| |
4909 Murphy Canyon Rd Ste 300 San Diego CA 92123-4301 | |
(858) 268-9800 | |
(858) 268-9810 |
Full Name | |
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Speciality | Counselor |
Location | 4909 Murphy Canyon Rd Ste 300, San Diego, California |
Authorized Official Name and Position | Brenda Wilkinson (CEO/OPERATIONS DIRECTOR) |
Authorized Official Contact | 8589222029 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4909 Murphy Canyon Rd Ste 300 San Diego CA 92123-4301 Ph: (858) 268-9800 | 4909 Murphy Canyon Rd Ste 300 San Diego CA 92123-4301 Ph: (858) 268-9800 |
NPI Number | 1093165581 |
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Provider Enumeration Date | 06/15/2016 |
Last Update Date | 11/08/2024 |
Certification Date | 11/08/2024 |
Medicare PECOS PAC ID | 0244512655 |
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Medicare Enrollment ID | O20170119002337 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093165581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (California) | Primary |
Provider Name | Yaron Pruginin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1235206640 PECOS PAC ID: 7719088426 Enrollment ID: I20070725000453 |
Provider Name | Joseph I Pando |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1447419775 PECOS PAC ID: 2163732496 Enrollment ID: I20151117000535 |
Provider Name | Katie T Byrne |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1629391123 PECOS PAC ID: 4587961420 Enrollment ID: I20160321001849 |
Provider Name | Kristin D Whelan |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1700133725 PECOS PAC ID: 5698036762 Enrollment ID: I20180306002232 |
Provider Name | Brenda Lynne Wilkinson |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1083725030 PECOS PAC ID: 9234411281 Enrollment ID: I20241024004285 |
Provider Name | Christopher Walsh |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1134132129 PECOS PAC ID: 2264966126 Enrollment ID: I20241114001983 |
Provider Name | Julia Neault Sutton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467088534 PECOS PAC ID: 8224563903 Enrollment ID: I20241119002371 |
Provider Name | Jennifer Siddons |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1467649285 PECOS PAC ID: 9830624519 Enrollment ID: I20241119002482 |
Provider Name | Ariel Mirana Fletcher |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1649348061 PECOS PAC ID: 3779018361 Enrollment ID: I20241119003329 |
Provider Name | Thomas Quang Do |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1447538327 PECOS PAC ID: 4486189073 Enrollment ID: I20241119003439 |
Provider Name | Susanne M Haman |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1275607319 PECOS PAC ID: 5092240622 Enrollment ID: I20241120000000 |
Provider Name | Amber Elizabeth Kreitlow |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1669080925 PECOS PAC ID: 0345775912 Enrollment ID: I20241120001368 |
Provider Name | Lydia Charlotte Shorthill |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1154463271 PECOS PAC ID: 6204361736 Enrollment ID: I20241121000327 |
Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233 | |
R D Dipp Do Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1350 Columbia St, Unit 800, San Diego, CA 92101 Phone: 619-255-1649 Fax: 619-255-1649 | |
True Crew California Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 University Center Ln Ste 400, San Diego, CA 92122 Phone: 603-692-8173 | |
Wise Self Psychology, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd Ste 2b1, San Diego, CA 92101 Phone: 619-678-0020 |