Dr Nicole Louise Jensen, PSYD | |
14901 Central Ave, Chino, CA 91710-9500 | |
(855) 888-8515 | |
Not Available |
Full Name | Dr Nicole Louise Jensen |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 14901 Central Ave, Chino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1770551749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY18674 (California) | Primary |
103T00000X | Psychologist | PSY18674 (California) | Secondary |
Entity Name | Cognitive Care Solutions Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548614183 PECOS PAC ID: 5698066124 Enrollment ID: O20160614000770 |
Mailing Address | Practice Location Address |
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Dr Nicole Louise Jensen, PSYD 2731 Ridgeline Dr Apt 305, Corona, CA 92882-8750 Ph: (714) 235-0857 | Dr Nicole Louise Jensen, PSYD 14901 Central Ave, Chino, CA 91710-9500 Ph: (855) 888-8515 |
Dr. David Chuquimia, Psychologist Medicare: Medicare Enrolled Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821 | |
Dr. Theresa Marie Darrington, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4091 Riverside Dr, Ste 117, Chino, CA 91710 Phone: 909-287-3423 Fax: 909-902-0894 | |
Dr. Teri Renee Clipps, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821 | |
Dr. Cathryn Irena Harris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12530 10th St, Suite D, Chino, CA 91710 Phone: 909-596-3577 Fax: 909-593-6456 | |
Randall Stewat Norris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-606-7226 | |
Dr. Jodi Raye Cabrera, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821 | |
Dr. Stephanie Dianne Griffone, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15180 Euclid Ave, Chino, CA 91710 Phone: 909-606-5000 Fax: 909-606-5075 |