CONCEPT HEALTHCARE PSYCHOLOGY GROUP, INC.


Address: 1717 W Stetson Ave, Hemet, CA 92545-6882
Phone: 9519259171

CONCEPT HEALTHCARE PSYCHOLOGY GROUP, INC. (NPI# 1073755401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073755401
Entity Type Organization
Organization Name CONCEPT HEALTHCARE PSYCHOLOGY GROUP, INC.
Practice Address 1717 W Stetson Ave
Hemet
CA 92545-6882
Mailing Address 4901 Morena Blvd
Suite 109
San Diego
CA 92117-3423
Practice Telephone 9519259171
Practice Fax Number 9519258186
Mailing Telephone 8582723992
Mailing Fax Number 8582723804
Enumeration Date 2009-03-31
Last Update Date 2009-03-31
Authorized Official Name DR. JOSEPH M CASCIANI (PRESIDENT)
Authorized Official Telephone 8582723992
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TH0100X Psychologist
Specialization: Health Service
PSY5291 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1717 W STETSON AVE
City HEMET
State CA
Zip Code 92545-6882

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NPI Name Taxonomy Address Enumeration
1447298138 Manor Care of Hemet Ca LLC Skilled Nursing Facility 1717 W Stetson Ave, Hemet, CA 92545-6882 2006-06-03
1699960534 Anjali Robin David Nurse Practitioner 1717 W Stetson Ave, Hemet, CA 92545 2007-09-13
1093924581 Nina Vincent Speech-Language Pathologist 1717 W Stetson Ave, Hemet, CA 92545-6882 2007-05-21

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Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition]

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NPI Name Taxonomy Address Enumeration
1801497607 Michael J Hurtado Psychologist 5597 W Vartikian Ave, Fresno, CA 93722-3145 2020-11-06
1396374054 Mark A Amparo Psychologist 5222 Balboa Ave Ste 33, San Diego, CA 92117-6953 2020-04-05
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1366080418 Denise Cherelle Rollins Psychologist 8619 Culpepper Dr, Sacramento, CA 95823-7658 2019-12-18
1124671136 Ivan Butrus Psychologist 1516 Granite Hills Dr # Drb, El Cajon, CA 92019-5300 2019-07-18
1821659517 Teresa Malyka Cheam Psychologist 301 The City Drive, Orange, CA 92868-3205 2019-06-24
1629633755 Rans Shaaya Psychologist 520 Ballard St, El Cajon, CA 92019-2124 2019-05-03
1356823637 Tin Joshua Pham Psychologist 1860 Walnut St. Suite A, Red Bluff, CA 96080-3611 2018-09-03
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Competitor

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City HEMET
Zip Code 92545

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Dataset Information

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.

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