DR. ROBERT MICHAEL JARVIS (NPI# 1154462364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154462364 |
| Entity Type | Individual |
| Full Name | DR. ROBERT MICHAEL JARVIS |
| Credential | PH.D. |
| Practice Address |
151 Kalmus Dr Suite B-220 Costa Mesa CA 92626-5988 |
| Practice Telephone | 9496507025 |
| Practice Fax Number | 9494520889 |
| Mailing Telephone | 9496507025 |
| Mailing Fax Number | 9494520889 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY7585 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PX0075850 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275659336 | Robert Elton Jarvis II | Dentist | 2211 4th St, Santa Rosa, CA 95404-3210 | 2007-03-21 |
| 1710963558 | Robert Lee Jarvis | Dentist | 7300 S Western Ave, Oklahoma City, OK 73139-2001 | 2005-12-22 |
| 1285919894 | Robert Joseph Jarvis | Social Worker | 6791 N Green Bay Ave, Glendale, WI 53209-3422 | 2011-10-14 |
| 1629163274 | Robert M Jarvis | Specialist | 4 Executive Center Ct, Little Rock, AR 72211-4487 | 2006-10-03 |
| Street Address |
151 KALMUS DR SUITE B-220 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-5988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538241773 | Lewis Vernon Webb | Psychologist | 151 Kalmus Dr, K-3, Costa Mesa, CA 92626-5988 | 2006-10-19 |
| 1316455439 | Vaughan Chiropractic and Wellness PC | Chiropractor | 151 Kalmus Dr, Costa Mesa, CA 92626-5988 | 2018-01-11 |
| 1871942029 | Egb Holdings | Hospice Care, Community Based | 151 Kalmus Dr, Suite D-104, Costa Mesa, CA 92626-5988 | 2016-06-08 |
| 1629439286 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 151 Kalmus Dr, Suite K-1, Costa Mesa, CA 92626-5988 | 2016-03-10 |
| 1609208867 | Maxine King Wofford | Case Manager/Care Coordinator | 151 Kalmus Dr, Suite K-3, Costa Mesa, CA 92626-5988 | 2013-07-30 |
| 1093157190 | Melissa Marie Siegl | Licensed Vocational Nurse | 151 Kalmus Dr, K3, Costa Mesa, CA 92626-5988 | 2013-07-18 |
| 1295173839 | Diane Dixon | Social Worker | 151 Kalmus Dr, Suite# K-3, Costa Mesa, CA 92626-5988 | 2013-06-05 |
| 1902240336 | Michele D Martinez | Licensed Vocational Nurse | 151 Kalmus Dr, Suite K-3, Costa Mesa, CA 92626-5988 | 2013-04-29 |
| 1659715209 | Brandi Nicole Dawson | Licensed Vocational Nurse | 151 Kalmus Dr, Costa Mesa, CA 92626-5988 | 2013-04-25 |
| 1952646580 | Jody M. Stratton & Associates, Inc. | Speech-Language Pathologist | 151 Kalmus Dr, Suite A101, Costa Mesa, CA 92626-5988 | 2012-12-08 |
| Find all providers in the same location | ||||
| 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 Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| 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 | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
Please comment or provide details below to improve the information on DR. ROBERT MICHAEL JARVIS.
| 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.