JONATHAN PATAM WON (NPI# 1184154767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184154767 |
| Entity Type | Individual |
| Full Name | JONATHAN PATAM WON |
| Practice Address |
12968 Frederick St Moreno Valley CA 92553-5229 |
| Mailing Address |
16782 Von Karman Ave Ste 11 Irvine CA 92606-2417 |
| Practice Telephone | 9512427738 |
| Mailing Telephone | 8552237123 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | RBT-18-65352 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17595 Almahurst St, City of Industry, CA 91748 | 6263444434 | |
| 12968 Federick Street Suite D, Moreno Valley, CA 92553 | 9512427738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760650600 | Jonathan S Won | Dentist | 39522 10th St W Ste C, Palmdale, CA 93551-3757 | 2008-02-13 |
| Street Address |
12968 FREDERICK ST |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-5229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184817504 | Andrea Garnica | Social Worker | 12968 Frederick St, Suite D, Moreno Valley, CA 92553-5229 | 2007-08-20 |
| 1669004347 | Pascale A Claus | Counselor | 12968 Frederick St, Moreno Valley, CA 92553-5229 | 2020-02-10 |
| 1881141224 | Dannielle Victoria Christiansen | Counselor | 12968 Frederick St, Suite D, Moreno Valley, CA 92553-5229 | 2016-09-01 |
| 1891156295 | Roberto Dominicci Rodriguez | Student in an Organized Health Care Education/Training Program | 12968 Frederick St, Suite D, Moreno Valley, CA 92553-5229 | 2016-03-11 |
| 1003272279 | Christopher K. Atlas | Marriage & Family Therapist | 12968 Frederick St, Ste. A, Moreno Valley, CA 92553-5229 | 2016-01-04 |
| 1023481132 | Albert Albanez | Social Worker | 12968 Frederick St, Suitr D, Moreno Valley, CA 92553-5229 | 2015-11-11 |
| 1013388800 | Gary Lee Woods | Counselor | 12968 Frederick St, Moreno Valley, CA 92553-5229 | 2015-10-19 |
| 1164893038 | Raymond Hernandez | Marriage & Family Therapist | 12968 Frederick St, Ste A, Moreno Valley, CA 92553-5229 | 2015-10-16 |
| 1659754794 | Jacqueline Lara Luna | Marriage & Family Therapist | 12968 Frederick St, Suite D, Moreno Valley, CA 92553-5229 | 2015-07-07 |
| 1548643935 | Hattie Mcnutt | Marriage & Family Therapist | 12968 Frederick St, Suite D, Moreno Valley, CA 92553-5229 | 2015-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| 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 |
|---|---|---|---|---|
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1194946392 | Roland Jules Chabot | Psychologist | 23800 Sunnymead Bl, Suite A, Moreno Valley, CA 92553 | 2007-05-02 |
| 1780146464 | Tara Nicole Brunson | Psychologist | 12968 Frederick St Ste D, Moreno Valley, CA 92553-5229 | 2019-04-02 |
| 1194224105 | Maria Andrea Arellano Piedra | Psychologist | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2018-02-05 |
| 1851756175 | Wescina Lowe | Psychologist | 12968 Frederick St Ste A, Moreno Valley, CA 92553-5229 | 2015-12-31 |
| 1043688906 | Ricardo Martinez | Psychologist | 12968 Frederick St Ste D, Moreno Valley, CA 92553-5229 | 2015-09-09 |
| 1902283518 | Inland Psychiatric Medical Group Inc | Psychologist | 23110 Atlantic Cir, Suite F, Moreno Valley, CA 92553-5920 | 2015-05-04 |
| 1427104116 | Inland Psychiatric Medical Group, Inc. | Psychologist | 23110 Atlantic Cir Ste F, Moreno Valley, CA 92553-5920 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306690 | Eileen Kay Laughman | Psychologist | 24545 Town Center Dr Apt 5406, Valencia, CA 91355-1397 | 2020-11-08 |
| 1194324954 | Rachel Charman | Psychologist | 1001 Dove St Ste 110, Newport Beach, CA 92660-2845 | 2020-10-22 |
| 1700485760 | Melissa Ernestine Munoz | Psychologist | 353 H St # 1517, Chula Vista, CA 91910-5501 | 2020-10-21 |
| 1235737669 | Maha Nasrallah-babenko | Psychologist | 33442 Valley View Ct, Dana Point, CA 92629-1515 | 2020-10-16 |
| 1689272544 | Kaleidoscope Solutions Family Therapy | Psychologist | 25876 The Old Road, #85, Stevenson Ranch, CA 91381 | 2020-10-13 |
| 1992302814 | Sheena Gill | Psychologist | 2501 E Chapman Ave Ste 265, Fullerton, CA 92831-3108 | 2020-10-04 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
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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.