911348354 Enrollment ID: I20240515004039 |
Provider Name | Rebeka Davidson |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1316557994 PECOS PAC ID: 9537500871 Enrollment ID: I20240516003758 |
Provider Name | Emily Vannortwick |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1528679016 PECOS PAC ID: 0840631198 Enrollment ID: I20240516004047 |
Provider Name | Diane Lynn Harrison |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487962965 PECOS PAC ID: 8729420344 Enrollment ID: I20240529001113 |
Provider Name | Ashley Fuller |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1285115857 PECOS PAC ID: 8325580665 Enrollment ID: I20240603001190 |
Provider Name | Marc Hugh Gotbaum |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1508952151 PECOS PAC ID: 2466995824 Enrollment ID: I20240613004317 |
Smartcare - Alpine Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Alpine Blvd Ste 110, Alpine, CA 91901 Phone: 760-979-6023 | |
Sihc Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5001 Willows Rd Ste J111, Alpine, CA 91901 Phone: 619-445-1188 | |
San Diego Therapy Center Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2271 Alpine Blvd Ste A, Alpine, CA 91901 Phone: 619-415-7639 Fax: 888-291-4799 | |
Empathic Pathways Psychology Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1399 Real Way Ln, Alpine, CA 91901 Phone: 619-602-3464 |