DR. JONATHAN PAGE (NPI# 1306222187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306222187 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN PAGE |
| Credential | PH.D. |
| Practice Address |
1722 S Lewis Rd Camarillo CA 93012 |
| Mailing Address |
3860 Blackhawk Rd Ste 140 Danville CA 94506-4832 |
| Practice Telephone | 8664312478 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2018-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY28526 | CA | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | PSY29526 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1722 S Lewis Rd, Camarillo, CA 930128520 | 8664312478 | |
| 2827 Concord Blvd, Concord, CA 945192608 | 9256859670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720374291 | Jonathan Ashton Page | Family Medicine | 3020 14th St Nw, Washington, DC 20009-6865 | 2011-06-23 |
| 1588844039 | Jonathan D Page | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2007-11-13 |
| Street Address |
1722 S LEWIS RD |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093705915 | Danielle Shaw | Pediatrics | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2005-10-22 |
| 1588262455 | Tiai Kelvin Salanoa | Case Manager/Care Coordinator | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-10-13 |
| 1891300018 | Michelle Marie Vrkljan | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-09-14 |
| 1255946471 | Tatiana Pinkley | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-09-14 |
| 1346855897 | Jose Jesus Martinez | Case Manager/Care Coordinator | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-09-11 |
| 1215540406 | Amanda Swezey | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-08-26 |
| 1689285553 | Adrian Rodriguez-cruz | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-08-13 |
| 1043820921 | Jaclyn Wolf | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-08-05 |
| 1144830068 | Greta Hilbrands | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-08-05 |
| 1609486638 | Sherry Paden | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322895 | Natasha Nichole Johnson | Licensed Vocational Nurse | 1750 A S Lewis Rs, Camarillo, CA 93012 | 2020-06-26 |
| 1609392604 | Dain Emmanuel Acevedo | Counselor | 5284 Adolfo Road Suite 100, Camarillo, CA 93012 | 2017-08-21 |
| 1679093751 | Emily Sophia Rodriguez | Counselor | 5284 Adolfo Rd. Suite 100, Camarillo, CA 93012 | 2017-06-21 |
| 1164952750 | Valerie Marie Inez Rivera | Counselor | 5284 Adolfo Rd #100, Camarillo, CA 93012 | 2017-06-15 |
| 1457890709 | Constance Walsh | Prosthetic/Orthotic Supplier | 795 Camarillo Springs Rd, Suite C, Carmarillo, CA 93012 | 2017-02-20 |
| 1902349020 | Ferdinand Fortune Cuico | Registered Nurse | 421 Brister Park Ct, Camarillo, CA 93012 | 2016-11-21 |
| 1699226795 | Lauren Streiter | Counselor | 1750b S Lewis Rd, Camarillo, CA 93012 | 2016-10-24 |
| 1972955649 | Evolve Growth Initiatives, LLC | Community Based Residential Treatment Facility, Mental Illness | 799 Camarillo Springs Road, Ventura, CA 93012 | 2016-07-06 |
| 1083075089 | Justin Rodriguez Urbano | Dental Hygienist | 4422 Corte Arbusto, Camarillo, CA 93012 | 2016-03-18 |
| 1578924619 | Leslie Winn | Counselor | 291 Camino Leon, Camarillo, CA 93012 | 2016-03-17 |
| Find all providers in zip 93012 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1114409927 | Anne Stirling Hastings | Psychologist | 1601 Carmen Dr # 215-c, Camarillo, CA 93010-3105 | 2018-08-29 |
| 1598280224 | Ellen Elizabeth Nichols | Psychologist | 360 Mobil Ave Ste K, Camarillo, CA 93010-6325 | 2017-08-03 |
| 1114223765 | Addison Behavioral Resources, Inc. | Psychologist | 3001 Mission Oaks Blvd, Unit A, Camarillo, CA 93012-8710 | 2011-01-31 |
| 1851601454 | Robert Edward Sack IIi | Psychologist | 3100 Wright Rd., Camarillo, CA 93010 | 2010-10-15 |
| 1336293372 | Ronald James Brand | Psychologist | 882 Duvall Ave, Camarillo, CA 93010-4538 | 2007-01-23 |
| 1841837002 | Jennifer Bailey, Psy.d., A Psychological Corporation | Psychologist | 1601 Carmen Dr Ste 215-i, Camarillo, CA 93010-3105 | 2019-12-06 |
| 1235653262 | Megan Frazier | Psychologist | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2017-08-01 |
| 1568830776 | Lauretta Montes | Psychologist | 1000 Paseo Camarillo, Suite 114, Camarillo, CA 93010-6021 | 2015-09-03 |
| 1407288798 | Amanda L Dutton | Psychologist | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2013-08-08 |
| Find all providers in CAMARILLO | ||||
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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.