FULL CIRCLE CENTER FOR INTEGRATIVE MEDICINE (NPI# 1326195058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326195058 |
| Entity Type | Organization |
| Organization Name | FULL CIRCLE CENTER FOR INTEGRATIVE MEDICINE |
| Practice Address |
4641 Valley East Blvd # 2 Arcata CA 95521-4630 |
| Practice Telephone | 7078404701 |
| Practice Fax Number | 8554206321 |
| Mailing Telephone | 7078404701 |
| Mailing Fax Number | 8554206321 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2016-10-09 |
| Authorized Official Name | DR. CORINNE VIVIAN BASCH (OWNER) |
| Authorized Official Telephone | 7078404701 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | A51185 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0094550 | 05 |
| Street Address |
4641 VALLEY EAST BLVD # 2 |
| City | ARCATA |
| State | CA |
| Zip Code | 95521-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553736 | Mcc Medical, LLC | Durable Medical Equipment & Medical Supplies | Mcc Medical, LLC, 1565 J Street, Arcata, CA 95521 | 2019-08-16 |
| 1376008599 | Nathan Klier | Behavior Technician | 901 Ost, Arcata, CA 95521 | 2019-02-01 |
| 1740753995 | Maria Sophia Stathos | Behavior Technician | 901 0 Street, Suite C, Arcata, CA 95521 | 2019-01-09 |
| 1639674146 | Choong Yuk Kim | Psychologist | 381 Bayside Rd Ste B, Arcata, CA 95521 | 2018-03-27 |
| 1194089805 | Gary Wilson Barsuaskas | Nurse Practitioner | 4677 Valley West Blvd., Arcata, CA 95521 | 2012-06-27 |
| 1265708424 | Alison Marie Palacios | Family Medicine | 3798 Janes Rd. Suite 10, Arcata, CA 95521 | 2012-03-31 |
| 1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
| 1518241264 | Brian D. Lieberman | Psychologist | 730 Bayside Rd, Apt A, Arcata, CA 95521 | 2011-09-29 |
| 1427369412 | John S Yamas | Acupuncturist | 1460 G. Street, Arcata, CA 95521 | 2010-06-24 |
| 1669619391 | Kevin John Mcalerney | Massage Therapist | 770 11th Street, Lost Coast Healing Arts, Arcata, CA 95521 | 2009-01-16 |
| Find all providers in zip 95521 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265708424 | Alison Marie Palacios | Family Medicine | 3798 Janes Rd. Suite 10, Arcata, CA 95521 | 2012-03-31 |
| 1790853083 | Corinne Vivian Basch | Family Medicine | 4641 Valley East Blvd., Suite 2, Arcata, CA 95521 | 2006-12-02 |
| 1669579926 | Ann Lindsay Md and Alan Glaseroff Md | Family Medicine | 1318 H St, Arcata, CA 95521 | 2006-09-20 |
| 1316987852 | Alden Posner Zwerling | Family Medicine | 770 10th St, Arcata, CA 95521-6210 | 2006-06-06 |
| 1689056954 | Louis Kennedy | Family Medicine | 785 18th St, Arcata, CA 95521 | 2015-06-23 |
| 1629462254 | Maya Zwerdling | Family Medicine | 770 10th St, Arcata, CA 95521 | 2015-03-20 |
| 1902202344 | Eureka Family Practice | Family Medicine | 3798 Janes Rd, Arcata, CA 95521-4753 | 2014-11-12 |
| 1326454463 | Eva Fried | Family Medicine | 785 18th St, Arcata, CA 95521 | 2014-07-09 |
| 1912269408 | Carol Elizabeth Griffin | Family Medicine | 1600 Weeot Way, Arcata, CA 95521-4734 | 2012-06-12 |
| 1982980199 | Arcata Communitylife Medical Center | Family Medicine | 1318 H St, Arcata, CA 95521-5837 | 2011-11-01 |
| Find all providers in ARCATA | ||||
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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.