| Psycare Inc | |
|
4550 Kearny Villa Rd Suite 116 San Diego CA 92123-1578 | |
| (858) 279-1223 | |
| (858) 467-7161 |
| Full Name | Psycare Inc |
|---|---|
| Speciality | Counselor |
| Location | 4550 Kearny Villa Rd, San Diego, California |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 2063991493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psycare Inc 4550 Kearny Villa Rd Suite 116 San Diego CA 92123-1578 Ph: (858) 279-1223 | Psycare Inc 4550 Kearny Villa Rd Suite 116 San Diego CA 92123-1578 Ph: (858) 279-1223 |
| NPI Number | 1811927106 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Medicare PECOS PAC ID | 0244285278 |
|---|---|
| Medicare Enrollment ID | O20100623000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811927106 | NPI | - | NPPES |
| W13604 | Other | CA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 028385-06 (California) | Primary |
| 103TC0700X | Psychologist - Clinical | 2462 (California) | Secondary |
| Provider Name | Kelly A Swain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548274939 PECOS PAC ID: 0244144350 Enrollment ID: I20031113000488 |
| Provider Name | Usha R Ramineni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255368080 PECOS PAC ID: 3173515772 Enrollment ID: I20040401001859 |
| Provider Name | Sherry L Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184645582 PECOS PAC ID: 4880680784 Enrollment ID: I20040424000424 |
| Provider Name | Shannon T Suo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881670438 PECOS PAC ID: 5698730216 Enrollment ID: I20041123000653 |
| Provider Name | Cynde Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275553083 PECOS PAC ID: 0446217889 Enrollment ID: I20041216000752 |
| Provider Name | Marina Katz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366498446 PECOS PAC ID: 3274587225 Enrollment ID: I20050311000591 |
| Provider Name | Mel H Lipsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902876741 PECOS PAC ID: 5294780235 Enrollment ID: I20050314000181 |
| Provider Name | Peter A Robben |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245435841 PECOS PAC ID: 1456307685 Enrollment ID: I20050330000668 |
| Provider Name | Beatriz L Marfori |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053484006 PECOS PAC ID: 6709824626 Enrollment ID: I20050421000391 |
| Provider Name | Ann Elizabeth Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184708760 PECOS PAC ID: 0345289369 Enrollment ID: I20050428001198 |
| Provider Name | Shawn Hersevoort |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518013317 PECOS PAC ID: 3779519582 Enrollment ID: I20050713000447 |
| Provider Name | Janice M Green |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598771230 PECOS PAC ID: 1254351596 Enrollment ID: I20051130000963 |
| Provider Name | Che A Leseur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821027566 PECOS PAC ID: 3375550296 Enrollment ID: I20060316000480 |
| Provider Name | Jennifer L Moynihan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538187638 PECOS PAC ID: 5294743860 Enrollment ID: I20060323000826 |
| Provider Name | Elizabeth A Murney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891837803 PECOS PAC ID: 9739197039 Enrollment ID: I20060328000752 |
| Provider Name | Christine E Calix |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740226331 PECOS PAC ID: 9133123615 Enrollment ID: I20060914000547 |
| Provider Name | Philip W Weck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063432698 PECOS PAC ID: 0547267478 Enrollment ID: I20061106000595 |
| Provider Name | Eric C Behrman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265594931 PECOS PAC ID: 6507969037 Enrollment ID: I20070321000250 |
| Provider Name | Donna M Mills |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831115658 PECOS PAC ID: 8426153941 Enrollment ID: I20070411000523 |
| Provider Name | Camellia P Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174624399 PECOS PAC ID: 4587761994 Enrollment ID: I20070519000077 |
| Provider Name | Raphael Adam Morris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801811104 PECOS PAC ID: 0345348835 Enrollment ID: I20070606000764 |
| Provider Name | Michael Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174698989 PECOS PAC ID: 0941309603 Enrollment ID: I20070620000521 |
| Provider Name | Veronica Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467674176 PECOS PAC ID: 0840399192 Enrollment ID: I20070627000285 |
| Provider Name | Gloria M Valenzuela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679653380 PECOS PAC ID: 0143320200 Enrollment ID: I20070703000332 |
| Provider Name | Fee Sean Chin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679510465 PECOS PAC ID: 8022118017 Enrollment ID: I20070703000772 |
| Provider Name | Myel Joy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396768271 PECOS PAC ID: 3274633888 Enrollment ID: I20070711001014 |
| Provider Name | Arthur A Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811928179 PECOS PAC ID: 2769583186 Enrollment ID: I20070728000161 |
| Provider Name | Alma Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427247295 PECOS PAC ID: 8022107069 Enrollment ID: I20071128000879 |
| Provider Name | Muralikrishnan Parthasarathy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952569063 PECOS PAC ID: 0547325250 Enrollment ID: I20090212000493 |
| Provider Name | Pei-chen E Wu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699943142 PECOS PAC ID: 5294881496 Enrollment ID: I20090912000156 |
| Provider Name | Rosben L Gutierrez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538225735 PECOS PAC ID: 7416902440 Enrollment ID: I20110204000963 |
| Provider Name | Esther B Crater |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588814974 PECOS PAC ID: 5890976708 Enrollment ID: I20110225000412 |
| Provider Name | Valerie Jean Christian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245533462 PECOS PAC ID: 1355523994 Enrollment ID: I20110303000367 |
| Provider Name | Jennifer L Koch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649501289 PECOS PAC ID: 3072795640 Enrollment ID: I20110303000768 |
| Provider Name | Morgan Cirket |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447373527 PECOS PAC ID: 8628250446 Enrollment ID: I20110315000385 |
| Provider Name | Anne C Watson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639214505 PECOS PAC ID: 2264619527 Enrollment ID: I20110614000432 |
| Provider Name | Manoochehr Khatami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619985868 PECOS PAC ID: 0244401370 Enrollment ID: I20110922000118 |
| Provider Name | Debra R Berl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821377433 PECOS PAC ID: 1052582731 Enrollment ID: I20110929000501 |
| Provider Name | Pria Persaud |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457528440 PECOS PAC ID: 8921279944 Enrollment ID: I20111003000484 |
| Provider Name | Jennifer Marino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639385859 PECOS PAC ID: 3870733843 Enrollment ID: I20130716000383 |
| Provider Name | Matthew Foster Geromi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831450139 PECOS PAC ID: 9234370453 Enrollment ID: I20130730000532 |
| Provider Name | Cynthia L Angell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699969766 PECOS PAC ID: 6204061963 Enrollment ID: I20131105000797 |
| Provider Name | Joy D Kennedy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972707230 PECOS PAC ID: 8325217250 Enrollment ID: I20131211000803 |
| Provider Name | Megan C Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083758601 PECOS PAC ID: 9032347729 Enrollment ID: I20131231000813 |
| Provider Name | Chantal Maria Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396032975 PECOS PAC ID: 9830329069 Enrollment ID: I20140403001259 |
| Provider Name | Kirby N Wohlander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407279656 PECOS PAC ID: 7416173240 Enrollment ID: I20140730002507 |
| Provider Name | Caroline Morin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386056240 PECOS PAC ID: 4880811751 Enrollment ID: I20140818000544 |
| Provider Name | Sandra M Vought |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619000320 PECOS PAC ID: 2961622527 Enrollment ID: I20141002000000 |
| Provider Name | Alison M Trexler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003104704 PECOS PAC ID: 0042514713 Enrollment ID: I20160201002560 |
| Provider Name | Dmitry Primak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609860733 PECOS PAC ID: 6204951437 Enrollment ID: I20160729001088 |
| Provider Name | Paula Susanne Harwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700124971 PECOS PAC ID: 6709163090 Enrollment ID: I20170516001229 |
| Provider Name | Erin P Vierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235677881 PECOS PAC ID: 1759658719 Enrollment ID: I20170522002573 |
| Provider Name | Patricia G Cline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174753073 PECOS PAC ID: 0648311274 Enrollment ID: I20170913003943 |
| Provider Name | Holly Bates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407147390 PECOS PAC ID: 6709151772 Enrollment ID: I20171002003115 |
| Provider Name | Belinda Radovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124543061 PECOS PAC ID: 7214202654 Enrollment ID: I20171010003715 |
| Provider Name | Jamie E Picker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427185313 PECOS PAC ID: 6901166198 Enrollment ID: I20180208000734 |
| Provider Name | Angela Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194913996 PECOS PAC ID: 0648534917 Enrollment ID: I20180514002724 |
| Provider Name | Sarah Jacobs-paul |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598047086 PECOS PAC ID: 0648528885 Enrollment ID: I20180806000829 |
| Provider Name | Yana Drukin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407331739 PECOS PAC ID: 2062766306 Enrollment ID: I20181126002079 |
| Provider Name | Jamillah W Pargo-thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881943405 PECOS PAC ID: 9234476631 Enrollment ID: I20190123002300 |
| Provider Name | Tara C Mauro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962508903 PECOS PAC ID: 5193950384 Enrollment ID: I20190506000480 |
| Provider Name | Cheri J Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558566141 PECOS PAC ID: 8224363817 Enrollment ID: I20190718002976 |
| Provider Name | Michelle Pappalardi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780243907 PECOS PAC ID: 6406185099 Enrollment ID: I20190906002040 |
| Provider Name | Roselyna Rosado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760754865 PECOS PAC ID: 4789019175 Enrollment ID: I20200113001240 |
| Provider Name | Charissa A Ruud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114994753 PECOS PAC ID: 8123453511 Enrollment ID: I20200113001274 |
| Provider Name | Pamela Sachs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801981659 PECOS PAC ID: 6002241833 Enrollment ID: I20200123002961 |
| Provider Name | Jillian Starkey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497236400 PECOS PAC ID: 8729417159 Enrollment ID: I20200406000907 |
| Provider Name | Laura J Steder-myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245776186 PECOS PAC ID: 8022448422 Enrollment ID: I20200427002307 |
| Provider Name | Kat T Balingit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538790605 PECOS PAC ID: 7012348238 Enrollment ID: I20200502000191 |
| Provider Name | Caleb J Bragg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710336565 PECOS PAC ID: 0648563882 Enrollment ID: I20200505002186 |
| Provider Name | Diana Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356885289 PECOS PAC ID: 3274951652 Enrollment ID: I20200914002941 |
| Provider Name | Karla Furlong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518312016 PECOS PAC ID: 6305264938 Enrollment ID: I20200915000799 |
| Provider Name | Yacharter Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548327190 PECOS PAC ID: 9133207855 Enrollment ID: I20201005001885 |
| Provider Name | Jasmine Dyjak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659782498 PECOS PAC ID: 8022438985 Enrollment ID: I20201014001134 |
| Provider Name | Emilia Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205345733 PECOS PAC ID: 1254744642 Enrollment ID: I20201231001829 |
| Provider Name | Suzanne M Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245733450 PECOS PAC ID: 1850705922 Enrollment ID: I20210201001991 |
| Provider Name | Al Alam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174700678 PECOS PAC ID: 9133290760 Enrollment ID: I20210816002289 |
| Provider Name | Varun Mohan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952756397 PECOS PAC ID: 0345587861 Enrollment ID: I20210816002744 |
| Provider Name | Rathaphone L Boutah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992881908 PECOS PAC ID: 6305241241 Enrollment ID: I20210816002913 |
| Provider Name | Deniz Eker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386635068 PECOS PAC ID: 5294637880 Enrollment ID: I20210910000192 |
| Provider Name | Bianca S Brito |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720525595 PECOS PAC ID: 3072911213 Enrollment ID: I20211001002225 |
| Provider Name | Desiree Sayre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730564147 PECOS PAC ID: 3678971702 Enrollment ID: I20211004003107 |
| Provider Name | Efren Francisco Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578962460 PECOS PAC ID: 9931507688 Enrollment ID: I20211011000308 |
| Provider Name | Tomas A Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881224921 PECOS PAC ID: 6800217134 Enrollment ID: I20211018002706 |
| Provider Name | Samantha Stermon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851811020 PECOS PAC ID: 1759793797 Enrollment ID: I20211019001702 |
| Provider Name | Natalie Medina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720314404 PECOS PAC ID: 8628466901 Enrollment ID: I20211020000697 |
| Provider Name | Robyn D Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174962930 PECOS PAC ID: 0143618322 Enrollment ID: I20211020000914 |
| Provider Name | Cassie C Deacon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720452998 PECOS PAC ID: 0244629608 Enrollment ID: I20211105001964 |
| Provider Name | Sharlene Famisan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245571314 PECOS PAC ID: 7214328392 Enrollment ID: I20211228001153 |
| Provider Name | Ridhima Grover |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518316660 PECOS PAC ID: 4385937978 Enrollment ID: I20211228002246 |
| Provider Name | Lisa A Debrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265807762 PECOS PAC ID: 7113319310 Enrollment ID: I20220120001759 |
| Provider Name | Ronit Yael Lyon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689056293 PECOS PAC ID: 0840602421 Enrollment ID: I20220217002081 |
| Provider Name | Elvira C Pan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821296658 PECOS PAC ID: 5294128187 Enrollment ID: I20220217002141 |
| Provider Name | Mina L Sardashti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467985499 PECOS PAC ID: 1456622646 Enrollment ID: I20220223001281 |
| Provider Name | Tammy Nicole Torres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568950624 PECOS PAC ID: 7618363144 Enrollment ID: I20220408000372 |
| Provider Name | Rosana Coria Alaniz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902353618 PECOS PAC ID: 8426444977 Enrollment ID: I20220408001380 |
| Provider Name | Philippe T Levy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801210919 PECOS PAC ID: 2769743038 Enrollment ID: I20220413002129 |
| Provider Name | Nicolas Canon Salazar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306045281 PECOS PAC ID: 1052798121 Enrollment ID: I20220510002200 |
| Provider Name | Maya J Peters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982912408 PECOS PAC ID: 9537546619 Enrollment ID: I20220510002550 |
| Provider Name | Jenna Torres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639439342 PECOS PAC ID: 0446633713 Enrollment ID: I20220818002918 |
| Provider Name | Mara Alejandra Sigalos-rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548765274 PECOS PAC ID: 9234509878 Enrollment ID: I20221223000640 |
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 | |
The Center For Behavior Change, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7676 Hazard Center Dr Ste 500, San Diego, CA 92108 Phone: 619-876-8261 | |
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 | |
Alba Community School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4041 Oregon St, San Diego, CA 92104 Phone: 619-521-5720 | |
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 | |
Adapt Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6070 Mission Gorge Rd, San Diego, CA 92120 Phone: 619-957-0888 | |
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 |