DR. SHANNON LERACH (NPI# 1396983748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396983748 |
| Entity Type | Individual |
| Full Name | DR. SHANNON LERACH |
| Credential | PH.D. |
| Practice Address |
243 N Highway 101 Solana Beach CA 92075-1180 |
| Mailing Address |
243 N Highway 101 Suite 16 Solana Beach CA 92075-1180 |
| Practice Telephone | 6198175320 |
| Practice Fax Number | 8584811674 |
| Mailing Telephone | 6198175320 |
| Mailing Fax Number | 8584811674 |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2014-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC1900X |
Psychologist Specialization: Counseling |
PSY23705 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY 23705 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
PSY 23705 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
PSY23705 | CA | Behavioral Health & Social Service Providers |
| Street Address |
243 N HIGHWAY 101 |
| City | SOLANA BEACH |
| State | CA |
| Zip Code | 92075-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487731618 | Mary Fong | Acupuncturist | 243 N Highway 101, Suite #5, Solana Beach, CA 92075-1180 | 2006-11-01 |
| 1730591728 | Stephen Park | Psychologist | 243 N Highway 101, Suite 16, Solana Beach, CA 92075-1180 | 2014-05-23 |
| 1184991796 | Mark Cooper | Clinical Neuropsychologist | 243 N Highway 101, Suite 22, Solana Beach, CA 92075-1180 | 2011-11-28 |
| 1134401805 | Jessica Taverniti Hornbrook | Psychologist | 243 N Highway 101, Solana Beach, CA 92075-1180 | 2011-09-19 |
| 1619162047 | Peyton Theodore | Acupuncturist | 243 N Highway 101, Suite 13, Solana Beach, CA 92075-1180 | 2007-09-10 |
| 1316131600 | Gina M Taffi | Psychologist | 243 N Highway 101, Ste. #16, Solana Beach, CA 92075-1180 | 2007-08-30 |
| 1164562757 | Jaqueline Kiefer | Psychologist | 243 N Highway 101, Ste 16, Solana Beach, CA 92075-1180 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669092490 | Tara Tryphena Steinke | Naturopath | 124 Lomas Santa Fe Dr Ste 20b, Encinitas, CA 92075 | 2020-04-22 |
| 1336782085 | Jeremy Tiefenbrun | Behavior Technician | 992 1 C Lomas Santa Fe Dr Pmb 291, Solana Beach, CA 92075 | 2019-10-25 |
| 1851827927 | Amelia Rose Clark | Physician Assistant | 437 S. Highway 101 Suite 217, Solana Beach, CA 92075 | 2017-05-10 |
| 1518348317 | Kelly Pounds | Counselor | 2101 East First Street, Santa Ana, CA 92075 | 2015-06-17 |
| 1295114908 | Synapse Hearing Health, Inc. | Audiologist | 991 Lomas Santa Fe Drive, Suite A, Solana Beach, CA 92075 | 2015-05-27 |
| 1619381464 | Michael David Leiderman | Community Health Worker | 309 N Solana Hills Drive Apt #95, Solana Beach, CA 92075 | 2014-06-19 |
| 1881932879 | Edward S. Loh | Urology | 775 Beachfront Dr., Solana Beach, CA 92075 | 2013-01-25 |
| 1093076135 | Jodi Lee Abramowitz | Psychologist | 115 W Plaza St Ste 200, Solana Beach, CA 92075 | 2012-06-05 |
| 1710297692 | Aliza Danielle Cicerone | Naturopath | 124 Lomas Santa Fe Drive, Suite 206, Solana Beach, CA 92075 | 2010-10-13 |
| 1518273309 | Martin Landau-north | Marriage & Family Therapist | 731 South Highway 101, Suite 2j, Solana Beach, CA 92075 | 2010-08-31 |
| Find all providers in zip 92075 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582859 | Hyo Bae Phd | Psychologist | 265 Santa Helena, Solana Beach, CA 92075-1542 | 2018-06-22 |
| 1528153699 | Lana Jessica Maxwell | Psychologist | 462 Stevens Ave, Suite 108, Solana Beach, CA 92075-2075 | 2006-10-04 |
| 1164562757 | Jaqueline Kiefer | Psychologist | 243 N Highway 101, Ste 16, Solana Beach, CA 92075-1180 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631312 | Kathleen Carroll-wray | Psychologist | 818 W 7th St Ste 930, Los Angeles, CA 90017-3476 | 2020-08-26 |
| 1568082113 | Laura Adery | Psychologist | 760 Westwood Plz # 27-448, Los Angeles, CA 90095-8353 | 2020-04-23 |
| 1073148938 | Kristine Fleming | Psychologist | 4309 Campbell Dr, Pittsburg, CA 94565-6017 | 2020-03-11 |
| 1730711375 | Benjamin Alpert, Psyd, A Psychological Corporation | Psychologist | 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 | 2020-02-11 |
| 1073144010 | Melissa Alexis Ramirez | Psychologist | 1514 Caminito Soria Unit 2, Chula Vista, CA 91913-2503 | 2020-01-29 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1184264533 | New Vision Counseling Center | Psychologist | 8050 La Mesa Blvd, La Mesa, CA 91942-0335 | 2020-01-14 |
| 1235778614 | Jessica Herbold | Psychologist | 1044 Sir Francis Drake Blvd Ste 7, Kentfield, CA 94904-1454 | 2020-01-02 |
| 1003478405 | Melissa Berrenge-browde | Psychologist | 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 | 2019-07-05 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | SOLANA BEACH |
| Zip Code | 92075 |
Please comment or provide details below to improve the information on DR. SHANNON LERACH.
| 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.