DR. VICTORIA EAGLE (NPI# 1144450966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144450966 |
| Entity Type | Individual |
| Full Name | DR. VICTORIA EAGLE |
| Other Name | VICTORIA MYLECRAINE |
| Practice Address |
2425 Porter Street, #7 Soquel CA 95073 |
| Practice Telephone | 8312913815 |
| Mailing Telephone | 8312913815 |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2019-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
28965 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659593416 | Victoria L Eagle | Massage Therapist | 5051 Castello Dr, Naples, FL 34103-8982 | 2007-05-02 |
| Street Address |
2425 PORTER STREET, #7 |
| City | SOQUEL |
| State | CA |
| Zip Code | 95073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083963938 | Camille Ditter | Social Worker | 281 Paradise Lane, Soquel, CA 95073 | 2012-09-06 |
| 1811212640 | Rebecca C Hughes | Registered Nurse | 3622 Pringle Lane, Soquel, CA 95073 | 2010-04-05 |
| 1184879405 | Mark Kevin Kalemos | Social Worker | 5905 Soquel Dr #300, Soquel, CA 95073 | 2008-12-01 |
| 1710144845 | Pauline Irene Fillion | Marriage & Family Therapist | 5905 Soquel Dr., Ste 200, Soquel, CA 95073 | 2008-05-16 |
| 1750508362 | Vickie Assunto | Marriage & Family Therapist | 2805 Porter St., Soquel, CA 95073 | 2007-04-18 |
| 1245356286 | Judy Gonzalez | Counselor | 2715 Porter Street, Soquel, CA 95073 | 2007-03-21 |
| 1942330550 | Jasmine Debra Berke | Acupuncturist | 2425 Porter Street, Soquel, CA 95073 | 2007-03-06 |
| 1275690802 | Andrea Beth Wachter | Marriage & Family Therapist | 5905 Soquel Dr 650, Soquel, CA 95073 | 2007-01-02 |
| 1194886606 | Shirley Laden Marcus | Marriage & Family Therapist | 5905 Soquel Drive, Suite 250, Soquel, CA 95073 | 2006-12-12 |
| 1255408969 | Kathy Beckerman | Counselor | 820 Bay Ave., #208e, Capitola, CA 95073 | 2006-11-29 |
| Find all providers in zip 95073 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631312 | Kathleen Carroll-wray | Psychologist | 818 W 7th St Ste 930, Los Angeles, CA 90017-3476 | 2020-08-26 |
| 1568082113 | Laura Adery | Psychologist | 760 Westwood Plz # 27-448, Los Angeles, CA 90095-8353 | 2020-04-23 |
| 1073148938 | Kristine Fleming | Psychologist | 4309 Campbell Dr, Pittsburg, CA 94565-6017 | 2020-03-11 |
| 1730711375 | Benjamin Alpert, Psyd, A Psychological Corporation | Psychologist | 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 | 2020-02-11 |
| 1073144010 | Melissa Alexis Ramirez | Psychologist | 1514 Caminito Soria Unit 2, Chula Vista, CA 91913-2503 | 2020-01-29 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1184264533 | New Vision Counseling Center | Psychologist | 8050 La Mesa Blvd, La Mesa, CA 91942-0335 | 2020-01-14 |
| 1235778614 | Jessica Herbold | Psychologist | 1044 Sir Francis Drake Blvd Ste 7, Kentfield, CA 94904-1454 | 2020-01-02 |
| 1003478405 | Melissa Berrenge-browde | Psychologist | 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 | 2019-07-05 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
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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.