| Memory Check Psychological Services, A Professional Corporation | |
|
1902 Wright Pl Fl Center2 Carlsbad CA 92008-6583 | |
| (888) 515-3834 | |
| Not Available |
| Full Name | Memory Check Psychological Services, A Professional Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 1902 Wright Pl Fl Center2, Carlsbad, California |
| Authorized Official Name and Position | Vikas Duvvuri (OWNER) |
| Authorized Official Contact | 8885153834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memory Check Psychological Services, A Professional Corporation Po Box 68050 Newark NJ 07101-8086 Ph: (888) 515-3834 | Memory Check Psychological Services, A Professional Corporation 1902 Wright Pl Fl Center2 Carlsbad CA 92008-6583 Ph: (888) 515-3834 |
| NPI Number | 1912184219 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Medicare PECOS PAC ID | 7416856422 |
|---|---|
| Medicare Enrollment ID | O20040107001021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912184219 | NPI | - | NPPES |
| Provider Name | Kimberly S Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730232356 PECOS PAC ID: 3577552629 Enrollment ID: I20040512000513 |
| Provider Name | Susan A Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982700365 PECOS PAC ID: 8325025398 Enrollment ID: I20040707000891 |
| Provider Name | Harmohinder S Athwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740298256 PECOS PAC ID: 5092787929 Enrollment ID: I20040810001464 |
| Provider Name | Bassam A Sinno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982767893 PECOS PAC ID: 9931178084 Enrollment ID: I20040929000408 |
| Provider Name | Deborah A Kass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043323611 PECOS PAC ID: 5597721464 Enrollment ID: I20041202001079 |
| Provider Name | Juan C Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295833242 PECOS PAC ID: 2567418783 Enrollment ID: I20050330000636 |
| Provider Name | Gail W York |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063483782 PECOS PAC ID: 4385676998 Enrollment ID: I20050902000748 |
| Provider Name | Russell Park |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326020710 PECOS PAC ID: 3577598929 Enrollment ID: I20051004000906 |
| Provider Name | Cristina M Aamot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356563167 PECOS PAC ID: 2567554942 Enrollment ID: I20070815000905 |
| Provider Name | Lindsay D Heller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003958661 PECOS PAC ID: 0840389888 Enrollment ID: I20071128000880 |
| Provider Name | Joseph Ezra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629020755 PECOS PAC ID: 0941390025 Enrollment ID: I20071212000695 |
| Provider Name | David E Duffy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326244955 PECOS PAC ID: 5698844975 Enrollment ID: I20080513000738 |
| Provider Name | Bonnie Krueger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144425935 PECOS PAC ID: 1759451776 Enrollment ID: I20080603000494 |
| Provider Name | Cherilyn Haworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346456142 PECOS PAC ID: 8628116258 Enrollment ID: I20091118000668 |
| Provider Name | Weiguo Zhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164638755 PECOS PAC ID: 3870632938 Enrollment ID: I20091202000467 |
| Provider Name | Melissa A Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316108616 PECOS PAC ID: 1153480447 Enrollment ID: I20091207000582 |
| Provider Name | Brian Abary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538354832 PECOS PAC ID: 7012052475 Enrollment ID: I20100310000151 |
| Provider Name | Scott A Fleishman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942411343 PECOS PAC ID: 9537293170 Enrollment ID: I20100817001583 |
| Provider Name | Robert W Mcalister |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699009308 PECOS PAC ID: 1355522574 Enrollment ID: I20110222000393 |
| Provider Name | Neal H Adams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659407823 PECOS PAC ID: 7911189824 Enrollment ID: I20110315000208 |
| Provider Name | Robert A Zalewski-zaragoza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720054133 PECOS PAC ID: 0345422044 Enrollment ID: I20110316000315 |
| Provider Name | Ariel Escobedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922331008 PECOS PAC ID: 9032394069 Enrollment ID: I20110506000124 |
| Provider Name | Simone Taylor |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1093905556 PECOS PAC ID: 5991973620 Enrollment ID: I20110722000293 |
| Provider Name | Michael C Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578731303 PECOS PAC ID: 4284804352 Enrollment ID: I20110826000673 |
| Provider Name | Marian Dale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821370941 PECOS PAC ID: 3274709233 Enrollment ID: I20111222000427 |
| Provider Name | Vikas Duvvuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255470480 PECOS PAC ID: 1052574282 Enrollment ID: I20120524000709 |
| Provider Name | Mechelle Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811128531 PECOS PAC ID: 0941459663 Enrollment ID: I20121012000239 |
| Provider Name | Robyn Cannon Pearl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770836603 PECOS PAC ID: 3779735162 Enrollment ID: I20121211000400 |
| Provider Name | Mary Headley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114006665 PECOS PAC ID: 2567565112 Enrollment ID: I20121227000334 |
| Provider Name | Dara Moradzadeh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275888364 PECOS PAC ID: 5496980476 Enrollment ID: I20131029000541 |
| Provider Name | Doris Chun |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861416711 PECOS PAC ID: 6507802592 Enrollment ID: I20140126000025 |
| Provider Name | Fiel D Gamad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114342805 PECOS PAC ID: 7012130396 Enrollment ID: I20140514002260 |
| Provider Name | Torna Li |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154579431 PECOS PAC ID: 6709002272 Enrollment ID: I20140719000145 |
| Provider Name | Rohn Stark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902219850 PECOS PAC ID: 9436375706 Enrollment ID: I20140722001404 |
| Provider Name | Marjan Fardghassemi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073921359 PECOS PAC ID: 0749407310 Enrollment ID: I20140806001004 |
| Provider Name | Norma Jean Hirsch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073706982 PECOS PAC ID: 1759469570 Enrollment ID: I20141106001580 |
| Provider Name | Celine M Ko Roberson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700015997 PECOS PAC ID: 4587986963 Enrollment ID: I20141215001454 |
| Provider Name | Carolyn B Coleridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275743569 PECOS PAC ID: 8123343068 Enrollment ID: I20150217000913 |
| Provider Name | Lisa Hankee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174875850 PECOS PAC ID: 2264757129 Enrollment ID: I20150217001602 |
| Provider Name | Michelle Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093023509 PECOS PAC ID: 1658698808 Enrollment ID: I20150326001932 |
| Provider Name | Jacqueline Anne Kampp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588900229 PECOS PAC ID: 6103144431 Enrollment ID: I20150416000465 |
| Provider Name | Julie Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366576886 PECOS PAC ID: 3375855562 Enrollment ID: I20150630002423 |
| Provider Name | Tracy Dorele Thiem |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023307766 PECOS PAC ID: 7416269477 Enrollment ID: I20150702002527 |
| Provider Name | Brenda Hart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023206067 PECOS PAC ID: 9931418613 Enrollment ID: I20151020001631 |
| Provider Name | Carla Jaramillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689823627 PECOS PAC ID: 7719296342 Enrollment ID: I20151022001556 |
| Provider Name | Mateo Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235523150 PECOS PAC ID: 6507176419 Enrollment ID: I20151105000706 |
| Provider Name | Arceli Oliva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659422533 PECOS PAC ID: 8325205677 Enrollment ID: I20151123002903 |
| Provider Name | Melauree Ann Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770728115 PECOS PAC ID: 7214239409 Enrollment ID: I20160105001740 |
| Provider Name | Eric Reininga |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710146816 PECOS PAC ID: 9638476435 Enrollment ID: I20160322001553 |
| Provider Name | Moses S Shirinian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477902864 PECOS PAC ID: 9436288578 Enrollment ID: I20160621001499 |
| Provider Name | Ann Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205380706 PECOS PAC ID: 3577850205 Enrollment ID: I20160923001770 |
| Provider Name | Lili Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881967123 PECOS PAC ID: 8325328735 Enrollment ID: I20161130002305 |
| Provider Name | Brian Lynn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972046423 PECOS PAC ID: 4183905763 Enrollment ID: I20161220001922 |
| Provider Name | Astra Maestas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467850776 PECOS PAC ID: 8123303310 Enrollment ID: I20170330002638 |
| Provider Name | Niroshika S De Silva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306195979 PECOS PAC ID: 9032495585 Enrollment ID: I20170417001883 |
| Provider Name | Patricia M Narez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255580494 PECOS PAC ID: 7911275854 Enrollment ID: I20170616001293 |
| Provider Name | Wanting Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023488814 PECOS PAC ID: 7214209576 Enrollment ID: I20170821003119 |
| Provider Name | Leslie E Charles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114443397 PECOS PAC ID: 7810260429 Enrollment ID: I20170901002080 |
| Provider Name | Yenjui Lin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851814503 PECOS PAC ID: 3274806781 Enrollment ID: I20170905003395 |
| Provider Name | John F Fielder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497987150 PECOS PAC ID: 5991062028 Enrollment ID: I20171128002857 |
| Provider Name | Teresa Ann Krall |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1134469562 PECOS PAC ID: 3375800345 Enrollment ID: I20171129001158 |
| Provider Name | Tracy Toussaint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770989410 PECOS PAC ID: 2264799790 Enrollment ID: I20171207002935 |
| Provider Name | Marinel Abellada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417314485 PECOS PAC ID: 5698065944 Enrollment ID: I20171215002429 |
| Provider Name | Karin Celosse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023457827 PECOS PAC ID: 0446510911 Enrollment ID: I20180131001577 |
| Provider Name | Myan M Le |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023241957 PECOS PAC ID: 3375803372 Enrollment ID: I20180213001789 |
| Provider Name | Megan E Rhoads |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194013003 PECOS PAC ID: 5799045589 Enrollment ID: I20180216001787 |
| Provider Name | Eima Mesgarha |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518335017 PECOS PAC ID: 8022379882 Enrollment ID: I20180219002769 |
| Provider Name | Imme Karola Staeffler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558875351 PECOS PAC ID: 7214299072 Enrollment ID: I20180315001181 |
| Provider Name | Rhodora De La Pena Magtibay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396250676 PECOS PAC ID: 6901168384 Enrollment ID: I20180322002731 |
| Provider Name | Dinora Guzman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558523654 PECOS PAC ID: 6204199326 Enrollment ID: I20180424000632 |
| Provider Name | Genevieve Andrade |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124158027 PECOS PAC ID: 4486918547 Enrollment ID: I20180426001206 |
| Provider Name | Myla Urbano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538690607 PECOS PAC ID: 3173887841 Enrollment ID: I20180503002601 |
| Provider Name | Dante D Millon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528354628 PECOS PAC ID: 4082978689 Enrollment ID: I20180508000552 |
| Provider Name | Sheila Rosemary Hoban |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821594979 PECOS PAC ID: 6204191992 Enrollment ID: I20180530001314 |
| Provider Name | Justin M Leazenby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275997579 PECOS PAC ID: 5597012559 Enrollment ID: I20180720003143 |
| Provider Name | John P Cabrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770654212 PECOS PAC ID: 3971851338 Enrollment ID: I20180801003765 |
| Provider Name | Melissa D Cottone-wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467731356 PECOS PAC ID: 3779831136 Enrollment ID: I20180801003841 |
| Provider Name | Melody R Cantrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205285137 PECOS PAC ID: 6800146432 Enrollment ID: I20180831002284 |
| Provider Name | Francisco Javier Iribarren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760972467 PECOS PAC ID: 1658628011 Enrollment ID: I20180921001155 |
| Provider Name | Barbara B. Chen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316374077 PECOS PAC ID: 2365794468 Enrollment ID: I20181017001753 |
| Provider Name | Atusa Faghiri |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851875389 PECOS PAC ID: 6901150085 Enrollment ID: I20181107003072 |
| Provider Name | Mariela M. Costello |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801145727 PECOS PAC ID: 8628322559 Enrollment ID: I20181113001788 |
| Provider Name | Michael William Vincent Mackie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851881379 PECOS PAC ID: 3476807322 Enrollment ID: I20181113002652 |
| Provider Name | Reba Jean White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063781359 PECOS PAC ID: 0244584910 Enrollment ID: I20181115001164 |
| Provider Name | Jennifer A Nevitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790267292 PECOS PAC ID: 3476897398 Enrollment ID: I20181204002419 |
| Provider Name | Shanna Jordan Zanolini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194038265 PECOS PAC ID: 8325385693 Enrollment ID: I20190124000481 |
| Provider Name | Erika Duarte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508334632 PECOS PAC ID: 7113264425 Enrollment ID: I20190124001866 |
| Provider Name | Charleen Schultz-hickerson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154619617 PECOS PAC ID: 5698014777 Enrollment ID: I20190307001598 |
| Provider Name | Bruce L Thiessen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841541984 PECOS PAC ID: 5193066470 Enrollment ID: I20190415001912 |
| Provider Name | Michael Quiceno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720545858 PECOS PAC ID: 5991047821 Enrollment ID: I20190425001187 |
| Provider Name | Nnennaya Ogbulorie Okoronkwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710458096 PECOS PAC ID: 5496088924 Enrollment ID: I20190614001116 |
| Provider Name | Melanie Bernice Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639516602 PECOS PAC ID: 1355675612 Enrollment ID: I20190620002726 |
| Provider Name | Sara D Rosenblum-fishman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982860706 PECOS PAC ID: 8820326515 Enrollment ID: I20190819003562 |
| Provider Name | Joanne Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285106252 PECOS PAC ID: 6103154794 Enrollment ID: I20190820003889 |
| Provider Name | Grace Chang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871074997 PECOS PAC ID: 9234469610 Enrollment ID: I20190927000918 |
| Provider Name | Dominika Swistun |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669875373 PECOS PAC ID: 6709116908 Enrollment ID: I20191002000622 |
| Provider Name | Richard Ettelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174569453 PECOS PAC ID: 6507298080 Enrollment ID: I20191121002304 |
| Provider Name | Gabrielle Dillard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447804695 PECOS PAC ID: 4082040779 Enrollment ID: I20200128001105 |
| Provider Name | Lara Lynn South |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851652655 PECOS PAC ID: 0042576258 Enrollment ID: I20200129000620 |
| Provider Name | Fernando M Avila |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962783464 PECOS PAC ID: 8628345386 Enrollment ID: I20200317001821 |
| Provider Name | Sarah Jade Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447385646 PECOS PAC ID: 1557799798 Enrollment ID: I20200320002593 |
| Provider Name | Robert Nastasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467608521 PECOS PAC ID: 6507008364 Enrollment ID: I20200423003129 |
| Provider Name | John Stephen Bugas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811285356 PECOS PAC ID: 1658793393 Enrollment ID: I20200625000754 |
| Provider Name | Prisca Gloor Maung |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699809251 PECOS PAC ID: 8820392020 Enrollment ID: I20200728002242 |
| Provider Name | Marie Addly Cambronne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639372543 PECOS PAC ID: 0345338802 Enrollment ID: I20200928002388 |
| Provider Name | Maria Carina Abenes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073076899 PECOS PAC ID: 2365853496 Enrollment ID: I20201123000231 |
| Provider Name | Frederick Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669671699 PECOS PAC ID: 5991116436 Enrollment ID: I20201204001027 |
| Provider Name | Adekemi Adedipe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407397672 PECOS PAC ID: 7618389982 Enrollment ID: I20201209002983 |
| Provider Name | Raizel Chaya Lax |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588006134 PECOS PAC ID: 2668884909 Enrollment ID: I20201210001812 |
| Provider Name | Adrian Michelle Camargo Rubly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447623657 PECOS PAC ID: 9931511920 Enrollment ID: I20201216000673 |
| Provider Name | Catherine Lamme |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902235997 PECOS PAC ID: 5193138196 Enrollment ID: I20210112003233 |
| Provider Name | Ellen S Takher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164860458 PECOS PAC ID: 0446548648 Enrollment ID: I20210118000077 |
| Provider Name | Martha Lucia Cuan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437491933 PECOS PAC ID: 8628482098 Enrollment ID: I20210127001546 |
| Provider Name | Scott Moore Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821038159 PECOS PAC ID: 5799715413 Enrollment ID: I20210202002873 |
| Provider Name | Maryam Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396916169 PECOS PAC ID: 4688089980 Enrollment ID: I20210218002551 |
| Provider Name | Sheba L. Shiver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043344344 PECOS PAC ID: 7315353067 Enrollment ID: I20210304001503 |
| Provider Name | Megan Gietzen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225311806 PECOS PAC ID: 1951717412 Enrollment ID: I20210308001376 |
| Provider Name | Shadavia France |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003122854 PECOS PAC ID: 3971903501 Enrollment ID: I20210617002858 |
| Provider Name | Marjaneh-marcia Khalitchi-alavi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558962324 PECOS PAC ID: 5597165076 Enrollment ID: I20210621002995 |
| Provider Name | Redd Edeejahnai Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629418710 PECOS PAC ID: 7416358692 Enrollment ID: I20210624003436 |
| Provider Name | Thaen Saelee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831388461 PECOS PAC ID: 6507270790 Enrollment ID: I20210805001361 |
| Provider Name | Monica Benitez Kelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922184803 PECOS PAC ID: 7315341567 Enrollment ID: I20210810001748 |
| Provider Name | Kristel Carrington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487914404 PECOS PAC ID: 3678794997 Enrollment ID: I20210811004183 |
| Provider Name | Jeannine Vieni |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114591781 PECOS PAC ID: 1951707686 Enrollment ID: I20210903002847 |
| Provider Name | Margaret H Bender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326622812 PECOS PAC ID: 6103222773 Enrollment ID: I20210907002164 |
| Provider Name | Michelle Juhasz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518091040 PECOS PAC ID: 1850798687 Enrollment ID: I20210922000118 |
| Provider Name | Amanda Carr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679764609 PECOS PAC ID: 2769889419 Enrollment ID: I20210922001476 |
| Provider Name | Hen Caspi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568844207 PECOS PAC ID: 3476951633 Enrollment ID: I20211003000012 |
| Provider Name | Jacqueline Adela Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790119931 PECOS PAC ID: 2163820341 Enrollment ID: I20211004000638 |
| Provider Name | Eli Matthew Van Dusen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518126010 PECOS PAC ID: 2769870385 Enrollment ID: I20211101000092 |
| Provider Name | Alison G. Tan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962172593 PECOS PAC ID: 8325437387 Enrollment ID: I20211112000033 |
| Provider Name | Lauren Lee Wing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821223389 PECOS PAC ID: 8123426632 Enrollment ID: I20211213002747 |
| Provider Name | Harrieth Amaka Madu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023685021 PECOS PAC ID: 8729479274 Enrollment ID: I20211217000604 |
| Provider Name | Lynn Theresa Carolin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659550978 PECOS PAC ID: 1355733445 Enrollment ID: I20220124000427 |
| Provider Name | Yolanda Siegmeth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215307624 PECOS PAC ID: 2668865544 Enrollment ID: I20220217001665 |
| Provider Name | Natalie Jean Stockton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073972212 PECOS PAC ID: 3779978549 Enrollment ID: I20220314000368 |
| Provider Name | Britney Lynne Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982066759 PECOS PAC ID: 3072908490 Enrollment ID: I20220322002582 |
| Provider Name | Gemma Dulosa Balcita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750033155 PECOS PAC ID: 9638565443 Enrollment ID: I20220404002309 |
| Provider Name | Mehak Chopra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447854633 PECOS PAC ID: 7719373117 Enrollment ID: I20220412002479 |
| Provider Name | Keli-rae Weisenberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104570803 PECOS PAC ID: 8729474085 Enrollment ID: I20220413001993 |
| Provider Name | Esperanza Ceja |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780939074 PECOS PAC ID: 7719364710 Enrollment ID: I20220512001886 |
| Provider Name | Jhaurel Johnson White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710413208 PECOS PAC ID: 8820475593 Enrollment ID: I20220518001683 |
| Provider Name | Chika Agulanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942957113 PECOS PAC ID: 1052799384 Enrollment ID: I20220527001242 |
| Provider Name | Ashley Lynn Bauman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841850336 PECOS PAC ID: 8426436775 Enrollment ID: I20220527002068 |
| Provider Name | Anthony N Quilon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972037083 PECOS PAC ID: 3072991918 Enrollment ID: I20220603002187 |
| Provider Name | Valerie Ledith Bagnol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003167404 PECOS PAC ID: 4284014861 Enrollment ID: I20220629003116 |
| Provider Name | Yaima Alonso-jeckell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609141910 PECOS PAC ID: 4587967120 Enrollment ID: I20220701001324 |
| Provider Name | Aldrin Ugay Nieves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669042438 PECOS PAC ID: 3476934316 Enrollment ID: I20220722002135 |
| Provider Name | Ferdinand Andy Rimando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144836263 PECOS PAC ID: 8729460316 Enrollment ID: I20220728002388 |
| Provider Name | Margaret Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871942268 PECOS PAC ID: 3678955622 Enrollment ID: I20220808001257 |
| Provider Name | Emily Nicole Daniel-murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467828863 PECOS PAC ID: 6709268683 Enrollment ID: I20220809003392 |
| Provider Name | Teresa Ellain Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265841118 PECOS PAC ID: 1254713142 Enrollment ID: I20220809003413 |
| Provider Name | Lisa Caper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679621262 PECOS PAC ID: 9032592704 Enrollment ID: I20220812000343 |
| Provider Name | Coleen Deermer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134854094 PECOS PAC ID: 5698159044 Enrollment ID: I20220902000203 |
| Provider Name | Brandon August Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518690205 PECOS PAC ID: 4688050891 Enrollment ID: I20220926001331 |
| Provider Name | Anahita Behrouzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801437389 PECOS PAC ID: 2769858505 Enrollment ID: I20221019000204 |
| Provider Name | Benjamin Roos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538710207 PECOS PAC ID: 6608290515 Enrollment ID: I20221103000202 |
| Provider Name | Nicole Dorae French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962169334 PECOS PAC ID: 2961879754 Enrollment ID: I20221108002095 |
| Provider Name | Anthony Raymond Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093441875 PECOS PAC ID: 9537536123 Enrollment ID: I20221111000474 |
| Provider Name | Amber Catherine Dunne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992066500 PECOS PAC ID: 3072982503 Enrollment ID: I20221206000629 |
| Provider Name | Naya Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184199184 PECOS PAC ID: 0749659183 Enrollment ID: I20221207001744 |
| Provider Name | Nicole Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033576400 PECOS PAC ID: 0648649004 Enrollment ID: I20221207002645 |
| Provider Name | Barry Citron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154042919 PECOS PAC ID: 3173992914 Enrollment ID: I20221216002101 |
| Provider Name | Jeongmi Moon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336566785 PECOS PAC ID: 4981074572 Enrollment ID: I20221222001186 |
| Provider Name | Christine Mari Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790408045 PECOS PAC ID: 1355711540 Enrollment ID: I20230104002105 |
| Provider Name | Amanda Gephart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841908464 PECOS PAC ID: 2264802123 Enrollment ID: I20230110002835 |
| Provider Name | Lance R Lenford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598121667 PECOS PAC ID: 0244600138 Enrollment ID: I20230111000489 |
| Provider Name | Michaela Jo Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659093870 PECOS PAC ID: 1759753452 Enrollment ID: I20230206002775 |
| Provider Name | Labiba Anis Radwan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932256351 PECOS PAC ID: 5294968418 Enrollment ID: I20230213000954 |
| Provider Name | Lorena Huerta Monserratt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730469727 PECOS PAC ID: 3274905484 Enrollment ID: I20230217000240 |
| Provider Name | Kendra A Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134845936 PECOS PAC ID: 6800268988 Enrollment ID: I20230220000481 |
| Provider Name | Leslie Gacad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487350682 PECOS PAC ID: 7517330368 Enrollment ID: I20230227001846 |
| Provider Name | Stacy Laine Pike |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205532793 PECOS PAC ID: 6406229954 Enrollment ID: I20230302002136 |
| Provider Name | Jennifer Pfeuffer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134763972 PECOS PAC ID: 7315372299 Enrollment ID: I20230323000567 |
| Provider Name | Danica Flores Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275058448 PECOS PAC ID: 6204200637 Enrollment ID: I20230324002345 |
| Provider Name | Barbara L. Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982924965 PECOS PAC ID: 2961877980 Enrollment ID: I20230405001079 |
| Provider Name | Ruben Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205289337 PECOS PAC ID: 4385001932 Enrollment ID: I20230613001679 |
| Provider Name | Elizabeth Anyanwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740526730 PECOS PAC ID: 6103284450 Enrollment ID: I20230620001574 |
| Provider Name | Gwendolyn Anne Angert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639321060 PECOS PAC ID: 9537527627 Enrollment ID: I20230622000246 |
| Provider Name | Chanae Joi Haylock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609588979 PECOS PAC ID: 2860851912 Enrollment ID: I20230707000241 |
| Provider Name | Lourie M Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396361515 PECOS PAC ID: 9234590191 Enrollment ID: I20230725003809 |
| Provider Name | Heather Ann Alvarado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275906208 PECOS PAC ID: 9133582430 Enrollment ID: I20230905002075 |
| Provider Name | Noel Honeck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851875322 PECOS PAC ID: 2961865167 Enrollment ID: I20230905002575 |
| Provider Name | Chantel Marie Kilford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245732635 PECOS PAC ID: 8123473592 Enrollment ID: I20231005001136 |
| Provider Name | Sandra Labeeb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235556739 PECOS PAC ID: 3678928058 Enrollment ID: I20231005001653 |
| Provider Name | Jesse Caguioa Damino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235837246 PECOS PAC ID: 9234584590 Enrollment ID: I20231006001980 |
| Provider Name | Danica Bakker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407189541 PECOS PAC ID: 4587010426 Enrollment ID: I20231027002891 |
| Provider Name | Sheena M Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740758127 PECOS PAC ID: 3870949605 Enrollment ID: I20231030002996 |
| Provider Name | Brandon O'malley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952082646 PECOS PAC ID: 0648626481 Enrollment ID: I20231030003287 |
| Provider Name | Edward Ernest Berumen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609907989 PECOS PAC ID: 2163878893 Enrollment ID: I20231031003642 |
| Provider Name | April Marie Ballard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427528868 PECOS PAC ID: 7416305297 Enrollment ID: I20231205001273 |
| Provider Name | Sandra Urania Merino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194402297 PECOS PAC ID: 5597115386 Enrollment ID: I20231219004005 |
| Provider Name | Yulia O Ievleva |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659411841 PECOS PAC ID: 0244681757 Enrollment ID: I20240109004196 |
| Provider Name | Manuel Salera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841901287 PECOS PAC ID: 5597134379 Enrollment ID: I20240124002695 |
| Provider Name | Chloe P Bhowmick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598546970 PECOS PAC ID: 1850734351 Enrollment ID: I20240212004248 |
| Provider Name | Angela Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104306968 PECOS PAC ID: 0345685418 Enrollment ID: I20240228002307 |
| Provider Name | Emily Stice Reeder |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124363973 PECOS PAC ID: 7012353360 Enrollment ID: I20240309000492 |
| Provider Name | Bryanna Camille Shirley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457718629 PECOS PAC ID: 7810333929 Enrollment ID: I20240312001763 |
| Provider Name | Isaac Osei Kuffour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568233229 PECOS PAC ID: 3870939812 Enrollment ID: I20240312003342 |
| Provider Name | Bobette Rae Sawka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003958315 PECOS PAC ID: 8527405901 Enrollment ID: I20240320003664 |
| Provider Name | Daniel Robert Valentine |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285263558 PECOS PAC ID: 4082051164 Enrollment ID: I20240325003103 |
| Provider Name | Jennifer Lazarraga Del Mundo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245426048 PECOS PAC ID: 5799123808 Enrollment ID: I20240409003144 |
| Provider Name | Joseph Henry Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710744057 PECOS PAC ID: 8527407980 Enrollment ID: I20240417003610 |
| Provider Name | Jasmin Nicole Jaylo Bergado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174375257 PECOS PAC ID: 3971942905 Enrollment ID: I20240423002992 |
| Provider Name | Dumka Biragbara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457137705 PECOS PAC ID: 7618317397 Enrollment ID: I20240429000787 |
| Provider Name | Maureen U Ezeigwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952161291 PECOS PAC ID: 7214377753 Enrollment ID: I20240430004011 |
| Provider Name | Arthur G Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063620367 PECOS PAC ID: 5092155432 Enrollment ID: I20240501003600 |
| Provider Name | Emily Kampas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043979966 PECOS PAC ID: 4183011703 Enrollment ID: I20240513003427 |
| Provider Name | Mary Hoft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992055503 PECOS PAC ID: 3476825480 Enrollment ID: I20240604001088 |
Carlsbad Relationship Counseling Center & Psychotherapy, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2774 Jefferson Street, Carlsbad, CA 92008 Phone: 760-439-8874 Fax: 760-729-7050 | |
Savagetherapy.org Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6607 Daylily Dr, Carlsbad, CA 92011 Phone: 619-535-8898 Fax: 760-603-8601 | |
The Neurology Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011 Phone: 760-631-3000 Fax: 760-631-3016 | |
Restoration Therapy Center Of Sd, A Mft Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5650 El Camino Real, Ste 130, Carlsbad, CA 92008 Phone: 714-222-0331 | |
Catie Peters Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2244 Faraday Ave, Carlsbad, CA 92008 Phone: 858-461-8266 | |
F Jacob Huff Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2244 Masters Road, Carlsbad, CA 92008 Phone: 650-722-3692 | |
Geriatric Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3936 Syme Dr, Carlsbad, CA 92008 Phone: 866-309-3332 Fax: 855-872-6151 |