| San Diego Brainworks Psychology & Neuropsychology Services | |
|
11512 El Camino Real 350 San Diego CA 92130-2087 | |
| (661) 340-1560 | |
| Not Available |
| Full Name | San Diego Brainworks Psychology & Neuropsychology Services |
|---|---|
| Speciality | Psychologist |
| Location | 11512 El Camino Real, San Diego, California |
| Authorized Official Name and Position | Erin Almklov (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6613401560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Brainworks Psychology & Neuropsychology Services 5130 Long Branch Ave A San Diego CA 92107-2034 Ph: () - | San Diego Brainworks Psychology & Neuropsychology Services 11512 El Camino Real 350 San Diego CA 92130-2087 Ph: (661) 340-1560 |
| NPI Number | 1427458710 |
|---|---|
| Provider Enumeration Date | 08/25/2014 |
| Last Update Date | 10/20/2014 |
| Medicare PECOS PAC ID | 0244451052 |
|---|---|
| Medicare Enrollment ID | O20141021000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427458710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Joanna Savarese |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093078164 PECOS PAC ID: 0143441956 Enrollment ID: I20141201001735 |
| Provider Name | Golzar Kouklan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649544289 PECOS PAC ID: 5395075576 Enrollment ID: I20191001003497 |
| Provider Name | Talia Rose Seider |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366061707 PECOS PAC ID: 9133545643 Enrollment ID: I20200814000767 |
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