DR. TSHEKEDI G. DENNIS (NPI# 1215015508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215015508 |
| Entity Type | Individual |
| Full Name | DR. TSHEKEDI G. DENNIS |
| Credential | M.D. |
| Practice Address |
5762 Bolsa Ave Suite 107 Huntington Beach CA 92649-1172 |
| Mailing Address |
447 N El Molino Ave Pasadena CA 91101-1403 |
| Practice Telephone | 7148980362 |
| Mailing Telephone | 6268649151 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A96369 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | A96369 | 01 |
| DEA | FD8860795 | 01 | |
| DEA X WAIVER | XFD4748046 | 01 | |
| DEA | FD4748046 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 N Tustin Ave Ste 240, Santa Ana, CA 927053534 | 6199290307 | |
| 43807 10th St W Ste D, Lancaster, CA 935344805 | 6615759365 |
| Street Address |
5762 BOLSA AVE SUITE 107 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92649-1172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184651887 | Caroljean Mclean | Nurse Practitioner | 5762 Bolsa Ave, Suite 107, Huntington Beach, CA 92649-1172 | 2006-06-27 |
| 1447721626 | Stephainine Cooper | Behavior Technician | 5762 Bolsa Ave, Huntington Beach, CA 92649-1172 | 2018-12-16 |
| 1508380361 | Karen Majdalani | Marriage & Family Therapist | 5762 Bolsa Ave, Huntington Beach, CA 92649-1172 | 2017-08-02 |
| 1720502198 | Abigail Q Ayala | Behavior Technician | 5762 Bolsa Ave, Huntington Beach, CA 92649-1172 | 2017-07-27 |
| 1871033597 | Jessica Wight | Behavior Technician | 5762 Bolsa Ave, Suite 101, Huntington Beach, CA 92649-1172 | 2017-02-28 |
| 1003353319 | Jacquelyn Vargas | Behavior Technician | 5762 Bolsa Ave, Suite 101, Huntington Beach, CA 92649-1172 | 2017-01-24 |
| 1801333273 | Cayla Patel | Behavior Technician | 5762 Bolsa Ave, Suite 101, Huntington Beach, CA 92649-1172 | 2017-01-24 |
| 1891231585 | Julia Morairty | Behavior Technician | 5762 Bolsa Ave, Suite 101, Huntington Beach, CA 92649-1172 | 2017-01-18 |
| 1326584293 | Elaine Nguyen | Behavior Technician | 5762 Bolsa Ave, Suite 101, Huntington Beach, CA 92649-1172 | 2017-01-16 |
| 1477099331 | Jan Pesigan | Behavior Technician | 5762 Bolsa Ave, Suite 101, Huntington Beach, CA 92649-1172 | 2017-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639305 | Tanisha Grant | Behavioral Analyst | 4592 Warner Ave, Huntington Beach, CA 92649 | 2020-11-04 |
| 1023582772 | Stanley Wayne Combs | Emergency Medicine | 16761 Edgewater Lane, Huntington Beach, CA 92649 | 2019-01-16 |
| 1609382084 | Loc Do | Pharmacist | 16922 Bolsa Chica, Huntington Beach, CA 92649 | 2017-12-20 |
| 1487166765 | Holly Forman | Marriage & Family Therapist | 17121 Tiffany Circle, Huntington Beach, CA 92649 | 2017-10-26 |
| 1205362522 | Pmh Laboratory Inc | Clinical Medical Laboratory | 5862 Edinger Ave, Huntington Beach, CA 92649 | 2017-05-05 |
| 1972050086 | Clear Reflections Psychol Assocs | Social Worker | 16897 Algonquin St., Ste L, Huntington Beach, CA 92649 | 2016-09-07 |
| 1588011274 | Wisdom Foods Inc | Dietitian, Registered | 16987 Algonquin Street Suite L, Huntington Beach, CA 92649 | 2016-05-23 |
| 1801253398 | Thierry Kolpin | Psychologist | 5202 Edinger, Huntington Beach, CA 92649 | 2016-01-28 |
| 1811374242 | Margarita Bernardo Velarde | Pediatrics | 17392 Wildrose Lane, Huntington Beach, CA 92649 | 2015-05-06 |
| 1023439809 | Orange County Labs Inc. | Clinical Medical Laboratory | 15165 Triton Ln, Huntington Beach, CA 92649 | 2013-12-23 |
| Find all providers in zip 92649 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760095673 | Dana Np: Advanced Practice Psychiatric Nursing, Inc. | Psychiatry & Neurology | 9801 Olympic Dr, Huntington Beach, CA 92646-4848 | 2020-08-29 |
| 1346410834 | Anuradha Punit Pandya | Psychiatry & Neurology | 19351 Pismo Ln, Huntington Beach, CA 92646-2637 | 2008-03-11 |
| 1770760076 | Stephen Marc Wyman | Psychiatry & Neurology | 17011 Beach Blvd Ste 900, Huntington Beach, CA 92647-5998 | 2008-01-29 |
| 1568594943 | David A. Sack Md Inc. | Psychiatry & Neurology | 19456 Woodlands Ln, Huntington Beach, CA 92648-5570 | 2007-03-11 |
| 1811068349 | Christopher R Dennis | Psychiatry & Neurology | 7755 Center Ave, Suite 630, Huntington Beach, CA 92647 | 2006-11-13 |
| 1578652798 | Jeannette Hanna | Psychiatry & Neurology | 5762 Bolsa Avenue, Suite 107, Huntington Beach, CA 92649-1172 | 2006-10-12 |
| 1841390051 | Craig J Wronski | Psychiatry & Neurology | 18811 Huntington, Suite 200, Huntington Beach, CA 92648 | 2006-09-25 |
| 1972600310 | Glenn H. Richmond | Psychiatry & Neurology | 613 21st St, Huntington Beach, CA 92648-3318 | 2006-09-20 |
| 1598708893 | Phillip Zeidenberg | Psychiatry & Neurology | 16152 Beach Boulevard, Ste 200, Huntington Beach, CA 92547 | 2006-06-14 |
| 1528046463 | Bruce D Appelbaum | Psychiatry & Neurology | 18811 Huntington St, Suite 200, Huntington Beach, CA 92648-6002 | 2005-12-31 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92649 |
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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.