DR. LANA JESSICA MAXWELL (NPI# 1528153699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528153699 |
Entity Type | Individual |
Full Name | DR. LANA JESSICA MAXWELL |
Credential | PSY.D. |
Practice Address |
462 Stevens Ave Suite 108 Solana Beach CA 92075-2075 |
Practice Telephone | 8587939660 |
Mailing Telephone | 8587939660 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY16443 | CA | Behavioral Health & Social Service Providers |
Street Address |
462 STEVENS AVE SUITE 108 |
City | SOLANA BEACH |
State | CA |
Zip Code | 92075-2075 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487955456 | Robynne Kay Neves | Social Worker | 462 Stevens Ave, Suite 108, Solana Beach, CA 92075-2075 | 2010-11-08 |
1942323548 | Jamie Christian Kaszer | Chiropractor | 462 Stevens Ave, Suite 306, Solana Beach, CA 92075-2075 | 2007-04-09 |
1508998469 | John Joseph Boyle | Marriage & Family Therapist | 462 Stevens Ave, Suite 108, Solana Beach, CA 92075-2075 | 2007-03-09 |
1538249313 | Jim Utic | Psychologist | 462 Stevens Ave, Suiite 108, Solana Beach, CA 92075-2075 | 2006-10-16 |
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---|---|---|---|---|
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1336782085 | Jeremy Tiefenbrun | Behavior Technician | 992 1 C Lomas Santa Fe Dr Pmb 291, Solana Beach, CA 92075 | 2019-10-25 |
1851827927 | Amelia Rose Clark | Physician Assistant | 437 S. Highway 101 Suite 217, Solana Beach, CA 92075 | 2017-05-10 |
1518348317 | Kelly Pounds | Counselor | 2101 East First Street, Santa Ana, CA 92075 | 2015-06-17 |
1295114908 | Synapse Hearing Health, Inc. | Audiologist | 991 Lomas Santa Fe Drive, Suite A, Solana Beach, CA 92075 | 2015-05-27 |
1619381464 | Michael David Leiderman | Community Health Worker | 309 N Solana Hills Drive Apt #95, Solana Beach, CA 92075 | 2014-06-19 |
1881932879 | Edward S. Loh | Urology | 775 Beachfront Dr., Solana Beach, CA 92075 | 2013-01-25 |
1093076135 | Jodi Lee Abramowitz | Psychologist | 115 W Plaza St Ste 200, Solana Beach, CA 92075 | 2012-06-05 |
1710297692 | Aliza Danielle Cicerone | Naturopath | 124 Lomas Santa Fe Drive, Suite 206, Solana Beach, CA 92075 | 2010-10-13 |
1518273309 | Martin Landau-north | Marriage & Family Therapist | 731 South Highway 101, Suite 2j, Solana Beach, CA 92075 | 2010-08-31 |
Find all providers in zip 92075 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821582859 | Hyo Bae Phd | Psychologist | 265 Santa Helena, Solana Beach, CA 92075-1542 | 2018-06-22 |
1164562757 | Jaqueline Kiefer | Psychologist | 243 N Highway 101, Ste 16, Solana Beach, CA 92075-1180 | 2007-02-06 |
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1568082113 | Laura Adery | Psychologist | 760 Westwood Plz # 27-448, Los Angeles, CA 90095-8353 | 2020-04-23 |
1073148938 | Kristine Fleming | Psychologist | 4309 Campbell Dr, Pittsburg, CA 94565-6017 | 2020-03-11 |
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 |
Find all providers with the same taxonomy |
City | SOLANA BEACH |
Zip Code | 92075 |
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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.