DR. TERRY L EAKIN (NPI# 1437105129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437105129 |
| Entity Type | Individual |
| Full Name | DR. TERRY L EAKIN |
| Credential | PH D |
| Practice Address |
3530 Pomona Blvd Pomona CA 91768-3238 |
| Mailing Address |
1600 9th St Room 205 Mailstop 2-3 Sacramento CA 95814-6414 |
| Practice Telephone | 9095951221 |
| Mailing Telephone | 9166542431 |
| Mailing Fax Number | 9166543186 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 12910 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3530 POMONA BLVD |
| City | POMONA |
| State | CA |
| Zip Code | 91768-3238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154372498 | State of California - Department of Developmental Services | Nursing Facility/Intermediate Care Facility | 3530 Pomona Blvd, Pomona, CA 91768-3238 | 2006-05-12 |
| 1750566576 | Lanterman Developmental Center | Intermediate Care Facility, Mentally Retarded | 3530 Pomona Blvd, Pomona, CA 91768-3238 | 2007-12-31 |
| 1407046659 | Hao T Nguyen | Pathology | 3530 Pomona Blvd, Pomona, CA 91768-3238 | 2007-07-25 |
| 1033219928 | Stanley E Lunde | Psychologist | 3530 Pomona Blvd, Pomona, CA 91768-3238 | 2006-09-22 |
| 1013937333 | Kaseja Kang | Psychologist | 3530 Pomona Blvd, Pomona, CA 91768-3238 | 2006-07-20 |
| 1619911120 | Brenda A Duffey-jepsen | Psychologist | 3530 Pomona Blvd, Pomona, CA 91768-3238 | 2006-06-15 |
| 1871549568 | Dean Darrell Engel Alexander | Psychologist | 3530 Pomona Blvd, Pomona, CA 91768-3238 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385971 | Behavioral Health Services, Inc. | Substance Abuse Rehabilitation Facility | 2180 West Valley Blvd., Floor 200, Pomona, CA 91768 | 2020-08-03 |
| 1427690338 | Sharon Beatrice Moreno | Counselor | 2180 Valley Bvld, Pomona, CA 91768 | 2019-10-11 |
| 1710492087 | Freddie Lee Dominguez | Counselor | 2180 W Vally Blvd, Pomona, CA 91768 | 2017-12-08 |
| 1205350295 | Angie Lorraine Gallego-arellano | Case Manager/Care Coordinator | 801 Corporate Center Drive, Suite 202, Pomona, CA 91768 | 2017-08-01 |
| 1154851913 | Maria Concepcion Galvez | Counselor | 2180 W Valley Blvd, Pomona, CA 91768 | 2017-06-14 |
| 1689107500 | Margie Moreno Interpriting Services | Case Management | 675 North Park Avenue, Pomona, CA 91768 | 2017-04-07 |
| 1386006864 | Evelyn Benitez | Marriage & Family Therapist | 1023 Groff St, Pomona, CA 91768 | 2016-03-24 |
| 1962891291 | Consuelo Rivera Aguilar | Speech-Language Pathologist | 651 North Main Street, Pomona, CA 91768 | 2015-01-09 |
| 1134557648 | Rodolfo Perez Jr. | Nurse Practitioner | 1196 North Park Ave, Pomona, CA 91768 | 2013-10-18 |
| 1588008361 | Medi-cure Health Services | Counselor | 1921 West Arroyo Street, Pomona, CA 91768 | 2013-04-23 |
| Find all providers in zip 91768 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831728112 | Jason Heath Hinze | Psychologist | 724 Corporate Center Dr Fl 2, Pomona, CA 91768-2655 | 2020-04-07 |
| 1710259874 | Christine Joan Ditrano | Psychologist | 16 Beaver Dam Rd, Pomona, NY 10970-3204 | 2012-02-06 |
| 1104140367 | Christine V. Ferri | Psychologist | 61 W. Jimmie Leeds Rd, Bacharach Institute for Rehabilitation, Pomona, NJ 08240-0723 | 2010-03-17 |
| 1194844399 | Ana I Pleitez | Psychologist | 1642 Club Dr, Pomona, CA 91768-1267 | 2007-03-28 |
| 1679605117 | Robert Allen Clark | Psychologist | 1 Cooper Morris Dr, Pomona, NY 10970-3309 | 2007-03-11 |
| 1730249384 | Carol Marie Elias | Psychologist | 2001 N Garey Ave, Ste. 107, Pomona, CA 91767-2773 | 2006-12-12 |
| 1801842810 | Rachel Elizabeth Firemark | Psychologist | 3530 W Pomona Blvd, Pomona, CA 91769-0100 | 2006-05-25 |
| 1891966198 | Yadi F Sweeny | Psychologist | 795 E 2nd St, Suite 4, Pomona, CA 91766-2007 | 2008-03-14 |
| 1104846427 | David A Smith | Psychologist | 3530 West Pomona Blvd, Pomona, CA 91769-0100 | 2006-07-20 |
| 1386691624 | Robert Starace | Psychologist | 50 Sanatorium Rd, Pomona, NY 10970-3555 | 2006-05-30 |
| Find all providers in POMONA | ||||
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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.