DR. WILLA AMELIA SMYKE MARQUIS (NPI# 1154757029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154757029 |
Entity Type | Individual |
Full Name | DR. WILLA AMELIA SMYKE MARQUIS |
Credential | PH.D. |
Practice Address |
1010 Turquoise St Ste 303 San Diego CA 92109-1268 |
Mailing Address |
3245 University Ave Ste 1475 San Diego CA 92104-2009 |
Practice Telephone | 6194327332 |
Mailing Telephone | 6194327332 |
Enumeration Date | 2013-09-23 |
Last Update Date | 2020-05-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY30756 | CA | Behavioral Health & Social Service Providers |
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY30756 | CA | Behavioral Health & Social Service Providers |
Street Address |
1010 TURQUOISE ST STE 303 |
City | SAN DIEGO |
State | CA |
Zip Code | 92109-1268 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861093643 | Madison Kate Kingsbury | Marriage & Family Therapist | 1010 Turquoise St Ste 303, San Diego, CA 92109-1268 | 2020-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
1982113874 | Holly Mansur | Registered Nurse | 3663 Jewell Street, San Diego, CA 92109 | 2017-09-24 |
1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
1689113524 | Tyler Marquis | Pharmacist | 2636 Grand Avenue Apartment 326, San Diego, CA 92109 | 2017-02-13 |
1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
1275924995 | Pratima S. Gowdar, Dds, Inc | Dentist | 4655 Cass St. Ste 104, San Diego, CA 92109 | 2015-02-17 |
1417388562 | Pacific Rim Pathology Medical Corporation | Clinical Medical Laboratory | 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 | 2013-11-27 |
1023379997 | Eric Berquist | Student in an Organized Health Care Education/Training Program | 2009 Reed Ave, San Diego, CA 92109 | 2012-06-06 |
1982996724 | Miramar Health Physicians Group | Acupuncturist | 1321 Garnet Avenue, San Diego, CA 92109 | 2011-05-12 |
1902109325 | Anna N Amagou | Behavioral Analyst | 2221 Felspar Street Apt #c, San Diego, CA 92109 | 2010-12-07 |
Find all providers in zip 92109 |
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 |
---|---|---|---|---|
1730711375 | Benjamin Alpert, Psyd, A Psychological Corporation | Psychologist | 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 | 2020-02-11 |
1134787815 | Kyline Sky Bellotti | Psychologist | 5025 Collwood Blvd # 3316, San Diego, CA 92115-2126 | 2019-05-29 |
1376007815 | San Diego Kids First | Psychologist | 12625 High Bluff Dr Ste 111, San Diego, CA 92130-2053 | 2019-01-29 |
1346628179 | Orchid Healthcare Inc | Psychologist | 15373 Innovation Drive, Ste 395, San Diego, CA 92128-3429 | 2015-05-13 |
1417394669 | Eliana Hurwich-reiss | Psychologist | 3665 Kearny Villa Rd Ste 200, San Diego, CA 92123-1954 | 2013-05-29 |
1548517287 | Jamie Lynn Young | Psychologist | 11665 Avena Pl Ste 204, San Diego, CA 92128-2428 | 2012-08-13 |
1063733707 | Kristen J Peairs | Psychologist | 1224 Bush St, San Diego, CA 92103-2809 | 2010-06-16 |
1265661714 | Lauren Brookman-frazee | Psychologist | 3020 Children's Way (mc 5033), San Diego, CA 92123 | 2009-07-06 |
1083879506 | Mary Lou Macilvaine | Psychologist | 4313 Ridgeway Dr, San Diego, CA 92116-2052 | 2008-07-24 |
1144330382 | Mary J Baker-ericzen | Psychologist | 3990 Old Town Ave Ste A207, San Diego, CA 92110-2967 | 2006-08-30 |
Find all providers in SAN DIEGO |
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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.