Dr Suzanne Graupner Pike, PHD | |
400 S Melrose Dr Ste 210, Vista, CA 92081-6632 | |
(619) 806-7453 | |
(760) 798-1001 |
Full Name | Dr Suzanne Graupner Pike |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 400 S Melrose Dr Ste 210, Vista, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710030564 | NPI | - | NPPES |
PSY 164920 | Other | CA | MEDICAL |
23-2794754 | Other | TAX ID OTHER THAN SS# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY 16492 (California) | Primary |
Entity Name | Tahoe Carson Valley Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834 |
Entity Name | Mellow Medical Inc A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222 |
Mailing Address | Practice Location Address |
---|---|
Dr Suzanne Graupner Pike, PHD 975 Woodland Pkwy Apt 155, Suzanne G. Pike, Ph.d., San Marcos, CA 92069-2270 Ph: (619) 806-7453 | Dr Suzanne Graupner Pike, PHD 400 S Melrose Dr Ste 210, Vista, CA 92081-6632 Ph: (619) 806-7453 |
Jenica Lanier, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 380 S Melrose Dr Ste 357, Vista, CA 92081 Phone: 949-385-1339 | |
Elizabeth Ketchel, APCC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3892 | |
Kelly Bennett, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 910 Sycamore Ave Ste 270, Vista, CA 92081 Phone: 760-697-3100 | |
Dr. Denise Dyann Gonzales, PSYD. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2095 W Vista Way, Suite #216, Vista, CA 92083 Phone: 760-659-9042 Fax: 760-639-0110 | |
Laurie Ellen Berenson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 450 S Melrose Dr Ste 113, Vista, CA 92081 Phone: 760-224-4333 Fax: 760-301-0044 | |
Dr. David Paul Hatherill, PHD LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2120 Thibodo Ct, Suite 230, Vista, CA 92085 Phone: 858-279-1223 Fax: 760-597-4880 | |
Regina M. Mcclure, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1204 Little Gopher Canyon Road, Vista, CA 92084 Phone: 760-659-0413 |