GISELLE J. COLLINS (NPI# 1114334703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114334703 |
| Entity Type | Individual |
| Full Name | GISELLE J. COLLINS |
| Credential | PH.D. |
| Practice Address |
323 N Prairie Ave Inglewood CA 90301-4502 |
| Mailing Address |
4760 Sepulveda Blvd Culver City CA 90230-4820 |
| Practice Telephone | 3108462100 |
| Practice Fax Number | 3108462139 |
| Mailing Telephone | 3103906612 |
| Mailing Fax Number | 3103985690 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2015-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 26889 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
0810005035 | VA | Behavioral Health & Social Service Providers |
| Street Address |
323 N PRAIRIE AVE |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364711 | Richard Lee Sires | Internal Medicine | 323 N Prairie Ave, Ste 334, Inglewood, CA 90301-4505 | 2005-05-23 |
| 1043853393 | Myung Sun Kim | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-10-18 |
| 1568003549 | Yasemin Yahni | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-10-01 |
| 1003473943 | Jessica Villafranco | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-05-27 |
| 1417514803 | Mariana Silva-nichols | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-05-21 |
| 1932763307 | Courtney Patrice Thomas | Counselor | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-04-30 |
| 1346804580 | Christian Eduardo Castro | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-04-23 |
| 1780147900 | Veronica Ramirez | Student in an Organized Health Care Education/Training Program | 323 N Prairie Ave, Inglewood, CA 90301 | 2019-04-14 |
| 1871052456 | Stephen Miller | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-03-13 |
| 1629534433 | Zenia Centeno | Marriage & Family Therapist | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1477093789 | Lewis E Logan II | Counselor | 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 | 2017-03-06 |
| Find all providers in zip 90301 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891036836 | Aybike Setenay Kortan | Psychologist | 101 N.labrea Ave, Suite 301, Inglewood, CA 90301 | 2013-03-14 |
| 1194988527 | Erin C Hubbard | Psychologist | 323 N Prairie Ave Ste 325, Inglewood, CA 90301-4505 | 2008-07-07 |
| 1598164782 | Marsha Chinichian | Psychologist | 220 W Manchester Blvd, Inglewood, CA 90301-4615 | 2014-08-14 |
| 1013209667 | Sara Michele Mehrabani | Psychologist | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2011-05-13 |
| 1184937047 | Paul Kalani Makanui | Psychologist | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2010-07-21 |
| 1861717902 | Bree Elizabeth Davis | Psychologist | 614 W Manchester Blvd, Inglewood, CA 90301-1656 | 2010-04-01 |
| 1073760047 | Christie M Schueler | Psychologist | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2008-08-21 |
| 1487873881 | Alexis Danielle Kulick | Psychologist | 333 N Prairie Ave, Department of Rehabilitation, Inglewood, CA 90301-4501 | 2007-04-24 |
| 1700904364 | Erica Holmes | Psychologist | 333 W Florence Ave, Inglewood, CA 90301-1103 | 2007-03-26 |
| 1679605042 | Diana Chappelear | Psychologist | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2007-03-12 |
| Find all providers in INGLEWOOD | ||||
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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.