PROGENY PSYCHIATRIC CLINIC A MEDICAL CORPORATION (NPI# 1548735202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548735202 |
| Entity Type | Organization |
| Organization Name | PROGENY PSYCHIATRIC CLINIC A MEDICAL CORPORATION |
| Practice Address |
17782 Cowan Ste A Irvine CA 92614-6041 |
| Practice Telephone | 9497227118 |
| Practice Fax Number | 9493960965 |
| Mailing Telephone | 9497227118 |
| Mailing Fax Number | 9493960965 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | JASON P KELLOGG (CEO) |
| Authorized Official Telephone | 9497227118 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
17782 COWAN STE A |
| City | IRVINE |
| State | CA |
| Zip Code | 92614-6041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740485101 | Farhad Ghasemi Nikoo | Registered Nurse | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2007-06-18 |
| 1043825797 | Robert Anthony Cadena | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-09-10 |
| 1790396794 | Heidi Aguilar | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-08-12 |
| 1497380356 | Helen Kim | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-03-10 |
| 1558995084 | Neo Atienza | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-02-24 |
| 1972134641 | Emily Louise Lippincott | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-01-30 |
| 1427692375 | Jada Alston | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2019-11-04 |
| 1366098279 | Nili Askari | Marriage & Family Therapist | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2019-08-15 |
| 1992363535 | Maria D Acevedo | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2019-05-29 |
| 1235612656 | Tuyen Ngoc Ho | Social Worker | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2018-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1245843572 | Jose Raul Sanchez IIi | Behavior Technician | 1063 Mcgraw Ave, Irvine, CA 92614 | 2020-08-26 |
| 1548871064 | Angelina Renee Armenta | Behavior Technician | 1063 Mcgraw Avenue, Suite 100, Irvine, CA 92614 | 2020-08-10 |
| 1083267827 | Jd Health LLC | Durable Medical Equipment & Medical Supplies | 18003 Sky Park Circle, Suite B-c, Irvine, CA 92614 | 2019-07-22 |
| 1326609280 | Abigail Briana Lozano-flores | Behavior Technician | 18008 Sky Park Circle, Suite 110, Irvine, CA 92614 | 2019-06-21 |
| 1770085235 | Heather M. Ayala | Dietitian, Registered | 17985 Sky Park Circle Suite A, Irvine, CA 92614 | 2018-03-01 |
| 1598266033 | Camille Plumbar | Chiropractor | 17811 Skypark Circle, Suite E, Irvine, CA 92614 | 2018-02-21 |
| 1952812448 | Mary M Ahmadian | Nurse Practitioner | Global Transitional Care Suite 100, 2 Executive Circle, Irvine, CA 92614 | 2017-10-24 |
| 1134656804 | Reza Abaei Tafreshi | Dentist | 3 Pazzi, Irvine, CA 92614 | 2017-05-12 |
| 1467991307 | Laboratory Medicine Consultants In Diagnostics | Medical Genetics | 1565 A Mcgaw Ave, Irvine, CA 92614 | 2017-02-13 |
| Find all providers in zip 92614 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336679109 | Ucr Health - Psychiatry | Psychiatry & Neurology | 18881 Von Karman Ave # 1227, Irvine, CA 92612-1500 | 2017-06-14 |
| 1811263114 | Michele Nelson | Psychiatry & Neurology | 18881 Von Karman Ave Ste 1227, Irvine, CA 92612-1500 | 2012-03-30 |
| 1508156316 | Elly R Lee | Psychiatry & Neurology | 2515 Mccabe Way, Suite 350, Irvine, CA 92614-9401 | 2011-04-13 |
| 1033449673 | Theodore Pearlman | Psychiatry & Neurology | 43 Juneberry, Irvine, CA 92606-4503 | 2010-01-04 |
| 1942457999 | Shilpa Diwan | Psychiatry & Neurology | 19772 Macarthur Blvd Ste 220, Irvine, CA 92612-2405 | 2008-08-21 |
| 1154508414 | Kamel L. Kamel, M.d, Inc | Psychiatry & Neurology | 5405 Alton Pkwy Ste 5a, Irvine, CA 92604-3717 | 2008-01-29 |
| 1346437159 | Roger N Walsh | Psychiatry & Neurology | University of California Medical School, Department of Psychiatry, Irvine, CA 92697-1675 | 2007-09-26 |
| 1831390103 | Laurence Frederic Greenberg | Psychiatry & Neurology | 19100 Von Karman Ave, Suite 290, Irvine, CA 92612-1539 | 2007-05-31 |
| 1265559140 | Deena Mcrae | Psychiatry & Neurology | 18301 Von Karman Ave, Suite 880, Irvine, CA 92612-1009 | 2007-03-23 |
| 1730213497 | Alejandra Ruth Suzuki | Psychiatry & Neurology | 1 Jenner Ste 210, Irvine, CA 92618-3844 | 2007-03-15 |
| Find all providers in IRVINE | ||||
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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.