SILVERLINING PSYCHIATRY MEDICAL GROUP (NPI# 1508294083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508294083 |
| Entity Type | Organization |
| Organization Name | SILVERLINING PSYCHIATRY MEDICAL GROUP |
| Practice Address |
3252 Holiday Ct Ste 108 La Jolla CA 92037-1807 |
| Practice Telephone | 8582307585 |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2017-08-07 |
| Authorized Official Name | DMITRIY SIVTSOV (PRESIDENT) |
| Authorized Official Telephone | 8582307585 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
A88348 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3252 HOLIDAY CT STE 108 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891233649 | Alicia Burke | Registered Nurse | 3252 Holiday Ct Ste 108, La Jolla, CA 92037-1807 | 2017-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770985004 | M2 Creative | Psychologist | 6715 Melrose Ave, Los Angeles, CA 90038-3411 | 2014-09-18 |
| 1235408089 | Behavioral Research Specialists, LLC | Psychologist | 230 N. Maryland Ave, #309, Glendale, CA 91206 | 2011-12-23 |
| 1730342957 | United Behavioral Center, Inc | Psychologist | 834 W Avenue J, Lancaster, CA 93534-3427 | 2008-07-08 |
| 1528245917 | Claude E. Arnett | Psychologist | 403 N Susan St, Santa Ana, CA 92703-3433 | 2008-01-28 |
| 1811102908 | Mary Ann Barr | Psychologist | 277 Cascade Dr, Mill Valley, CA 94941-5025 | 2007-05-11 |
| 1255544557 | Pituck Medical Group, Inc. | Psychologist | 5858 Magnolia Ave Ste C, Riverside, CA 92506-1886 | 2007-05-07 |
| 1932320389 | Ricque L. Brister | Psychologist | 56 Hanover Ln, Suite., 100, Chico, CA 95973-7230 | 2007-05-02 |
| 1013539121 | Sally Kei Mason | Psychologist | 510 Plaza Dr Ste 170, Folsom, CA 95630-4790 | 2020-05-12 |
| 1043691025 | New Day Institute | Psychologist | 6391 Magnolia Ave, Suite A, Riverside, CA 92506-2424 | 2015-06-15 |
| 1104183292 | Socal Center for Change | Psychologist | 1110 E Chapman Ave, Suite 204, Orange, CA 92866-2139 | 2012-04-13 |
| Find all providers with the same taxonomy | ||||
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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.