| The Halliday Center For Psychotherapy And Wellness, Inc. | |
|
355 Santa Fe Dr Suite 200 Encinitas CA 92024-5152 | |
| (760) 635-3310 | |
| (760) 452-7525 |
| Full Name | The Halliday Center For Psychotherapy And Wellness, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 355 Santa Fe Dr, Encinitas, California |
| Authorized Official Name and Position | Debra Halliday (PRESIDENT) |
| Authorized Official Contact | 7606353310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Halliday Center For Psychotherapy And Wellness, Inc. Po Box 895 Cardiff By The Sea CA 92007-0895 Ph: (760) 635-3310 | The Halliday Center For Psychotherapy And Wellness, Inc. 355 Santa Fe Dr Suite 200 Encinitas CA 92024-5152 Ph: (760) 635-3310 |
| NPI Number | 1164848958 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 03/03/2017 |
| Medicare PECOS PAC ID | 3375767437 |
|---|---|
| Medicare Enrollment ID | O20140610002172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164848958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Debra Miriam Halliday |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336385327 PECOS PAC ID: 4284822909 Enrollment ID: I20101222000597 |
| Provider Name | Rebecca Mcknight |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710117981 PECOS PAC ID: 1557641933 Enrollment ID: I20161130001274 |
| Provider Name | Genevieve Noel Olucha |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891024964 PECOS PAC ID: 1557496932 Enrollment ID: I20200113002702 |
| Provider Name | Shelli Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326492026 PECOS PAC ID: 9133531908 Enrollment ID: I20201221000221 |
| Provider Name | Adrienne Danielle Habib |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811428725 PECOS PAC ID: 5092185132 Enrollment ID: I20230105001381 |
| Provider Name | Veronica V. Solaris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447692496 PECOS PAC ID: 3971952367 Enrollment ID: I20231211002071 |
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