PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES, INC (NPI# 1396929022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396929022 |
| Entity Type | Organization |
| Organization Name | PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES, INC |
| Other Organization Name | SHARPER FUTURE SAN DIEGO |
| Practice Address |
5200 San Gabriel Pl Ste G Pico Rivera CA 90660-2498 |
| Mailing Address |
19230 Sonoma Highway Suite 200 Sonoma CA 95476 |
| Practice Telephone | 5629494800 |
| Mailing Telephone | 7073954500 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | DR. ANDREW MENDONSA (CEO / PRINCIPLE) |
| Authorized Official Telephone | 9162240212 |
| Authorized Official Credential | PSY.D., MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SHARPER FUTURE | Doing Business As Name - Organization |
| SHARPER FUTURE San Diego | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 851 Del Mar Ave, San Jose, CA 951282702 | 4082950833 | |
| 2667 Camino Del Rio S, Suite #305, San Diego, CA 921083707 | 6192987427 | 6192987072 |
| 9261 Folsom Blvd Ste 300, Sacramento, CA 958262559 | 9164765165 | |
| 825 East St Ste 118, Woodland, CA 957764966 | 5307480480 | |
| 911 E Shields Ave, Fresno, CA 937045043 | 5593842223 | |
| 515 W Yosemite Ave, Madera, CA 936374520 | 5593841117 | |
| 1706 S Figueroa St, Los Angeles, CA 900153420 | 3232322874 | |
| 1660 Chicago Ave Ste M17, Riverside, CA 925072033 | 9516821180 | |
| 73733 Fred Waring Dr Ste 210, Palm Desert, CA 922602591 | 7607739400 | |
| 875 Richland Rd Ste A, Yuba City, CA 959916267 | 9164765165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1992997597 | Pacific Forensic Psychology Associates, Inc | Psychologist | 616 Shatto Pl, Los Angeles, CA 90005-1301 | 2007-08-16 |
| Street Address |
5200 SAN GABRIEL PL STE G |
| City | PICO RIVERA |
| State | CA |
| Zip Code | 90660-2498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035705 | Breanna Marie Rodriguez | Social Worker | 4559 Bridgeview Avenue, Pico Rivera, CA 90660 | 2017-07-14 |
| 1538610928 | Ilce Guadalupe Lopez | Specialist | 7406 Rosemead Blvd. Apt 24, Pico Rivera, CA 90660 | 2016-10-20 |
| 1467809558 | Lizandra Vargas | Radiologic Technologist | 9414 Slauson Ave, Pico Rivera, CA 90660 | 2016-05-18 |
| 1376900340 | Cristian Gandara | Behavioral Analyst | 9625 Lochinvar Dr, Pico Rivera, CA 90660 | 2016-01-21 |
| 1306231352 | Shi Yan Xu | Acupuncturist | 9900 Tagus St., #27, Pico Rivera, CA 90660 | 2015-04-06 |
| 1174947873 | Spine & Joint Solutions | Chiropractor | 2739 Berkshire Rd, Pico Rivera, CA 90660 | 2014-02-17 |
| 1972938157 | Loreta Melkumyan | Student in an Organized Health Care Education/Training Program | 9101 Whittier Blvd., Pico Rivera, CA 90660 | 2013-09-06 |
| 1467702365 | Daisy Cruz | Counselor | 8743 Warvale St., Pico Rivera, CA 90660 | 2012-09-18 |
| 1508138850 | Laura Chow | Pharmacist | 8900 Washington Ave., Pico Rivera, CA 90660 | 2012-02-02 |
| 1386960060 | Medihand Acupuncture, Inc | Acupuncturist | 9519 Telegraph Rd. Suite A, Pico Rivera, CA 90660 | 2010-04-20 |
| Find all providers in zip 90660 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365652 | Hearts for Sight Foundation | Clinic/Center | 1540 Prospect Ave Apt A, San Gabriel, CA 91776-4484 | 2020-10-28 |
| 1679172290 | Cyti Psychology PC | Clinic/Center | 3025 Calico St, Santee, CA 92071-5678 | 2020-10-23 |
| 1427655810 | An Elegant Sufficiency, A Psychological Corporation | Clinic/Center | 672 W 11th St Ste 354, Tracy, CA 95376-3821 | 2020-10-08 |
| 1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
| 1730795337 | Full Circle Psychotherapy | Clinic/Center | 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 | 2020-09-18 |
| 1871108928 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 | 2020-09-14 |
| 1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
| 1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | PICO RIVERA |
| Zip Code | 90660 |
Please comment or provide details below to improve the information on PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES, INC.
| 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.