DR. HEATHER MICHELE GREENWALD (NPI# 1205005683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205005683 |
| Entity Type | Individual |
| Full Name | DR. HEATHER MICHELE GREENWALD |
| Credential | PSY.D. |
| Practice Address |
480 Alta Rd San Diego CA 92179-0001 |
| Practice Telephone | 6196616500 |
| Mailing Telephone | 6196616500 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2013-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY19089 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205372349 | Heather Greenwald | Physical Therapist | 2782 Megan Ln, Traverse City, MI 49685-8056 | 2017-01-12 |
| Street Address |
480 ALTA RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92179-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760452874 | Ryan Anthony Barenchi | Family Medicine | 480 Alta Rd, San Diego, CA 92179-0001 | 2006-01-23 |
| 1700418878 | Nadia Hortencia Camarillo | Social Worker | 480 Alta Rd, San Diego, CA 92179-0001 | 2020-02-06 |
| 1083265367 | Essence Dawson | Social Worker | 480 Alta Rd, San Diego, CA 92179-0001 | 2019-09-27 |
| 1689184905 | Rushton Arthur Backer | Psychologist | 480 Alta Rd, San Diego, CA 92179-0001 | 2017-10-02 |
| 1285164269 | Colleen Marie Strahan | Pharmacist | 480 Alta Rd, San Diego, CA 92179-0001 | 2017-06-13 |
| 1356892491 | Lacey Levitt | Psychologist | 480 Alta Rd, R.j. Donovan Correctional Facility, San Diego, CA 92179-0001 | 2016-10-24 |
| 1609228436 | Heather Mcgee | Psychologist | 480 Alta Rd, San Diego, CA 92179-0001 | 2016-07-05 |
| 1386095453 | Shannon Moore | Psychologist | 480 Alta Rd, San Diego, CA 92179-0001 | 2016-06-29 |
| 1033565049 | Joneka Clayton | Social Worker | 480 Alta Rd, San Diego, CA 92179-0001 | 2016-05-09 |
| 1740642560 | Jennifer Zehe | Student in an Organized Health Care Education/Training Program | 480 Alta Rd, San Diego, CA 92179-0001 | 2016-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169005 | Corrections and Rehabilitation | Pharmacy | 481 Alta Road, Facility E, Facility Support Building, Room A161, San Diego, CA 92179 | 2020-03-12 |
| 1508104928 | Paul Hippaka | Social Worker | 408 Alta Road, San Diego, CA 92179 | 2013-01-18 |
| 1205462769 | Corrections and Rehabilitation | Pharmacy | 480 Alta Road, Pharmacy Building Room 122, San Diego, CA 92179 | 2020-03-17 |
| 1104343946 | Ruth Ann Villasenor | Social Worker | 480 Alta Road, San Diego, CA 92179 | 2017-08-23 |
| 1063657385 | Charles Fielding Marsh | Psychiatry & Neurology | 480 Alta Road, San Diego, CA 92179 | 2008-12-16 |
| 1932374238 | John Charles Preston IIi | Psychiatry & Neurology | 480 Alta Road, San Diego, CA 92179 | 2008-04-28 |
| 1730351370 | Malvern C Holland Jr. | Psychologist | 480 Alta Road, R.j. Donovan Correctional Facility, San Diego, CA 92179-0001 | 2008-03-24 |
| 1902171614 | Alan Greg Springer | Pharmacist | 480 Alta Road, San Diego, CA 92179-0001 | 2012-03-13 |
| 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 |
|---|---|---|---|---|
| 1538789573 | Shayla Robertson | Psychologist | 2602 Crosshaven Ln, San Diego, CA 92139-2952 | 2020-04-20 |
| 1467083949 | Corrine Joslyn Hufford | Psychologist | 6549 Jaffe Ct Apt 10, San Diego, CA 92119-2150 | 2020-02-03 |
| 1225678840 | Nicholas Buhr | Psychologist | 140 Sylvester Road Bldg 500, Navy Drug Alcohol Counselor School, San Diego, CA 92106-3521 | 2020-01-11 |
| 1215572003 | Alpha Theta Center, Inc | Psychologist | 6540 Lusk Blvd Ste C175, San Diego, CA 92121-2768 | 2019-11-15 |
| 1740825686 | Jill Allison Cooley | Psychologist | 8543 Old Stonefield Chase, San Diego, CA 92127-6133 | 2019-11-14 |
| 1093350456 | Annie Lin | Psychologist | 10531 4s Commons Dr # 530, San Diego, CA 92127-3517 | 2019-11-08 |
| 1164066072 | Elizabeth Kristin Stanton | Psychologist | 3910 Chapman St Ste I, San Diego, CA 92110-5644 | 2019-11-04 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1225505480 | Margaret Marie Williams | Psychologist | 4010 Sorrento Valley Blvd Ste 400, San Diego, CA 92121-1433 | 2018-10-25 |
| 1841779154 | Carla Payne, Psychology, Inc. | Psychologist | 2525 Camino Del Rio S. #245, San Diego, CA 92108 | 2018-08-08 |
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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.