LIFEOLOGIE SAN DIEGO (NPI# 1366040396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366040396 |
| Entity Type | Organization |
| Organization Name | LIFEOLOGIE SAN DIEGO |
| Practice Address |
3295 Meade Ave San Diego CA 92116-4557 |
| Mailing Address |
3188 Franklin Ave San Diego CA 92113-1429 |
| Practice Telephone | 6194930541 |
| Mailing Telephone | 3232292185 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | HELEN HAYES MOSESS (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6194930541 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | AGAPE COMMUNITY DEVELOPMENT CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
3295 MEADE AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92116-4557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518444900 | Life Resource and Developement | Case Management | 3295 Meade Ave, San Diego, CA 92116-4557 | 2018-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255859450 | Michael S Cohen | Acupuncturist | 1533 Monroe Ave, San Diego, CA 92116 | 2017-09-07 |
| 1013456052 | Scarlett O'hara | Speech-Language Pathologist | 4204a Adams Avenue, San Diego, CA 92116 | 2017-02-22 |
| 1780123174 | Elaine Oxina | Occupational Therapist | 4204 Adams Avenue A, Specialized Therapy Services, San Diego, CA 92116 | 2017-02-17 |
| 1699157321 | Candice Dumais | Occupational Therapist | 4522 1/2 Georgia St, San Diego, CA 92116 | 2015-06-18 |
| 1558643908 | Markus Steven Hill | Student in an Organized Health Care Education/Training Program | 4489 41st St, San Diego, CA 92116 | 2011-09-12 |
| 1457689309 | Nirit Shoshana Blocker | Physical Therapist | 4663 Iowa St Unit 5, San Diego, CA 92116 | 2009-12-03 |
| 1780830257 | Latrice Charlene Washington | Counselor | 3430 School St, San Diego, CA 92116 | 2008-08-15 |
| 1497901086 | Kathryn Eris Zangaro | Counselor | 3430 School St., San Diego, CA 92116 | 2008-08-14 |
| 1508012535 | Cyrus Satoafaiga | Counselor | 3430 School Street, San Diego, CA 92116 | 2008-08-11 |
| 1164692471 | Kimberly Hoover L.ac. | Acupuncturist | 2852 Adams Avenue, San Diego, CA 92116 | 2008-03-04 |
| Find all providers in zip 92116 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730710567 | Inspired Psychology Inc | Clinic/Center | 2727 Camino Del Rio S Ste 340, San Diego, CA 92108-3741 | 2020-01-30 |
| 1164065033 | Preeti Presswala-shah, Marriage and Family Therapist, Inc | Clinic/Center | 6540 Lusk Blvd Ste C138a, San Diego, CA 92121-2767 | 2019-10-23 |
| 1932764164 | Whole Person-psychotherapy Inc. | Clinic/Center | 5230 Carroll Canyon Rd Ste 100, San Diego, CA 92121-1779 | 2019-05-02 |
| 1972065241 | Rogers Behavioral Health California, Inc | Clinic/Center | 17140 Bernardo Center Dr Ste 300, San Diego, CA 92128-2000 | 2019-04-04 |
| 1164915401 | New Alternatives Inc. | Clinic/Center | 8755 Aero Dr Ste 306&320, San Diego, CA 92123-1776 | 2018-06-12 |
| 1396240339 | A Mindful Healing Counseling Center | Clinic/Center | 2307 Fenton Pkwy # 107-239, San Diego, CA 92108-4746 | 2018-03-29 |
| 1386159374 | Learning To Be Human | Clinic/Center | 835 5th Ave Ste 407, San Diego, CA 92101-6137 | 2017-12-12 |
| 1194186544 | Telecare Corporation | Clinic/Center | 1660 Hotel Circle North, Suite 101, San Diego, CA 92108-2803 | 2016-03-14 |
| 1164671749 | Family Health Centers of San Diego, Inc. | Clinic/Center | 2130 National Ave, San Diego, CA 92113-2209 | 2008-09-18 |
| 1710069281 | Lds Family Services | Clinic/Center | 5675 Ruffin Road, Suite 325, San Diego, CA 92123-1391 | 2006-10-20 |
| Find all providers in SAN DIEGO | ||||
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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.