| Theracare Wellness | |
|
265 S Randolph Ave Ste 120 Brea CA 92821-5798 | |
| (562) 448-5907 | |
| Not Available |
| Full Name | Theracare Wellness |
|---|---|
| Speciality | Psychologist |
| Location | 265 S Randolph Ave Ste 120, Brea, California |
| Authorized Official Name and Position | Dustin Arnold (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6572463075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theracare Wellness 265 S Randolph Ave. Ste 120 Brea CA 92821-5798 Ph: () - | Theracare Wellness 265 S Randolph Ave Ste 120 Brea CA 92821-5798 Ph: (562) 448-5907 |
| NPI Number | 1487200515 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 09/07/2022 |
| Certification Date | 09/07/2022 |
| Medicare PECOS PAC ID | 9537593371 |
|---|---|
| Medicare Enrollment ID | O20200102001478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487200515 | NPI | - | NPPES |
| 215E40TL | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Ashley D Prueitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548598220 PECOS PAC ID: 6608187190 Enrollment ID: I20150624003293 |
| Provider Name | Veronica Regueiro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003319104 PECOS PAC ID: 3375808454 Enrollment ID: I20180518001567 |
| Provider Name | Alicia Erika Dominguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306241435 PECOS PAC ID: 1456601772 Enrollment ID: I20180907001715 |
| Provider Name | Dustin M Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366921900 PECOS PAC ID: 1153674239 Enrollment ID: I20181019002315 |
| Provider Name | Catherine Jameson Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225463409 PECOS PAC ID: 4284966615 Enrollment ID: I20191104001979 |
| Provider Name | Jehan Helmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497986285 PECOS PAC ID: 7719210517 Enrollment ID: I20191126002893 |
| Provider Name | Elizabeth C Cazares |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275199903 PECOS PAC ID: 6608209283 Enrollment ID: I20191212002165 |
| Provider Name | Ayat O Madi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003399874 PECOS PAC ID: 9032516752 Enrollment ID: I20210923000575 |
Brighter Path Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 431 W Lambert Rd Ste 310, Brea, CA 92821 Phone: 714-261-9990 | |
Alinea Psychology Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 S Randolph Ave Ste 120, Brea, CA 92821 Phone: 714-253-7668 | |
Alle Herz Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 451 W Lambert Rd Ste 212, Brea, CA 92821 Phone: 949-293-6249 | |
K Therapy For Restoration, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 S. Randolph Ave., #185, Brea, CA 92821 Phone: 657-377-5522 | |
Michael Wu, M.d., Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3 Pointe Dr, Suite 305, Brea, CA 92821 Phone: 714-276-2930 Fax: 714-256-9013 | |
Spare Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 W Imperial Hwy, Suite 223, Brea, CA 92821 Phone: 714-345-4938 | |
Patterns Behavioral Services Maine Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 Saturn St Ste 206, Brea, CA 92821 Phone: 714-334-3839 |