DR. CAROLYN QUISENBERRY (NPI# 1255710893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255710893 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN QUISENBERRY |
| Credential | PSY.D |
| Practice Address |
15525 Pomerado Rd Ste B3 Poway CA 92064-2425 |
| Practice Telephone | 7606076463 |
| Practice Fax Number | 7606073433 |
| Mailing Telephone | 7606076463 |
| Mailing Fax Number | 7606073433 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2018-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
29419 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3002 Armstrong St, San Diego, CA 921115702 | 8582779550 |
| Street Address |
15525 POMERADO RD STE B3 |
| City | POWAY |
| State | CA |
| Zip Code | 92064-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043538770 | Jadelyn Thanh Wang | Marriage & Family Therapist | 15525 Pomerado Rd Ste B3, Poway, CA 92064-2425 | 2010-05-05 |
| 1376065433 | I Don't Do Addictive Drugs | Psychoanalyst | 15525 Pomerado Rd Ste B3, Poway, CA 92064-2425 | 2017-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346615705 | Jaclyn Deilgat | Psychologist | 13733 Powers Rd, Poway, CA 92064-3617 | 2015-12-09 |
| 1407151301 | Hayley Silverman, Psy.d., Clinical Psychologist PC | Psychologist | 14781 Pomerado Rd # 152, Poway, CA 92064-2802 | 2011-01-24 |
| 1659497600 | Lisa Anita Davidson | Psychologist | 14015 Midland Rd, Poway, CA 92064-3959 | 2007-03-21 |
| 1770629248 | Madeline Polonia | Psychologist | 15525 Pomerado Rd Ste B1, Poway, CA 92064-2425 | 2007-01-30 |
| 1134228844 | Michael Raymond Burke | Psychologist | 15706 Pomerado Road, Suite S210, Poway, CA 92064 | 2006-09-21 |
| 1023128196 | Jeff Stephen Daly | Psychologist | 15725 Pomerado Rd Ste 107, Poway, CA 92064-2057 | 2006-08-30 |
| 1891717070 | Randy Jon Robinson | Psychologist | 15706 Promardo Rd., Ste. 210, Poway, CA 92064 | 2006-07-24 |
| 1043230808 | Dorothy J. Marron | Psychologist | 15525 Pomerado Rd Ste E4, Poway, CA 92064-2427 | 2006-07-21 |
| 1548241698 | Joan Carol Brentzel | Psychologist | 15706 Pomerado Rd, #210, Poway, CA 92064-2067 | 2005-11-07 |
| 1720565526 | Kimberly Nicole Skillicorn | Psychologist | 15644 Pomerado Rd, Poway, CA 92064-2400 | 2018-07-24 |
| Find all providers in POWAY | ||||
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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.