| Mood Clinical, P. C. | |
|
18191 Von Karman Ave Ste 100 Irvine CA 92612-7103 | |
| (619) 639-9730 | |
| (619) 374-1359 |
| Full Name | Mood Clinical, P. C. |
|---|---|
| Speciality | Clinic/Center |
| Location | 18191 Von Karman Ave Ste 100, Irvine, California |
| Authorized Official Name and Position | Regan Carey (PRESIDENT) |
| Authorized Official Contact | 6196399730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mood Clinical, P. C. 18191 Von Karman Ave Ste 100 Irvine CA 92612-7103 Ph: () - | Mood Clinical, P. C. 18191 Von Karman Ave Ste 100 Irvine CA 92612-7103 Ph: (619) 639-9730 |
| NPI Number | 1922675644 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Medicare PECOS PAC ID | 4981080769 |
|---|---|
| Medicare Enrollment ID | O20220930002640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922675644 | NPI | - | NPPES |
| Provider Name | Ann Doqui |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639341969 PECOS PAC ID: 8628395043 Enrollment ID: I20150324002005 |
| Provider Name | Nicole Ryan Humphreys |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154516052 PECOS PAC ID: 2163706094 Enrollment ID: I20170221001679 |
| Provider Name | Regan M Carey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235486986 PECOS PAC ID: 6507133402 Enrollment ID: I20170525000002 |
| Provider Name | Ijeoma C Ajayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174814289 PECOS PAC ID: 7517129687 Enrollment ID: I20170810003810 |
| Provider Name | Dominique Tiera Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164946992 PECOS PAC ID: 1658622592 Enrollment ID: I20180917000896 |
| Provider Name | James Walter Darden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841847183 PECOS PAC ID: 9537591896 Enrollment ID: I20191107002361 |
| Provider Name | Linda Tatiana Espinoza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164838520 PECOS PAC ID: 6204267446 Enrollment ID: I20200504000863 |
| Provider Name | Nneka Jon-ubabuco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912274622 PECOS PAC ID: 8022363159 Enrollment ID: I20200721003376 |
| Provider Name | Michelle Cativo-zetino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205261666 PECOS PAC ID: 2264869858 Enrollment ID: I20201026001781 |
| Provider Name | Christian Castaneda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801120407 PECOS PAC ID: 6800287640 Enrollment ID: I20220105000587 |
| Provider Name | Strachella Lespinasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528369154 PECOS PAC ID: 5395127633 Enrollment ID: I20220802003461 |
| Provider Name | Belen Anzaldo Wongk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639849284 PECOS PAC ID: 2264801810 Enrollment ID: I20221205000190 |
| Provider Name | Tessie Eberhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992322168 PECOS PAC ID: 6507284304 Enrollment ID: I20221208002356 |
| Provider Name | Mianna Gale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477223212 PECOS PAC ID: 9335538438 Enrollment ID: I20230324002298 |
| Provider Name | Syamjith Jayadevan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033758578 PECOS PAC ID: 7719396449 Enrollment ID: I20230331000811 |
| Provider Name | Robert C Glenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902033210 PECOS PAC ID: 9335328467 Enrollment ID: I20230410002293 |
| Provider Name | Jazmine Maddox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003329319 PECOS PAC ID: 0446672117 Enrollment ID: I20230501002319 |
| Provider Name | Candice Diane Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992956379 PECOS PAC ID: 0345605176 Enrollment ID: I20230501002772 |
| Provider Name | Nichole Thorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528519519 PECOS PAC ID: 1850664103 Enrollment ID: I20230503001255 |
| Provider Name | Joseph G Marin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306392576 PECOS PAC ID: 7810352457 Enrollment ID: I20230503001900 |
| Provider Name | Markroel Padua Solte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265965917 PECOS PAC ID: 8729443387 Enrollment ID: I20230503002953 |
| Provider Name | Sarah Dawes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205279486 PECOS PAC ID: 2365807831 Enrollment ID: I20230505001378 |
| Provider Name | Renee Michelle Musgrove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407554330 PECOS PAC ID: 3375908742 Enrollment ID: I20230509000243 |
| Provider Name | Julia Stern Stern Maurer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588124515 PECOS PAC ID: 6305202136 Enrollment ID: I20230519001526 |
| Provider Name | Yulia Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780094672 PECOS PAC ID: 1254797053 Enrollment ID: I20230522001332 |
| Provider Name | Sandra Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538296850 PECOS PAC ID: 9830555408 Enrollment ID: I20230524001496 |
| Provider Name | Trenice Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033522461 PECOS PAC ID: 4688999196 Enrollment ID: I20230524002717 |
| Provider Name | Michelle Reyes-neil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750855516 PECOS PAC ID: 6709243272 Enrollment ID: I20230530000949 |
| Provider Name | Lisa Shawn Tahir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851326698 PECOS PAC ID: 1254374242 Enrollment ID: I20230602001418 |
| Provider Name | Brenda N Medina-claudio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699446617 PECOS PAC ID: 0547627598 Enrollment ID: I20230606002261 |
| Provider Name | Emily Ruth Belford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407360563 PECOS PAC ID: 2769849520 Enrollment ID: I20230609000793 |
| Provider Name | Karen Rieselbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427450725 PECOS PAC ID: 1153788963 Enrollment ID: I20230609002681 |
| Provider Name | John Simon Sagun Pangilinan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922552884 PECOS PAC ID: 6800254343 Enrollment ID: I20230615001819 |
| Provider Name | Asher Denise Lutz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093364465 PECOS PAC ID: 8729440359 Enrollment ID: I20230815001001 |
| Provider Name | Andres Higareda Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457712184 PECOS PAC ID: 3577925742 Enrollment ID: I20230821000819 |
| Provider Name | Stella Luna Petros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063540391 PECOS PAC ID: 6406200609 Enrollment ID: I20230921002130 |
| Provider Name | Charles Edward Foxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184857773 PECOS PAC ID: 5496105850 Enrollment ID: I20231227001584 |
| Provider Name | Amarachi Emmanuella Igwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912639881 PECOS PAC ID: 5890139877 Enrollment ID: I20240217000493 |
| Provider Name | Lorene Attica Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245486596 PECOS PAC ID: 4183069248 Enrollment ID: I20240228001837 |
| Provider Name | Sandra Miyakawa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184488488 PECOS PAC ID: 0840638748 Enrollment ID: I20240410002012 |
| Provider Name | Vanessa Lynn Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932566346 PECOS PAC ID: 0446699169 Enrollment ID: I20240415001726 |
| Provider Name | Olga Villanueva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629522867 PECOS PAC ID: 2163862376 Enrollment ID: I20240503002154 |
| Provider Name | Traci Eileen Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750579330 PECOS PAC ID: 4880034016 Enrollment ID: I20240503003070 |
| Provider Name | Danielle Cameron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790035129 PECOS PAC ID: 8325489453 Enrollment ID: I20240507003425 |
| Provider Name | Stephanie Ariana Acevedo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013330620 PECOS PAC ID: 0941642995 Enrollment ID: I20240522003716 |
| Provider Name | Shabnam Rahimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467818294 PECOS PAC ID: 3072872647 Enrollment ID: I20240523003404 |
| Provider Name | Sandra Lujan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740979830 PECOS PAC ID: 4385084847 Enrollment ID: I20240605000687 |
Regents Of University Of California Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19262 Jamboree Rd, Irvine, CA 92612 Phone: 949-824-2343 Fax: 949-824-8737 | |
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Connected Life Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Technology Dr Ste 118, Irvine, CA 92618 Phone: 949-922-4564 | |
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Biopsychosocial Medical Office, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 62 Discovery, Irvine, CA 92618 Phone: 949-451-1789 Fax: 949-451-1431 | |
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