DR. LAURA K PEDIGO (NPI# 1164669396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164669396 |
| Entity Type | Individual |
| Full Name | DR. LAURA K PEDIGO |
| Credential | PSYD |
| Practice Address |
12625 La Mirada Blvd Suite 202 La Mirada CA 90639-0001 |
| Practice Telephone | 5629034800 |
| Practice Fax Number | 5629034802 |
| Mailing Telephone | 5629034800 |
| Mailing Fax Number | 5629034802 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 95-0549600 | CA | Behavioral Health & Social Service Providers |
| Street Address |
12625 LA MIRADA BLVD SUITE 202 |
| City | LA MIRADA |
| State | CA |
| Zip Code | 90639-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184846164 | Miriam Elizabeth Lewis Hall | Psychologist | 12625 La Mirada Blvd, Suite 202, La Mirada, CA 90638-2211 | 2007-05-02 |
| 1679960918 | John Poston | Psychologist | 12625 La Mirada Blvd, Biola Counseling Center, La Mirada, CA 90638-2211 | 2015-04-24 |
| 1619210390 | Crystal Bowlby | Psychologist | 12625 La Mirada Blvd, 202, La Mirada, CA 90638-2211 | 2013-04-01 |
| 1205179884 | Todd W Hall | Psychologist | 12625 La Mirada Blvd, 202, La Mirada, CA 90638-2211 | 2013-04-01 |
| 1598008245 | Besty A Barber | Psychologist | 12625 La Mirada Blvd, 202, La Mirada, CA 90638-2211 | 2013-04-01 |
| 1972846657 | Nancy Crawford | Psychologist | 12625 La Mirada Blvd, 202, La Mirada, CA 90638-2211 | 2013-04-01 |
| 1134462815 | Jacqueline Gattis | Psychologist | 12625 La Mirada Blvd, 202, La Mirada, CA 90638-2211 | 2013-04-01 |
| 1023382025 | James Michael Woody | Psychologist | 12625 La Mirada Blvd, Suite 202, La Mirada, CA 90638 | 2012-03-08 |
| 1245559574 | Amy Rose Verbonich | Counselor | 12625 La Mirada Blvd, La Mirada, CA 90638-2211 | 2010-05-26 |
| 1073720793 | Melanie A. Taylor | Psychologist | 12625 La Mirada Blvd, Suite 202, La Mirada, CA 90638-2211 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548486723 | Tamra Lyn Hocking | Internal Medicine | 13800 Biola Ave, La Mirada, CA 90639-0001 | 2007-04-17 |
| 1124145222 | Philip Christie Lewis | Psychiatry & Neurology | 13800 Biola Ave, La Mirada, CA 90639-0002 | 2007-03-23 |
| 1881119113 | Stacey Su-chio Poon | Student in an Organized Health Care Education/Training Program | 13800 Biola Ave, La Mirada, CA 90639-0002 | 2017-08-08 |
| 1235665191 | Danielle Lim | Specialist/Technologist | 13800 Biola Ave, La Mirada, CA 90639-0002 | 2017-05-11 |
| 1235676800 | John Wiese | Specialist/Technologist | 13800 Biola Ave, La Mirada, CA 90639-0002 | 2017-01-20 |
| 1598202178 | Ashley Corinne Saunders | Specialist/Technologist | 13800 Biola Ave, La Mirada, CA 90639-0002 | 2017-01-20 |
| 1447639190 | Linda Ann Ruggles | Specialist/Technologist | 13800 Biola Ave, La Mirada, CA 90639-0002 | 2015-05-28 |
| 1487874038 | Lisa K Sadler | Nurse Practitioner | 13800 Biola Ave, La Mirada, CA 90639-0002 | 2007-04-26 |
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669723771 | Catherine Chan | Psychologist | 14840 Greenworth Dr, La Mirada, CA 90638-3022 | 2012-09-28 |
| 1679960918 | John Poston | Psychologist | 12625 La Mirada Blvd, Biola Counseling Center, La Mirada, CA 90638-2211 | 2015-04-24 |
| 1801136866 | Levon Margolin | Psychologist | 16702 Valley View Ave, La Mirada, CA 90638-5824 | 2013-02-27 |
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| 1255948600 | Kesha Patrice | Psychologist | 939 Ellis St, San Francisco, CA 94109-7714 | 2020-09-29 |
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1376159541 | Jill Caryn Campbell | Psychologist | 342 Ocho Rios Way, Oak Park, CA 91377-5541 | 2020-09-22 |
| 1225644487 | Brock Louis Pistel | Psychologist | 939 Ellis St Fl 67, San Francisco, CA 94109-7714 | 2020-09-22 |
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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.