TRACI A PATTERSON (NPI# 1083258537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083258537 |
Entity Type | Individual |
Full Name | TRACI A PATTERSON |
Practice Address |
2082 Michelson Dr Ste 212 Irvine CA 92612-1213 |
Practice Telephone | 7147176633 |
Mailing Telephone | 7147176633 |
Enumeration Date | 2019-10-28 |
Last Update Date | 2019-10-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063904951 | Traci Patterson | Counselor | 901 W Kirchhoff Rd # 3s, Arlington Heights, IL 60005-2361 | 2018-06-05 |
1043727142 | Traci J Patterson | Behavioral Analyst | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2018-01-10 |
1861803900 | Traci Patterson | Physical Therapist | 1802 Saint Francis St, Kennett, MO 63857-1568 | 2014-05-12 |
Street Address |
2082 MICHELSON DR STE 212 |
City | IRVINE |
State | CA |
Zip Code | 92612-1213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629615984 | Sara Afsharpour | Marriage & Family Therapist | 2001 Business Center Dr, # 150, Irvine, CA 92612 | 2019-12-05 |
1952959207 | Dorothy Dawn Malsack | Dietitian, Registered | 20 Pergola, Irvine, CA 92612 | 2019-08-29 |
1992350508 | Masi Hashemian Dds Inc | Dentist | Park Place Dentistry, 2981 Michelson Dr., Suite #b, Irvine, CA 92612 | 2019-08-09 |
1518426907 | Linklan Logistics Inc | Transportation Broker | 19200 Von Karman Ave Ste 612, Irvine, CA 92612 | 2019-03-15 |
1598220535 | Dorise Hebenstreit | Marriage & Family Therapist | 2151 Michelson Dr Ste 286, Irvine, CA 92612 | 2019-02-04 |
1871033365 | Livhome, Inc. | In Home Supportive Care | 19762 Macarhtur Blvd, Suite 120, Irvine, CA 92612 | 2017-03-02 |
1073061511 | Susan Nguyen | Marriage & Family Therapist | 2081 Business Center Dr Ste 109, Irvine, CA 92612 | 2016-09-13 |
1043617574 | Jason Polhamus | Community Health Worker | 4885 Royce Rd, Irivne, CA 92612 | 2014-11-26 |
1013313386 | Marisa Lepore | Marriage & Family Therapist | 19742 Centerpointe Plaza, Suite #125, Irvine, CA 92612 | 2014-11-13 |
1558798462 | Fatima Manesh | Acupuncturist | 8 Palmento Way, Irvine, CA 92612 | 2013-10-09 |
Find all providers in zip 92612 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538796305 | Amy Marie Tanner-neely | Counselor | 7545 Irvine Center Dr Ste 248, Irvine, CA 92618-2932 | 2020-03-23 |
1760028575 | Leibow Psychology Group, PC | Counselor | 7725 Gateway #4203, Irvine, CA 92618 | 2019-11-27 |
1649742032 | Matthew Codde | Counselor | 14611 Oak Ave, Irvine, CA 92606-2166 | 2018-12-22 |
1992184535 | Nilou B. Tohidian | Counselor | 56 Shady Ln, Irvine, CA 92603-0128 | 2015-05-28 |
1699194209 | Providence Community Services | Counselor | 2600 Michelson Dr, Suite #1700, Irvine, CA 92612-1550 | 2014-04-10 |
1245659135 | Providence Community Services | Counselor | 16755 Von Karman Ave, Suite #300, Irvine, CA 92606-4930 | 2014-04-08 |
1053730945 | Providence Community Services | Counselor | 18101 Von Karman Ave, 3rd Floor, Irvine, CA 92612-1012 | 2014-04-08 |
1750716916 | Yolanda Hernandez-obillo | Counselor | 17 Silkleaf, Irvine, CA 92614-5404 | 2013-09-06 |
1841532736 | Deborah Odell | Counselor | 14 Alba E, Irvine, CA 92620-1901 | 2013-03-19 |
1619224524 | Nancy Patricia Hernandez | Counselor | 5 Slocum, Irvine, CA 92620 | 2012-08-09 |
Find all providers in IRVINE |
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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.