MATTHEW LEBOVITS (NPI# 1508954280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508954280 |
| Entity Type | Individual |
| Full Name | MATTHEW LEBOVITS |
| Credential | M.A. |
| Practice Address |
3142 Vista Way Suite 205 Oceanside CA 92056-3619 |
| Practice Telephone | 7607581480 |
| Practice Fax Number | 7604359472 |
| Mailing Telephone | 7607581480 |
| Mailing Fax Number | 7604359472 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
3142 VISTA WAY SUITE 205 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518953660 | Robin M. Waggoner | Physician Assistant | 3142 Vista Way, Suite 100, Oceanside, CA 92056-3627 | 2005-09-23 |
| 1013366236 | Health Link Medical Group Inc | Family Medicine | 3142 Vista Way, Ste 206, Oceanside, CA 92056-3619 | 2016-06-08 |
| 1154778157 | Smartcaremd Practice Management LLC | Non-Pharmacy Dispensing Site | 3142 Vista Way, Suite 100, Oceanside, CA 92056-3619 | 2016-05-19 |
| 1760844468 | Josephine Giesler | Marriage & Family Therapist | 3142 Vista Way, Suite 400, Oceanside, CA 92056-3619 | 2016-03-22 |
| 1831574144 | Health Link Medical Management Services LLC | Clinic/Center | 3142 Vista Way, 206, Oceanside, CA 92056 | 2015-07-28 |
| 1619393584 | North County Lifeline | Community/Behavioral Health | 3142 Vista Way, Suite #400, Oceanside, CA 92056-3619 | 2014-03-14 |
| 1134541105 | Jason Anthony | Social Worker | 3142 Vista Way, Oceanside, CA 92056-3619 | 2014-01-10 |
| 1366864332 | Kiley Dunne | Marriage & Family Therapist | 3142 Vista Way, Suite 400, Oceanside, CA 92056-3619 | 2014-01-10 |
| 1972851996 | Jessica Lynn Ditson | Social Worker | 3142 Vista Way, Suite 400, Oceanside, CA 92056-3619 | 2012-08-23 |
| 1790056612 | Lauren Marie Holden | Marriage & Family Therapist | 3142 Vista Way, Suite 400, Oceanside, CA 92056-3619 | 2012-01-24 |
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| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
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| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
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| 1730711375 | Benjamin Alpert, Psyd, A Psychological Corporation | Psychologist | 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 | 2020-02-11 |
| 1073144010 | Melissa Alexis Ramirez | Psychologist | 1514 Caminito Soria Unit 2, Chula Vista, CA 91913-2503 | 2020-01-29 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1184264533 | New Vision Counseling Center | Psychologist | 8050 La Mesa Blvd, La Mesa, CA 91942-0335 | 2020-01-14 |
| 1235778614 | Jessica Herbold | Psychologist | 1044 Sir Francis Drake Blvd Ste 7, Kentfield, CA 94904-1454 | 2020-01-02 |
| 1003478405 | Melissa Berrenge-browde | Psychologist | 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 | 2019-07-05 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
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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.