DR. ERIC P TREVIZU (NPI# 1093701419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093701419 |
| Entity Type | Individual |
| Full Name | DR. ERIC P TREVIZU |
| Credential | PSYD |
| Practice Address |
705 West St Susanville CA 96130-4834 |
| Practice Telephone | 5302572688 |
| Mailing Telephone | 5302572688 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
CA 19228 | CA | Behavioral Health & Social Service Providers |
| Street Address |
705 WEST ST |
| City | SUSANVILLE |
| State | CA |
| Zip Code | 96130-4834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346418845 | John A. Anderson | Nurse Practitioner | 705 West St, Susanville, CA 96130-4834 | 2008-02-19 |
| 1902093362 | Terri Lee Snyder | Nurse Practitioner | 705 West St, Susanville, CA 96130-4834 | 2007-10-01 |
| 1538179643 | Constance A Herman | Nurse Practitioner | 705 West St, Susanville, CA 96130-4834 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
| 1871980847 | Katie Gaffney | Acupuncturist | 1850 Spring Ridge Dr., Susanville, CA 96130 | 2015-04-17 |
| 1952678435 | Linda Vixie | Dentist | 3020 Johnstonville Rd., Susanville, CA 96130 | 2011-11-28 |
| 1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
| 1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
| 1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
| 1982921417 | Ronald Spencer Tucker Jr. | Counselor | 4119 Johnstonville Road, #270503, Susanville, CA 96130 | 2010-04-23 |
| 1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
| 1528243649 | Daniel Martin Bruce | Case Manager/Care Coordinator | 720-a Richmond Road, Susanville, CA 96130 | 2008-01-08 |
| 1679757785 | Michael Charles Giddings | Dentist | 475 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-26 |
| Find all providers in zip 96130 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
| 1295957546 | Florence Robin Thomas-riddle | Psychologist | 472-100 Richmond Rd N, Susanville, CA 96130-5115 | 2007-05-03 |
| 1538218904 | Todd Edward Murray | Psychologist | 691-550 Janet Way, Susanville, CA 96130-9598 | 2007-01-09 |
| 1780019786 | Pak Yan Ngai | Psychologist | 475-750 Rice Canyon Road, Susanville, CA 96130 | 2013-09-09 |
| 1396030557 | Robert Scott Cull | Psychologist | 830 Main St, Susanville, CA 96130-4405 | 2011-06-16 |
| 1023319498 | Linda Mosley | Psychologist | 200 Carroll St, 14, Susanville, CA 96130-4301 | 2010-11-16 |
| 1164635249 | Richard Elbert Riddle | Psychologist | 472-100 Richmond Rd N, Susanville, CA 96130 | 2007-05-07 |
| 1083826200 | Integrative Counseling Services | Psychologist | 472-100 Richmond Rd N, Susanville, CA 96130 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | SUSANVILLE |
| Zip Code | 96130 |
Please comment or provide details below to improve the information on DR. ERIC P TREVIZU.
| 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.