DR. DESERIE R BARRAGAN (NPI# 1184967226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184967226 |
| Entity Type | Individual |
| Full Name | DR. DESERIE R BARRAGAN |
| Credential | PSY.D. |
| Practice Address |
D Facility Highway 1 Department of Corrections and Rehabilitation San Luis Obispo CA 93403 |
| Mailing Address |
Po Box 8101 San Luis Obispo CA 93403-8101 |
| Practice Telephone | 8055477900 |
| Mailing Telephone | 8055477900 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY17455 | CA | Behavioral Health & Social Service Providers |
| Street Address |
D FACILITY HIGHWAY 1 DEPARTMENT OF CORRECTIONS AND REHABILITATION |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114473881 | Brittany Bauer | Specialist/Technologist | Ca Highway 1, San Luis Obispo, CA 93403 | 2016-08-31 |
| 1255676391 | Heidi L Switzer | Psychologist | Highway 1, San Luis Obispo, CA 93403 | 2012-11-30 |
| 1669738944 | Shawn Rutledge | Psychologist | 8101 Hwy 1, Psych Admin, San Luis Obispo, CA 93403-8101 | 2012-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384303 | Abroms Dougherty Vision Asc LLC | Clinic/Center | 4472 Broad St Ste 150, San Luis Obispo, CA 93401-7933 | 2020-10-23 |
| 1689273419 | Pacifica Slo LLC | Assisted Living Facility | 475 Marsh St, San Luis Obispo, CA 93401-6108 | 2020-10-22 |
| 1912504754 | Transitions Mental Health Association | Community/Behavioral Health | 1750 Bishop St, San Luis Obispo, CA 93401-4691 | 2020-10-05 |
| 1912511049 | Wilson David Lang | Pharmacist | 1720 Tonini Dr Apt 113, San Luis Obispo, CA 93405-7447 | 2020-09-05 |
| 1003429416 | San Luis Physical Therapy & Orthopedic Rehabilitation Inc | Occupational Therapist | 862 Meinecke Ave Ste 101, San Luis Obispo, CA 93405-3702 | 2020-08-25 |
| 1912519463 | Lauren Nicole Macleod | Dietitian, Registered | 411 E Foothill Blvd Apt 1, San Luis Obispo, CA 93405-1669 | 2020-08-17 |
| 1003427337 | Restorative Partners, Inc. | Clinic/Center | 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 | 2020-08-11 |
| 1578181095 | Smrt LLC | Durable Medical Equipment & Medical Supplies | 1317 Broad St Ste B, San Luis Obispo, CA 93401-3909 | 2020-07-10 |
| 1023636859 | Gemi Bertran | Counselor | 668 Marsh St Ste 9, San Luis Obispo, CA 93401-3931 | 2020-07-08 |
| 1689291007 | Kerianne Elizabeth Ditomasso | Psychologist | 1551 Bishop St Ste A-130, San Luis Obispo, CA 93401-4635 | 2020-07-01 |
| Find all providers in SAN LUIS OBISPO | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291007 | Kerianne Elizabeth Ditomasso | Psychologist | 1551 Bishop St Ste A-130, San Luis Obispo, CA 93401-4635 | 2020-07-01 |
| 1366949943 | Lisa Slover | Psychologist | 1530 Monterey St Ste A, San Luis Obispo, CA 93401-2969 | 2018-04-10 |
| 1376991315 | Karin Kerstin Gutierrez | Psychologist | 1107 Johnson Avenue, San Luis Obispo, CA 93401 | 2016-06-01 |
| 1225411614 | Stephen Theodore Bobey Jr. | Psychologist | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2015-07-02 |
| 1760884670 | Robert Ryan | Psychologist | 1 Hwy 1, San Luis Obispo, CA 93409-8101 | 2014-09-23 |
| 1194135772 | Sarah Chisholm | Psychologist | California Mens Colony Highway 1 N, Dq Mental Health Building, San Luis Obispo, CA 93409-8101 | 2014-05-05 |
| 1699198689 | Cynthia Mccabe | Psychologist | California Mens Colony Mental Health, Hwy 1 North, Box 8101, San Luis Obispo, CA 93409-8101 | 2014-01-27 |
| 1164854139 | James Brian Fishback | Psychologist | 4421 Brookpine Dr, San Luis Obispo, CA 93401-7802 | 2013-08-01 |
| 1811234297 | Barbara Y Mair | Psychologist | Hwy 1 N, San Luis Obispo, CA 93409-0001 | 2013-01-06 |
| 1538411798 | Jayanta Hegde | Psychologist | 1530 Monterey St, Ste A, San Luis Obispo, CA 93401-2969 | 2012-10-11 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93403 |
Please comment or provide details below to improve the information on DR. DESERIE R BARRAGAN.
| 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.