DR. LAUREL GRAY COMAN (NPI# 1194812016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194812016 |
| Entity Type | Individual |
| Full Name | DR. LAUREL GRAY COMAN |
| Credential | PH.D. |
| Practice Address |
10182 Indiana Ave Tyler Village Wellness & Recovery Clinic Riverside CA 92503-5304 |
| Practice Telephone | 9515092400 |
| Practice Fax Number | 9515092405 |
| Mailing Telephone | 9515092400 |
| Mailing Fax Number | 9515092405 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 14722 | CA | Behavioral Health & Social Service Providers |
| Street Address |
10182 INDIANA AVE TYLER VILLAGE WELLNESS & RECOVERY CLINIC |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033623707 | Rachele Frogge | Case Manager/Care Coordinator | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2017-11-16 |
| 1588057970 | Caleb Brown | Peer Specialist | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2015-03-10 |
| 1588056592 | Karen Shizuye Higashi | Peer Specialist | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2015-02-27 |
| 1952793564 | County of Riverside Department of Mental Health | Community/Behavioral Health | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2015-02-19 |
| 1851711535 | Joni Terrones | Community Health Worker | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2014-04-22 |
| 1730507377 | Maria Vanessa Galvez | Social Worker | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2014-04-01 |
| 1801158613 | Warren Guy Roberts Sr. | Counselor | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2012-06-08 |
| 1649559113 | Xiomara Caridad Wilson | Case Manager/Care Coordinator | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2011-08-15 |
| 1023309937 | Angie Elizondo | Behavioral Analyst | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2011-04-26 |
| 1194015446 | Jacqueline Gravell | Marriage & Family Therapist | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2011-04-07 |
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|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
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| 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 |
|---|---|---|---|---|
| 1093120669 | Tressita L Morales | Psychologist | 4080 Lemon St, Riverside, CA 92501-3609 | 2014-06-23 |
| 1235482290 | Loide M Lopes | Psychologist | 3048 Pawtucket Ave, Apt.102, Riverside, RI 02915-5051 | 2012-10-16 |
| 1326337338 | Sally Dhahbi | Psychologist | 6956 Indiana Ave, Ste 6, Riverside, CA 92506-4109 | 2011-03-30 |
| 1255651329 | Laureen Anne Lester | Psychologist | 2020 Iowa Ave, Riverside, CA 92507-0520 | 2010-06-10 |
| 1568516797 | Marian Joyce Parker | Psychologist | 17675 Van Buren Blvd Ste A, Riverside, CA 92504-6076 | 2007-01-23 |
| 1891868808 | Antonette Marie Zulli | Psychologist | 6117 Brockton Ave, Suite 207, Riverside, CA 92506 | 2006-11-16 |
| 1922191592 | Diana M Fulmer | Psychologist | 5790 Magnolia Ave #202, Riverside, CA 92506-1874 | 2006-10-02 |
| 1164526232 | Kathryn Virginia Mantz | Psychologist | 5887 Brockton Ave, Riverside Psychiatric Medical Group Ste A, Riverside, CA 92506 | 2006-09-11 |
| 1881704864 | Luis A. Zapata | Psychologist | 1033 Chekhov Dr, Riverside, CA 92506-4904 | 2006-08-30 |
| 1467005579 | Inland Empire Autism Assessment Center, A Psychological Corporation | Psychologist | 19314 Jesse Ln Ste 200, Riverside, CA 92508-5070 | 2019-07-17 |
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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.