MS. MAXINE LUZ VILLAVICENCIO PULLIAM (NPI# 1376876490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376876490 |
| Entity Type | Individual |
| Full Name | MS. MAXINE LUZ VILLAVICENCIO PULLIAM |
| Practice Address |
22 Crockett Irvine CA 92620-3331 |
| Mailing Address |
22 Crockett Irvine CA 92620-9262 |
| Practice Telephone | 6502452516 |
| Mailing Telephone | 6502452516 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
22 CROCKETT |
| City | IRVINE |
| State | CA |
| Zip Code | 92620-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662586 | Anna Maria Isabelle Muyuela Capati | Social Worker | 59 Sanctuary, Irvine, CA 92620 | 2020-06-03 |
| 1437608361 | Christine Jihae Kim | Dentist | 6 Appomattox, Irvine, CA 92620 | 2016-10-04 |
| 1720534548 | Acupia Wellness | Acupuncturist | 4940 Irvine Blvd Ste 204, Irvine, CA 92620 | 2016-08-31 |
| 1508241779 | Brian Licuanan | Psychologist | 17 Herringbone, Irvine, CA 92620 | 2015-07-29 |
| 1689069791 | Saedeh Nia | Pharmacist | 29 Dusty Rose, Irvine, CA 92620 | 2015-04-06 |
| 1285047886 | Dongwuk Koh | Technician/Technologist | 4790 Irvine Blvd Suit 105-180, Irvine, CA 92620 | 2014-06-11 |
| 1447693742 | Farhad Najafi | Internal Medicine | 26 Sanctuary, Irvine, CA 92620 | 2013-04-17 |
| 1619224524 | Nancy Patricia Hernandez | Counselor | 5 Slocum, Irvine, CA 92620 | 2012-08-09 |
| 1437442118 | Agape Health Care Services | In Home Supportive Care | 636 Grand Canal, Irvine, CA 92620 | 2011-05-27 |
| 1528296290 | Erika Ildiko Gray | Pharmacist | 3 Ninos, Irvine, CA 92620 | 2009-07-01 |
| Find all providers in zip 92620 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083258537 | Traci A Patterson | Counselor | 2082 Michelson Dr Ste 212, Irvine, CA 92612-1213 | 2019-10-28 |
| 1023597283 | Nadia Abou-seda | Counselor | 2101 Business Center Dr, Irvine, CA 92612-1021 | 2018-08-08 |
| 1992255707 | Zarina Jadwet | Counselor | 1 League Unit 60592, Irvine, CA 92602-7026 | 2016-10-05 |
| 1548676059 | Laurie Erin Tate | Counselor | 10 Silverwood, Irvine, CA 92604-2845 | 2014-07-03 |
| 1508206517 | Maria Isabel Olivas | Counselor | 24 Bear Paw, #54a, Irvine, CA 92604-7117 | 2013-07-05 |
| 1932430675 | Pamela Tobias | Counselor | 2555 Main St Apt 2053, Irvine, CA 92614-3200 | 2010-01-20 |
| 1932746864 | Korean Community Services Inc. | Counselor | 19742 Macarthur Blvd Ste 245, Irvine, CA 92612-2488 | 2019-12-10 |
| 1306325022 | Amanda Jean Andersen | Counselor | 17744 Sky Park Cir, Irvine, CA 92614-6421 | 2018-08-13 |
| 1518335017 | Eima Mesgarha | Counselor | 2102 Business Center Dr, Irvine, CA 92612-1001 | 2015-09-14 |
| 1659500569 | Orange County Health & Psychology Associates | Counselor | 4482 Barranca Pkwy, 130, Irvine, CA 92604-7701 | 2009-07-13 |
| Find all providers in IRVINE | ||||
Please comment or provide details below to improve the information on MS. MAXINE LUZ VILLAVICENCIO PULLIAM.
| 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.