MARIYA NIKOLAYEVNA KHOLODOVA (NPI# 1356416663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356416663 |
Entity Type | Individual |
Full Name | MARIYA NIKOLAYEVNA KHOLODOVA |
Credential | PH.D. |
Practice Address |
1094 Cudahy Pl Suite 314 San Diego CA 92110-3931 |
Practice Telephone | 6192768112 |
Enumeration Date | 2006-11-21 |
Last Update Date | 2013-11-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | PSY25103 | CA | Behavioral Health & Social Service Providers |
Street Address |
1094 CUDAHY PL SUITE 314 |
City | SAN DIEGO |
State | CA |
Zip Code | 92110-3931 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861491292 | Michael Hammer | Social Worker | 1094 Cudahy Pl, Suite 314, San Diego, CA 92110-3931 | 2005-07-18 |
1144513441 | Allison Underhill | Counselor | 1094 Cudahy Pl, Suite 314, San Diego, CA 92110-3931 | 2011-05-18 |
1932408754 | Marla Monica Kingkade | Case Manager/Care Coordinator | 1094 Cudahy Pl, Suite 314, San Diego, CA 92110-3931 | 2011-03-18 |
1891090031 | Cynthia Ann Van Lom | Marriage & Family Therapist | 1094 Cudahy Pl, Suite 314/312, San Diego, CA 92110-3931 | 2011-01-19 |
1770898066 | Vanessa Marie Rodriguez | Marriage & Family Therapist | 1094 Cudahy Pl, Suite 314, San Diego, CA 92110-3931 | 2010-08-11 |
1851626477 | Terry Lipson Allon | Social Worker | 1094 Cudahy Pl, Suite 314, San Diego, CA 92110-3931 | 2009-10-15 |
1104052380 | Christina Susann Henkel | Marriage & Family Therapist | 1094 Cudahy Pl, Suite #314, San Diego, CA 92110-3931 | 2009-06-02 |
1619119104 | Chad M Arnold | Marriage & Family Therapist | 1094 Cudahy Pl, San Diego, CA 92110-3931 | 2009-03-30 |
1063658938 | Warren Ignazio Basile | Marriage & Family Therapist | 1094 Cudahy Pl, Suite 314, San Diego, CA 92110-3931 | 2008-12-26 |
1124298393 | Karen Hancock Dunford | Marriage & Family Therapist | 1094 Cudahy Pl, Suite 314, San Diego, CA 92110-3931 | 2008-03-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
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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] |
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1538789573 | Shayla Robertson | Psychologist | 2602 Crosshaven Ln, San Diego, CA 92139-2952 | 2020-04-20 |
1467083949 | Corrine Joslyn Hufford | Psychologist | 6549 Jaffe Ct Apt 10, San Diego, CA 92119-2150 | 2020-02-03 |
1225678840 | Nicholas Buhr | Psychologist | 140 Sylvester Road Bldg 500, Navy Drug Alcohol Counselor School, San Diego, CA 92106-3521 | 2020-01-11 |
1215572003 | Alpha Theta Center, Inc | Psychologist | 6540 Lusk Blvd Ste C175, San Diego, CA 92121-2768 | 2019-11-15 |
1740825686 | Jill Allison Cooley | Psychologist | 8543 Old Stonefield Chase, San Diego, CA 92127-6133 | 2019-11-14 |
1093350456 | Annie Lin | Psychologist | 10531 4s Commons Dr # 530, San Diego, CA 92127-3517 | 2019-11-08 |
1164066072 | Elizabeth Kristin Stanton | Psychologist | 3910 Chapman St Ste I, San Diego, CA 92110-5644 | 2019-11-04 |
1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
1225505480 | Margaret Marie Williams | Psychologist | 4010 Sorrento Valley Blvd Ste 400, San Diego, CA 92121-1433 | 2018-10-25 |
1841779154 | Carla Payne, Psychology, Inc. | Psychologist | 2525 Camino Del Rio S. #245, San Diego, CA 92108 | 2018-08-08 |
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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.