MS. NICOLE DANIELLE CALLELLA (NPI# 1275932097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275932097 |
| Entity Type | Individual |
| Full Name | MS. NICOLE DANIELLE CALLELLA |
| Credential | PSY.D. |
| Practice Address |
25550 Hawthorne Blvd Ste 316 Torrance CA 90505-6832 |
| Practice Telephone | 4242189953 |
| Mailing Telephone | 4242189953 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY30828 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 540 S Eremland Dr, Covina, CA 917233186 | 6269661577 |
| Street Address |
25550 HAWTHORNE BLVD STE 316 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-6832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528271517 | Michelle Kole | Psychologist | 25550 Hawthorne Blvd Ste 316, Torrance, CA 90505 | 2007-05-07 |
| 1760768378 | Christina Averill | Psychologist | 25550 Hawthorne Blvd Ste 316, Torrance, CA 90505-6832 | 2011-10-26 |
| 1669605226 | Lauren Moine | Psychologist | 25550 Hawthorne Blvd Ste 316, Torrance, CA 90505-6832 | 2009-08-31 |
| 1104008192 | Hayley Nicole Casselman | Marriage & Family Therapist | 25550 Hawthorne Blvd Ste 316, Torrance, CA 90505-6832 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609247303 | Michelle Farivar | Psychologist | 1000 W Carson St, Torrance, CA 90502-2004 | 2015-10-07 |
| 1619355773 | Laura Rae Burns | Psychologist | 21081 S Western Ave Ste 295, Torrance, CA 90501-1707 | 2015-05-09 |
| 1881003697 | Keisha Claudette White | Psychologist | 21081 S Western Ave Ste 295, Torrance, CA 90501-1707 | 2014-08-06 |
| 1831432806 | Crossroads Institute for Psychotherapy and Assessment, Inc | Psychologist | 2601 Airport Dr, Suite 135, Torrance, CA 90505-6140 | 2013-03-28 |
| 1427393081 | Denise Godfrey-pinn | Psychologist | 21231 Hawthorne Blvd, Torrance, CA 90503-5501 | 2012-12-06 |
| 1104175934 | Clear Skies Psychological Services Corporation | Psychologist | 2790 Skypark Dr, Suite 205, Torrance, CA 90505-5300 | 2012-09-07 |
| 1205140548 | Pediatric Minds Medical Center | Psychologist | 3524 Torrance Blvd, Suite 103, Torrance, CA 90503-4821 | 2010-07-28 |
| 1023241957 | Myan Le | Psychologist | 1000 W Carson St, Torrance, CA 90502-2004 | 2009-08-26 |
| 1013168764 | Stanley Chow | Psychologist | 2325 Crenshaw Blvd, Icat/dmh, Torrance, CA 90501-3325 | 2008-09-30 |
| 1831234277 | Traci Critton Mastandrea | Psychologist | Harbor-ucla Medical Center, Department of Psychiatry, Box 488, Torrance, CA 90509 | 2007-02-21 |
| Find all providers in TORRANCE | ||||
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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.