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11800 Central Ave Ste 225 Chino CA 91710-7201 | |
| (909) 591-5085 | |
| (909) 591-5094 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 11800 Central Ave Ste 225, Chino, California |
| Authorized Official Name and Position | Dedra Beck (OFFICE MANAGER) |
| Authorized Official Contact | 9095915085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
11800 Central Ave, Suite 225 Chino CA 91710 Ph: (909) 576-3889 | 11800 Central Ave Ste 225 Chino CA 91710-7201 Ph: (909) 591-5085 |
| NPI Number | 1174913321 |
|---|---|
| Provider Enumeration Date | 01/27/2015 |
| Last Update Date | 09/07/2024 |
| Certification Date | 09/07/2024 |
| Medicare PECOS PAC ID | 0749721389 |
|---|---|
| Medicare Enrollment ID | O20240923001690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174913321 | NPI | - | NPPES |
| 1992845218 | Other | CA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC36347 (California) | Primary |
| Provider Name | Desiree N Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811209448 PECOS PAC ID: 3274816368 Enrollment ID: I20170215003139 |
| Provider Name | Stuart A Kaplowitz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992845218 PECOS PAC ID: 9133567837 Enrollment ID: I20240401000972 |
| Provider Name | Stella Minjoung Lee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871830901 PECOS PAC ID: 9436681061 Enrollment ID: I20241021001040 |
| Provider Name | Jacob Kurily |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902333453 PECOS PAC ID: 0749712388 Enrollment ID: I20241021001358 |
| Provider Name | Dayna L Tevis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992958441 PECOS PAC ID: 5890227441 Enrollment ID: I20241021001995 |
| Provider Name | Lacey J Witham |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982903001 PECOS PAC ID: 0941732515 Enrollment ID: I20241021002666 |
| Provider Name | Maria Teresa Driver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366774259 PECOS PAC ID: 4385176981 Enrollment ID: I20241021004256 |
| Provider Name | Erica Danielle Boyd |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700035003 PECOS PAC ID: 6709318272 Enrollment ID: I20241022003499 |
| Provider Name | Shirley Matias Romulo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386893857 PECOS PAC ID: 8325571839 Enrollment ID: I20241022005504 |
| Provider Name | Nallely A Osorio Sanchez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457937591 PECOS PAC ID: 7618400839 Enrollment ID: I20241028000192 |
| Provider Name | Nathaly Calderon Dominguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801348065 PECOS PAC ID: 2860925922 Enrollment ID: I20241028002128 |
| Provider Name | Monica Elizarraraz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548517436 PECOS PAC ID: 1456884527 Enrollment ID: I20241028002358 |
| Provider Name | Wendy Sober |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538542832 PECOS PAC ID: 6800329939 Enrollment ID: I20241029001319 |
| Provider Name | Melissa Jean Gutierrez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700310174 PECOS PAC ID: 0143756791 Enrollment ID: I20241206000651 |
| Provider Name | Yesenia Montano |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619524154 PECOS PAC ID: 0547796047 Enrollment ID: I20241206002911 |
| Provider Name | Vrunda Merchant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316561723 PECOS PAC ID: 8527594985 Enrollment ID: I20241209001738 |
| Provider Name | Lisa Sledd |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922773134 PECOS PAC ID: 8426584855 Enrollment ID: I20241209004074 |
| Provider Name | Breana Wiles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134631211 PECOS PAC ID: 4486180593 Enrollment ID: I20241212003527 |
Ebmd, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5353 G St, Chino, CA 91710 Phone: 909-590-3700 | |
Communication A To Z Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12188 Central Ave # 590, Chino, CA 91710 Phone: 909-393-6591 | |
Reslience Within Jeannie Tse Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14726 Ramona Ave Ste S17, Chino, CA 91710 Phone: 626-386-3316 Fax: 626-270-4237 | |
Wholistic Family Therapy & Wellness Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11780 Central Ave Ste 115, Chino, CA 91710 Phone: 909-364-1104 | |
Mainline Family Counseling Service Prof Corp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14726 Ramona Ave # E10, Chino, CA 91710 Phone: 909-334-2824 |