PEACEFUL SUNSHINE PSYCHOLOGY INC. (NPI# 1285287268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285287268 |
| Entity Type | Organization |
| Organization Name | PEACEFUL SUNSHINE PSYCHOLOGY INC. |
| Practice Address |
46808 Lakeview Blvd Ste 102 Fremont CA 94538-6543 |
| Mailing Address |
3235 Beard Rd Fremont CA 94555-2236 |
| Practice Telephone | 5105604930 |
| Mailing Telephone | 5105604930 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | JOYCE JOTZU SUN (CEO) |
| Authorized Official Telephone | 5105604930 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LYRA | 4136D525-A990-4B12-B | 01 |
| Street Address |
46808 LAKEVIEW BLVD STE 102 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-6543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
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| Find all providers in zip 94538 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1801087366 | Portia Bell Hume Behavioral Health and Training Center | Clinic/Center | 39465 Paseo Padre Pkwy, Suite 2100, Fremont, CA 94538-5350 | 2007-08-08 |
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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.