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1002 E Grand Ave Escondido CA 92025-4605 | |
| (760) 741-2660 | |
| (760) 741-2647 |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1002 E Grand Ave, Escondido, California |
| Authorized Official Name and Position | Lisa Michele Turner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7607412660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1002 E Grand Ave Escondido CA 92025-4605 Ph: (760) 741-2660 | 1002 E Grand Ave Escondido CA 92025-4605 Ph: (760) 741-2660 |
| NPI Number | 1548480221 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Medicare PECOS PAC ID | 6103176813 |
|---|---|
| Medicare Enrollment ID | O20180829004755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548480221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Patti Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245434745 PECOS PAC ID: 8123371861 Enrollment ID: I20181027000067 |
| Provider Name | Sheilamarie Racicot |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568678126 PECOS PAC ID: 8123461993 Enrollment ID: I20240208002069 |
| Provider Name | Maria Russo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407011042 PECOS PAC ID: 0840639704 Enrollment ID: I20240411004571 |
| Provider Name | Christine Duvall |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942323332 PECOS PAC ID: 2365881224 Enrollment ID: I20240411004670 |
| Provider Name | Nicole Asencio |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396091724 PECOS PAC ID: 7315387537 Enrollment ID: I20240503002562 |
| Provider Name | Kari L Beckman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861243271 PECOS PAC ID: 4486196334 Enrollment ID: I20240606001375 |
| Provider Name | Raylyn Mason |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386403038 PECOS PAC ID: 0244774446 Enrollment ID: I20240628001538 |
| Provider Name | Benoit Vincent |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619759966 PECOS PAC ID: 8123563863 Enrollment ID: I20240717002841 |
| Provider Name | Toni Rivera-watson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669247359 PECOS PAC ID: 3274070651 Enrollment ID: I20240802001370 |
| Provider Name | Steve Lim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194590091 PECOS PAC ID: 2062951593 Enrollment ID: I20240828004354 |
| Provider Name | Juliet Christensen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114756947 PECOS PAC ID: 6800337148 Enrollment ID: I20240926000951 |
Cep America - Neurology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2185 Citracado Pkwy, Escondido, CA 92029 Phone: 442-281-5000 | |
Milestones Children's Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1785 S Escondido Blvd Ste A, Escondido, CA 92025 Phone: 760-740-0055 | |