JAMES CHARLES HUSEN (NPI# 1053836445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053836445 |
| Entity Type | Individual |
| Full Name | JAMES CHARLES HUSEN |
| Practice Address |
3068 Brockton Ave Riverside CA 92501-2325 |
| Practice Telephone | (951) 314-6634 |
| Practice Fax Number | 9517818985 |
| Mailing Telephone | 9513146634 |
| Mailing Fax Number | 9517818985 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2019-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY30102 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY30102 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
PSY30102 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
PSY30102 | CA | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PSY30102 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 86502 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3068 BROCKTON AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601451 | Joshua Craig | Psychologist | 1660 Chicago Ave Ste M17, Riverside, CA 92507-2033 | 2020-08-24 |
| 1487205506 | Inland Psychiatric Medical Group, Inc. | Psychologist | 4049 Brockton Ave, Riverside, CA 92501-3440 | 2019-09-20 |
| 1427606813 | New England Center for Pediatric Psychology | Psychologist | 109 Worcester Ave, Riverside, RI 02915-3409 | 2019-08-28 |
| 1881188845 | Theodore Earl Swigart Iv | Psychologist | 5499 Grassy Trail Dr, Riverside, CA 92504-1213 | 2018-06-21 |
| 1447623657 | Adrian Michelle Camargo Rubly | Psychologist | 4344 Latham St Ste 120, Riverside, CA 92501-1773 | 2015-11-10 |
| 1427424464 | Lindsay Lauren Wray | Psychologist | 5005 Canyon Crest Dr, Riverside, CA 92507-7721 | 2015-08-13 |
| 1225451685 | David Jon Eagle | Psychologist | 6719 Coral Leaf Ln, Riverside, CA 92506-6213 | 2014-01-21 |
| 1609114933 | Martha Elizabeth O'donnell | Psychologist | 153 Lockwood Rd, Riverside, CT 06878-1920 | 2013-01-22 |
| 1700181385 | Roger Sheldon Tilton | Psychologist | 7177 Brockton Ave Ste 227, Riverside, CA 92506-2633 | 2011-01-13 |
| 1548565237 | E Abdulmumin | Psychologist | 2060 University Ave Ste 102, Riverside, CA 92507-5210 | 2011-01-11 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.