FEE-FOR-SERVICE PSYCHOLOGIST (NPI# 1477751931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477751931 |
| Entity Type | Organization |
| Organization Name | FEE-FOR-SERVICE PSYCHOLOGIST |
| Other Organization Name | HEALTH SERVICES AGENCY-MENTAL HEALTH DIVISION |
| Practice Address |
1400 Emeline Ave Santa Cruz CA 95060-1976 |
| Practice Telephone | 8314544170 |
| Practice Fax Number | 8314544663 |
| Mailing Telephone | 8314544170 |
| Mailing Fax Number | 8314544663 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | RAMA KHALSA (HEALTH SERVICES AGENCY DIRECTOR) |
| Authorized Official Telephone | 8314544000 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF SANTA CRUZ |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LEGAL ENTITY NPI# | 1659315430 | 01 |
| CA | 44A7 | 05 |
| Other Name | Type Code |
|---|---|
| Health Services Agency-Mental Health Division | Doing Business As Name - Organization |
| Street Address |
1400 EMELINE AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-1976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925526 | William C Falzett Jr. | Psychologist | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2005-07-09 |
| 1013518125 | Magali Eunice Arriaga Ortiz | Nurse's Aide | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2020-11-04 |
| 1154920098 | Andromeda Marie Scheller | Nurse's Aide | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2020-10-21 |
| 1124665286 | Jeremy Lansing | Social Worker | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-12-06 |
| 1013564806 | Amanda Lynett Travers | Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-08-26 |
| 1144887928 | Nathan J Riera | Rehabilitation Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-05-28 |
| 1386201242 | Joseph Harris Price IIi | Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-05-24 |
| 1841759305 | Julie Delophine Keller-olivas | Registered Nurse | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-03-14 |
| 1962981282 | Robert Antonio Gomez | Public Health or Welfare | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2018-08-08 |
| 1154808368 | Diana Marcela Eaton | Nurse's Aide | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2018-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| 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 |
|---|---|---|---|---|
| 1811175201 | Encompass Community Services | Clinic/Center | 542 Ocean St Ste K, Santa Cruz, CA 95060-6622 | 2008-02-07 |
| 1447474853 | Encompass Community Services | Clinic/Center | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2007-04-13 |
| 1821133695 | Puentes North | Clinic/Center | 115a Coral St, Santa Cruz, CA 95060-2104 | 2007-02-20 |
| 1093914483 | Fee-for-service Lcsw | Clinic/Center | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-07-16 |
| 1568660025 | Fee-for-service Psychiatrist | Clinic/Center | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-07-06 |
| 1730387200 | Fee-for-service Mfcc | Clinic/Center | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-07-06 |
| 1457559924 | County of Santa Cruz | Clinic/Center | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-07-06 |
| 1366640831 | Fee-for-service-mixed Specialty Group | Clinic/Center | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-07-06 |
| 1548304660 | County of Santa Cruz | Clinic/Center | 1400 Emeline Ave, 2nd Floor, Santa Cruz, CA 95060-1976 | 2007-02-20 |
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| 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 | SANTA CRUZ |
| Zip Code | 95060 |
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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.