PATIENT CENTERED PSYCHIATRY, INC (NPI# 1457992430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457992430 |
| Entity Type | Organization |
| Organization Name | PATIENT CENTERED PSYCHIATRY, INC |
| Practice Address |
801 Seneca St Ventura CA 93001-1411 |
| Mailing Address |
3010 Beard Rd Napa CA 94558-3442 |
| Practice Telephone | 8055046814 |
| Mailing Telephone | 8055046814 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | DR. TIMOTHY PARK (CEO) |
| Authorized Official Telephone | 8182819289 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
801 SENECA ST |
| City | VENTURA |
| State | CA |
| Zip Code | 93001-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639164312 | Allen Weaver Johnson | Pharmacist | 801 Seneca St, Ventura, CA 93001-1411 | 2005-09-19 |
| 1700426558 | Daniel Coulter, M.d. Inc. | Psychiatry & Neurology | 801 Seneca St, Ventura, CA 93001-1411 | 2020-01-09 |
| 1376000190 | Kayeley Elisabeth Lyons | Counselor | 801 Seneca St, Ventura, CA 93001-1411 | 2019-02-28 |
| 1013495290 | Godwin Medical Group, Apc | Psychiatry & Neurology | 801 Seneca St, Ventura, CA 93001-1411 | 2018-07-31 |
| 1821576216 | Aurora Vista Del Mar, LLC | Psychiatric Hospital | 801 Seneca St, Ventura, CA 93001-1411 | 2018-07-30 |
| 1518359421 | Ronald D Sager,md Inc. | Psychiatry & Neurology | 801 Seneca St, Ventura, CA 93001-1411 | 2015-03-02 |
| 1841602315 | Timothy D Park | Family Medicine | 801 Seneca St, Ventura, CA 93001-1411 | 2014-06-02 |
| 1972808756 | Michelle Lynn Angelo | Marriage & Family Therapist | 801 Seneca St, Ventura, CA 93001-1411 | 2011-01-25 |
| 1831396381 | Manju Sharma, Md Inc | Psychiatry & Neurology | 801 Seneca St, Ventura, CA 93001-1411 | 2007-06-28 |
| 1295955854 | Pilar Maria Marguerite Sumalpong | Psychologist | 801 Seneca St, Ventura, CA 93001-1411 | 2007-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929739 | Christine Yana Barna | Counselor | 641 E Thompson Blvd, Ventura, CA 93001 | 2020-07-08 |
| 1477024222 | 4 Kids 2 Kids | Psychiatric Residential Treatment Facility | 9223 Nye Road, Ventura, CA 93001 | 2018-12-05 |
| 1578046884 | Michelle Aquino | Counselor | 2222 Channel Dr, Ventura, CA 93001 | 2018-09-12 |
| 1700379096 | Terrence Swanson | Counselor | 125 W Harrison Ave Apt A, Ventura, CA 93001 | 2018-06-11 |
| 1376055012 | Bridge & Temple Inc | Optometrist | 828 E Main Street, Ventura, CA 93001 | 2017-11-03 |
| 1578073763 | Karin Huang | Counselor | 2001, 28th St, Bakerfield, CA 93001 | 2017-10-03 |
| 1487170346 | Stephanie Martello | Counselor | 864 East Santa Clara Street, Ventura, CA 93001 | 2017-08-22 |
| 1477080885 | Isabel Ojeda-cobaruvias | Specialist/Technologist | 1234 E. Main Street, Ventura, CA 93001 | 2017-05-16 |
| 1902219413 | Julio Perez | Specialist/Technologist | 1234 Main St., Ventura, CA 93001 | 2014-06-03 |
| 1417380478 | Lacey Piper | Dietitian, Registered | 2841 Harbor Blvd., Ventura, CA 93001 | 2013-08-14 |
| Find all providers in zip 93001 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821624156 | Maria Elena Smith | Psychiatry & Neurology | 1068 Roy Frerichs Ln, Tracy, CA 95377-6605 | 2020-03-18 |
| 1639724057 | Nidal A Khalili Md,inc | Psychiatry & Neurology | 7551 Timberlake Way Ste 240, Sacramento, CA 95823-5422 | 2019-08-02 |
| 1871057687 | Justin Galvis | Psychiatry & Neurology | 3530 56th St, Sacramento, CA 95820-2341 | 2019-01-25 |
| 1861904401 | Monte S Buschsbaum | Psychiatry & Neurology | 1455 Coral Dr, Laguna Beach, CA 92651-1910 | 2017-11-03 |
| 1154864874 | Center for Neurohealth Inc | Psychiatry & Neurology | 4180 La Jolla Village Dr Ste 240, La Jolla, CA 92037 | 2016-11-29 |
| 1922481019 | Robert Rafal | Psychiatry & Neurology | 3 Captain Dr, Apt D404, Emeryville, CA 94608-1740 | 2015-07-07 |
| 1386993897 | Ernest William Klatte | Psychiatry & Neurology | 317 Ramona Place, Costa Mesa, CA 92627 | 2012-08-30 |
| 1265788426 | Sam A Castro, M.d., Inc. | Psychiatry & Neurology | 333 W Shaw Ave, #7, Fresno, CA 93704-2657 | 2012-07-25 |
| 1871858084 | Joseph H. Rodd M.d. Inc | Psychiatry & Neurology | 20710 S. Leapwood Ave., Suite B, Carson, CA 90746 | 2012-07-13 |
| 1821283318 | Laurence Stuart Rivkin | Psychiatry & Neurology | 6265 Cypress Point Rd, San Diego, CA 92120-3814 | 2007-09-08 |
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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.