DR. KRISTINA MARIE LEE MIHOLICH (NPI# 1457584542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457584542 |
| Entity Type | Individual |
| Full Name | DR. KRISTINA MARIE LEE MIHOLICH |
| Other Name | DR. KRISTINA MARIE LEE |
| Credential | PSYD |
| Practice Address |
158 C Ave Coronado CA 92118-1420 |
| Mailing Address |
12843 Isocoma St San Diego CA 92129-3612 |
| Practice Telephone | 6194355400 |
| Practice Fax Number | 6194355401 |
| Mailing Telephone | 6193013606 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2013-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
25801 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
158 C AVE |
| City | CORONADO |
| State | CA |
| Zip Code | 92118-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467428268 | Anne L Cox | Psychiatry & Neurology | 158 C Ave, Coronado, CA 92118-1420 | 2006-02-23 |
| 1124687199 | Brieana Turner | Marriage & Family Therapist | 158 C Ave, Coronado, CA 92118-1420 | 2019-06-12 |
| 1891162384 | Casandra Moyer | Nurse Practitioner | 158 C Ave, Coronado, CA 92118-1420 | 2015-08-31 |
| 1467857920 | Dianna Christine Hansen | Counselor | 158 C Ave, Coronado, CA 92118-1420 | 2014-10-27 |
| 1700171436 | Christina Lam | Nurse Practitioner | 158 C Ave, Coronado, CA 92118-1420 | 2011-06-10 |
| 1891959383 | Brianna Pauline Meacham | Marriage & Family Therapist | 158 C Ave, Coronado, CA 92118-1420 | 2008-07-14 |
| 1598928798 | Crownview Medical Group, Inc | Psychiatry & Neurology | 158 C Ave, Coronado, CA 92118-1420 | 2008-07-08 |
| 1033307905 | Mark Melden, Do | Psychiatry & Neurology | 158 C Ave, Coronado, CA 92118-1420 | 2007-10-04 |
| 1790715795 | Jorge Porras | Psychiatry & Neurology | 158 C Ave, Coronado, CA 92118-1420 | 2006-07-04 |
| 1982653135 | Mark Melden | Psychiatry & Neurology | 158 C Ave, Coronado, CA 92118-1420 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962997643 | Natalie Bailey | Dentist | 1010 8th St Ste A, Coronado, CA 92118 | 2018-06-26 |
| 1639661143 | Rebecca L. Frazier | Acupuncturist | 543 Orange Ave., Coronado, CA 92118 | 2018-05-31 |
| 1376046201 | Laura Mead Clapper | Pediatrics | 840 Adella Ave, Coronado, CA 92118 | 2018-03-16 |
| 1154836336 | Sarah R Peck | Occupational Therapy Assistant | 1530 Da Nang Dr Apt C, Coronado, CA 92118 | 2017-12-09 |
| 1962921395 | Jennifer Waidelich | Physical Therapist | 410 E Ave, Coronado, CA 92118 | 2017-09-18 |
| 1861843641 | Cliff Lovick I | Counselor | 1522 Frist St. Apt M 106, Coronada, CA 92118 | 2016-06-23 |
| 1184004871 | Melanie Villalobos | Dentist | 1001 B Ave #313, Coronado, CA 92118 | 2015-06-08 |
| 1801273479 | Jacqueline Brogan | Dermatology | 230 Prospect Pl Ste 260, Coronado, CA 92118 | 2015-05-02 |
| 1790184083 | Robert Cole Dunlap | Optometrist | 810 J Avenue, Coronado, CA 92118 | 2014-08-22 |
| 1235493602 | Jin Ah | Acupuncturist | 2425 Camino De Rio South, Suite 180, San Diego, CA 92118 | 2012-06-29 |
| Find all providers in zip 92118 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629691126 | Rika Tanaka | Psychologist | 854 A Ave, Coronado, CA 92118-2646 | 2020-05-19 |
| 1376770099 | Stephanie Abel | Psychologist | 549 Orange Ave, Coronado, CA 92118-1826 | 2009-06-20 |
| 1669525028 | Beth A. Kalal | Psychologist | 830 Orange Ave, Ste. A2, Coronado, CA 92118-2658 | 2007-01-19 |
| 1134182058 | Sean Hodges | Psychologist | 549 Orange Ave # 213, Coronado, CA 92118-1826 | 2006-04-11 |
| 1093709263 | Denise Lee Buchanan | Psychologist | 138 B Ave, Coronado, CA 92118-1511 | 2005-09-02 |
| 1104821479 | Roderick Seites Hall | Psychologist | 1224 10th St, Ste 208, Coronado, CA 92118-3420 | 2005-06-14 |
| 1184182214 | Andreas Marwick | Psychologist | 549 Orange Ave, Coronado, CA 92118-1826 | 2019-03-07 |
| 1336405117 | Linda Williams | Psychologist | 158 C Avenue, Coronado, CA 92118-1420 | 2012-04-06 |
| 1467724542 | Laura Mccrary Hansen | Psychologist | 158 C Avenue, Coronado, CA 92118-1420 | 2012-02-03 |
| 1922388750 | Erin Leigh Cook | Psychologist | 549 Orange Ave, Coronado, CA 92118-1826 | 2011-08-24 |
| Find all providers in CORONADO | ||||
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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.