CAROLINE DARAVI (NPI# 1053855783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053855783 |
Entity Type | Organization |
Organization Name | CAROLINE DARAVI |
Other Organization Name | (DBA) HERA COUNSELING |
Practice Address |
1706 Plum Lane #110 Redland CA 92374 |
Mailing Address |
1706 Plum Lane #110 Redlands CA 92374 |
Practice Telephone | 9095532573 |
Practice Fax Number | 9096774883 |
Mailing Telephone | 9095532573 |
Mailing Fax Number | 9096774883 |
Enumeration Date | 2016-12-14 |
Last Update Date | 2019-11-13 |
Authorized Official Name | DR. CAROLINE DARAVI (OWNER/PSYCHOLOGIST) |
Authorized Official Telephone | 9095532573 |
Authorized Official Credential | PSY.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
(DBA) Hera Counseling | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
18 E State St # 203-2, Redlands, CA 923734730 | 9095532573 |
Street Address |
1706 PLUM LANE #110 |
City | REDLAND |
State | CA |
Zip Code | 92374 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053802652 | V Rana Dds Inc | Clinic/Center | 1748 E Lugonia Ave Ste 126, Redlands, CA 92374 | 2018-05-21 |
1467979393 | Brianna Ashley Torres | Behavioral Analyst | 1467 Stillman Ave, Redlands, CA 92374 | 2017-08-22 |
1851821953 | Veronica Esqueda | Social Worker | 21 Crafton Ct, Redlands, CA 92374 | 2017-06-13 |
1487092722 | Kathryn Wheeler | Speech-Language Pathologist | 112 Eleventh Street, Redlands, CA 92374 | 2013-06-10 |
1275979254 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 1220 Research Dr, Redlands, CA 92374 | 2013-05-16 |
1639515125 | Shantrice Nicole Burton | Speech-Language Pathologist | 1323 W Colton Ave Ste 105, Redlands, CA 92374 | 2013-05-11 |
1275898314 | Hrishikesh C Gogineni | Orthopaedic Surgery | 1801 Orange Tree Ln Ste 200, Redlands, CA 92374 | 2012-07-04 |
1609168897 | Mina Youssef | Psychiatry & Neurology | 26325 Snowden Ave, Redlands, CA 92374 | 2011-05-06 |
1902106545 | Jerrold Edward Hammer | Pharmacist | 422 N Orange St., Redlands, CA 92374 | 2010-10-29 |
1023326923 | Dustin James Harn | Physician Assistant | 1002 Campus Ave, Redlands, CA 92374 | 2010-09-14 |
Find all providers in zip 92374 |
Taxonomy Code | 103TP2701X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Group Psychotherapy |
Definition to come... |
Notes: [1/1/2007: modified title] |
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1528574019 | Jori Adler Marriage & Family Therapy Prof. Corp. | Psychologist | 3846 Lyceum Ave, Los Angeles, CA 90066-4125 | 2017-12-19 |
1609396472 | Rosanne Miranda | Psychologist | 3500 Barranca Pkwy Ste 305, Irvine, CA 92606-8232 | 2017-06-22 |
1972055655 | Richard Linares | Psychologist | 270 W 5th St, Oxnard, CA 93030-7107 | 2016-10-28 |
1912397787 | Operation:i.v.,inc | Psychologist | 1000 Town Center Dr Ste 300, Oxnard, CA 93036-1117 | 2015-01-30 |
1427486133 | Apex Recovery and Wellness, A Professional Corp. | Psychologist | 36 Quail Ct Ste 100, Walnut Creek, CA 94596-5514 | 2013-10-16 |
1154768307 | Redwood Psychology Center, Inc. | Psychologist | 709 Davis St, Santa Rosa, CA 95401-4767 | 2013-05-29 |
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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.