MARK ELLIS LITYNSKY (NPI# 1205937489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205937489 |
| Entity Type | Individual |
| Full Name | MARK ELLIS LITYNSKY |
| Credential | PH.D. |
| Practice Address |
3425 Coffee Rd Suite 2a Modesto CA 95355-1582 |
| Mailing Address |
600 Coffee Rd Modesto CA 95355-4201 |
| Practice Telephone | 2095249401 |
| Mailing Telephone | 2095216097 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 7499 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3425 COFFEE RD SUITE 2A |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-1582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841226149 | Mieczyslaw J. Hetnal | Psychiatry & Neurology | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2006-06-25 |
| 1982201786 | Estephanie Lua De La Torre | Behavior Technician | 3425 Coffee Rd, Suit C2, Modesto, CA 95355-1582 | 2020-10-05 |
| 1912514530 | Jamie Matasci | Behavior Technician | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2020-09-28 |
| 1871106427 | Sylvia Gonzalez | Behavior Technician | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2020-08-24 |
| 1801427554 | Maya Pearce | Behavior Technician | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2020-01-31 |
| 1376914697 | Gretchen Wenaas Arian | Psychologist | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2015-10-13 |
| 1881083194 | Loren Lay | Counselor | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2015-01-10 |
| 1700289816 | Lori Marie Nice | Behavioral Analyst | 3425 Coffee Rd, Modesto, CA 95355 | 2014-10-02 |
| 1831453794 | Ayesha Siddiqua | Psychiatry & Neurology | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2012-06-26 |
| 1306044342 | Lindsay Marie Cunha | Psychologist | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871129932 | Anita Louise Pedersen-pennock | Psychologist | 2716 Cherry Creek Ct, Modesto, CA 95355-9354 | 2020-03-20 |
| 1972993509 | City Psychology, Inc. | Psychologist | 909 15th St Ste 8, Modesto, CA 95354-1130 | 2015-02-03 |
| 1154443927 | Marcus C Kluender | Psychologist | 1518 Coffee Road, Ste C, Modesto, CA 95355 | 2007-04-04 |
| 1194875377 | Nicholas George Minardi | Psychologist | 3409 Whitehorse Ave, Modesto, CA 95350-1067 | 2007-01-11 |
| 1487715777 | Gary William Zimmerman | Psychologist | 1420 'f' Street, Modesto, CA 95354 | 2006-12-12 |
| 1073671228 | Tamara Lynn Elkins | Psychologist | 802 14th St, Ste G, Modesto, CA 95354-1029 | 2006-12-04 |
| 1306880448 | Anna Maria Hall | Psychologist | 1608 Sunrise Ave, Modesto, CA 95350-4678 | 2006-06-16 |
| 1831150192 | Robert Leroy Morgan | Psychologist | 2030 Coffee Rd Ste C1, Modesto, CA 95355-2413 | 2006-03-28 |
| 1821584137 | Erin Mary Gaab Arsala | Psychologist | 4125 Bangs Ave, Modesto, CA 95356-8713 | 2018-07-10 |
| 1326547266 | Felicia M Agibi | Psychologist | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2018-02-06 |
| Find all providers in MODESTO | ||||
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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.