ENTRUST PSYCHOTHERAPY INC.


Address: 3151 Airway Ave Ste K102, Costa Mesa, CA 92626-4613
Phone: 7144440395

ENTRUST PSYCHOTHERAPY INC. (NPI# 1144304486) 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) 1144304486
Entity Type Organization
Organization Name ENTRUST PSYCHOTHERAPY INC.
Practice Address 3151 Airway Ave Ste K102
Costa Mesa
CA 92626-4613
Practice Telephone 7144440395
Practice Fax Number 7144440571
Mailing Telephone 7144440395
Mailing Fax Number 7144440571
Enumeration Date 2006-10-24
Last Update Date 2020-08-22
Authorized Official Name DR. SUSAN L THRASHER (OWNER)
Authorized Official Telephone 7144440395
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103TC0700X Psychologist
Specialization: Clinical
PSY11290 CA Behavioral Health & Social Service Providers
X 106H00000X Marriage & Family Therapist MFC39390 CA Behavioral Health & Social Service Providers

Office Location

Street Address 3151 AIRWAY AVE STE K102
City COSTA MESA
State CA
Zip Code 92626-4613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275766644 Paris Feiz Marriage & Family Therapist 3151 Airway Ave Ste K102, Costa Mesa, CA 92626-4613 2009-09-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215536982 Sergio Gutierrez Behavior Technician 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 2020-10-22
1780201848 Kelly Chauvet Behavior Technician 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 2020-07-06
1316564610 Timo Rosa Behavior Technician 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 2020-07-02
1255966115 Dalia A Sehweil Behavior Technician 1111 Baker, Costa Mesa, CA 92626 2020-03-11
1265071096 Austin Stotelmyre Behavior Technician 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 2019-12-26
1396383022 The Open Table Community/Behavioral Health 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 2019-12-12
1851933550 Jennifer Rivera Behavior Technician 1111 Baker St. Unit #a, Costa Mesa, CA 92626 2019-10-14
1962053595 Peter Na Behavior Technician Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 2019-09-25
1346897147 Jennifer Lopez Behavior Technician 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 2019-08-26
1679134084 Danny Garcia Chiropractic, PC Chiropractor 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 2019-06-26
Find all providers in zip 92626

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225661689 Johnathon Neda Psychologist 795 Windward Way, Costa Mesa, CA 92627-4352 2020-02-13
1174969489 Rachel Gita Foster Psychologist 1845 Anaheim Ave, Unit 9c, Costa Mesa, CA 92627 2013-05-14
1821347303 Debra Winkcompleck Webb Psychologist 582 Traverse Dr., Costa Mesa, CA 92626 2012-08-30
1750604583 Johanna Christine Walthall Psychologist 180 Cabrillo St Apt B19, Costa Mesa, CA 92627-3051 2010-03-08
1477876753 Nader Babai Siahdohoni Psychologist 3151 Airway Ave Ste D2, Costa Mesa, CA 92626-4622 2010-03-01
1063747848 Elizabeth Lee Waterman Psychologist 652 Beach St, Costa Mesa, CA 92627-3409 2009-10-12
1346574159 Lili Yu Lim Kim Reboul Psychologist 150 Paularino Ave Ste C-100, Costa Mesa, CA 92626-3301 2009-09-25
1104029784 Nancy D Young Phd Psychologist 2845 Mesa Verde Dr E, Suite 8, Costa Mesa, CA 92626-4858 2007-06-08
1356565766 Antoine Francisco Psychologist 250 Fischer Ave, Costa Mesa, CA 92626-4515 2007-04-13
1386772663 Erin Leigh Dornan-liuzzo Psychologist 3151 Airway Ave Ste A2, Costa Mesa, CA 92626-4620 2007-03-01
Find all providers in COSTA MESA

Competitor

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City COSTA MESA
Zip Code 92626

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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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