ALEXANDRA KRASIEVA DVORNIKOVA (NPI# 1063070266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063070266 |
| Entity Type | Individual |
| Full Name | ALEXANDRA KRASIEVA DVORNIKOVA |
| Credential | M.S. |
| Practice Address |
2601 E Chapman Ave Ste 111 Fullerton CA 92831-3737 |
| Mailing Address |
22 Newton Ct Irvine CA 92617-4038 |
| Practice Telephone | 9492936249 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
112537 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2601 E CHAPMAN AVE STE 111 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326378738 | Yasamin Farhad | Psychologist | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2010-01-06 |
| 1407455645 | Maria Guadalupe Gonzalez | Social Worker | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2020-10-19 |
| 1801429477 | Stephanie Gast | Marriage & Family Therapist | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2020-02-21 |
| 1215585898 | Maria Linda Valencia | Counselor | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2019-08-28 |
| 1023675576 | Angga Rahadyan | Marriage & Family Therapist | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2019-05-21 |
| 1184181786 | Congruent Lives Inc | Marriage & Family Therapist | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2019-03-01 |
| 1861956898 | Clarice Irene Stout | Marriage & Family Therapist | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2019-01-23 |
| 1366912404 | Brittany Webb | Marriage & Family Therapist | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2018-12-02 |
| 1457821522 | Jordan Davis | Marriage & Family Therapist | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2018-11-30 |
| 1881185502 | Irma Fragoso | Marriage & Family Therapist | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2018-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441880 | James R Ruby | Counselor | 819 W Fern Dr, Fullerton, CA 92832-1014 | 2020-06-09 |
| 1891315313 | Michelle Y Kim | Counselor | 2501 E Chapman Ave Ste 106, Fullerton, CA 92831-3135 | 2020-04-24 |
| 1194364968 | Antonio Simental | Counselor | 4014 W Valencia Dr, Fullerton, CA 92833-2881 | 2019-12-27 |
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1073009478 | Melissa Renae Ruvalcaba | Counselor | 801 E. Champman Ave, # 203, Fullerton, CA 92831-3839 | 2018-07-09 |
| 1407370547 | Ashleigh Marie Sorenson | Counselor | 1235 N Harbor Blvd Ste 290, Fullerton, CA 92832-1353 | 2017-07-31 |
| 1922531805 | Insia Hirawala | Counselor | 2913 Barrington Ct, Fullerton, CA 92831-2208 | 2017-04-06 |
| 1588061345 | Atlas Psychological Family Counseling & Wellness Services, Inc. | Counselor | 1513 E Chapman Ave, Fullerton, CA 92831-4013 | 2014-11-21 |
| 1477804227 | Amanda Lee Carrillo | Counselor | 3621 W Ash Ave, Fullerton, CA 92833-3107 | 2012-09-19 |
| 1023366424 | Grace Jeanee Chang | Counselor | 2270 Pickwick Pl, Fullerton, CA 92833-4804 | 2012-08-16 |
| Find all providers in FULLERTON | ||||
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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.