DR. JULIANNA M LYELL (NPI# 1255378006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255378006 |
| Entity Type | Individual |
| Full Name | DR. JULIANNA M LYELL |
| Credential | PSY.D. |
| Practice Address |
5175 E Pacific Coast Hwy Suite 304 Long Beach CA 90804-3317 |
| Practice Telephone | 5622214141 |
| Mailing Telephone | 5622214141 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY19160 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | COMPSYCH PROVIDER NUMBER | 4141-01 | 01 |
| CA | AETNA PIN | 0007273525 | 01 |
| CA | TRICARE/TRIWEST PROVIDER | 57227414190804A001 | 01 |
| Street Address |
5175 E PACIFIC COAST HWY SUITE 304 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770020083 | Andrijana Jevtic Pitruzzello | Chiropractor | 5175 E Pacific Coast Hwy, Suite 106, Long Beach, CA 90804-3317 | 2017-01-24 |
| 1578917175 | Nimesh Jitendra Pathak Md Inc | Ophthalmology | 5175 E Pacific Coast Hwy, 102, Long Beach, CA 90804-3317 | 2016-04-20 |
| 1922480052 | Goel & Cohen Dental Corporation | Dentist | 5175 E Pacific Coast Hwy, 302, Long Beach, CA 90804-3317 | 2015-06-25 |
| 1780958751 | William Albert Grella Jr. | Dentist | 5175 E Pacific Coast Hwy, 201, Long Beach, CA 90804-3317 | 2012-03-08 |
| 1396904975 | Nimesh J Pathak | Ophthalmology | 5175 E Pacific Coast Hwy, Suite 102, Long Beach, CA 90804-3317 | 2008-06-09 |
| 1568663946 | Mitra Ahrar | Dentist | 5175 E Pacific Coast Hwy, Suite 405, Long Beach, CA 90804-3317 | 2007-05-31 |
| 1942332556 | John Aivaz | Dentist | 5175 E Pacific Coast Hwy, 405, Long Beach, CA 90804-3317 | 2007-03-09 |
| 1104981166 | Lynn A. Gardiner | Marriage & Family Therapist | 5175 E Pacific Coast Hwy, Suite 304, Long Beach, CA 90804-3317 | 2006-12-27 |
| 1235227836 | William John Worden | Dentist | 5175 E Pacific Coast Hwy, Suite#204, Long Beach, CA 90804-3317 | 2006-10-10 |
| 1487758561 | Elizabeth Susana Pollak | Dentist | 5175 E Pacific Coast Hwy, #203, Long Beach, CA 90804-3317 | 2006-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154791 | Eric Houston | Psychologist | 3906 Hathaway Ave, Long Beach, CA 90815-5125 | 2020-05-06 |
| 1003448218 | Julie Goalwin, Ph.d. A Psychological Corporation | Psychologist | 115 Pine Ave Ste 640, Long Beach, CA 90802-4452 | 2020-02-05 |
| 1730654401 | Nicholas Brown | Psychologist | 5901 E. 7th Street (06/116b), Long Beach, CA 90822 | 2018-10-09 |
| 1194208983 | Tiffany Danielle Sickler | Psychologist | 4201 Long Beach Blvd Ste 409, Long Beach, CA 90807-2022 | 2018-09-08 |
| 1639656036 | Heights Wellness, Inc | Psychologist | 440 Redondo Ave Ste 104, Long Beach, CA 90814-5144 | 2018-07-27 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1699135558 | Margo Frost Watson | Psychologist | 270 San Remo Dr, Long Beach, CA 90803-3620 | 2016-03-04 |
| 1336506997 | Heights Center for Counseling and Wellness, Inc | Psychologist | 440 Redondo Ave Ste 103, Long Beach, CA 90814-5143 | 2016-01-26 |
| 1619373008 | Corina Reyes Lopez | Psychologist | 5901 E 7th St # 6116b, Long Beach, CA 90822-5201 | 2014-11-12 |
| 1841695129 | Sherri Nielsen | Psychologist | 1539 Harbor Ave, Long Beach, CA 90813-1322 | 2014-10-28 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on DR. JULIANNA M LYELL.
| 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.