ERYNN ELIZABETH MACCIOMEI


Address: 3760 Convoy St Ste 118, San Diego, CA 92111-3743
Phone: 5866344644

ERYNN ELIZABETH MACCIOMEI (NPI# 1548869175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548869175
Entity Type Individual
Full Name ERYNN ELIZABETH MACCIOMEI
Credential PHD
Practice Address 3760 Convoy St Ste 118
San Diego
CA 92111-3743
Mailing Address 4449 Temecula St
San Diego
CA 92107-1003
Practice Telephone 5866344644
Mailing Telephone 5866344464
Enumeration Date 2020-10-24
Last Update Date 2020-10-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY30421 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA STATE OF CA PSY30421 01

Office Location

Street Address 3760 CONVOY ST STE 118
City SAN DIEGO
State CA
Zip Code 92111-3743

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356440440 Stephen Victor Sobel Specialist 3760 Convoy St Ste 118, San Diego, CA 92111-3743 2006-09-22
1891169934 Marley Lieberman Marriage & Family Therapist 3760 Convoy St Ste 118, San Diego, CA 92111-3743 2015-11-29
1043439755 Rebecca Heisler Marriage & Family Therapist 3760 Convoy St Ste 118, San Diego, CA 92111-3743 2007-04-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982220653 Karen Elizabeth Mitchell Registered Nurse County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 2020-06-18
1912523804 Access Medical, Inc. Durable Medical Equipment & Medical Supplies 4150 Convoy Street, Suite A, San Diego, CA 92111 2020-06-17
1154944551 Mei Ling Milan Szeto Student in an Organized Health Care Education/Training Program 7917 Ostrow Street, Suite A, San Diego, CA 92111 2020-05-20
1346893831 Leticia Isabel Peralta Assistant Behavior Analyst 563 Balboa Avenue. Number 521, San Diego, CA 92111 2019-07-23
1295204394 Demetria Serfas Behavioral Analyst 563 Balboa Ave #521, San Diego, CA 92111 2018-11-19
1568981678 Ross Psychology Psychologist 4883 Ronson Court, Suite K, San Diego, CA 92111 2017-09-11
1225554587 Bianca Acosta Technician, Other 563 Balboa Ave. #521, San Diego, CA 92111 2017-08-18
1194240085 Kazuhiro Kato Dentist 3707 Convoy St., San Diego, CA 92111 2017-08-11
1073038527 Joanne Epps-yentz Licensed Vocational Nurse 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 2017-08-06
1184158446 Positive Behavior Supports Corp Community/Behavioral Health 563 Balboa Ave, 521, San Diego, CA 92111 2017-04-13
Find all providers in zip 92111

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184231730 Joanna Lesley Kaye Psychologist 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 2020-09-28
1396353520 Chandra Estelle Khalifian Psychologist 4975 Foothill Blvd, San Diego, CA 92109-2236 2020-07-14
1225661838 Sharon Saeedi Psy D Psychologist Inc Psychologist 185 W F St Ste 100l, San Diego, CA 92101-6029 2020-02-21
1609414242 Laura Beth Fitzpatrick Psychologist 3322 29th St, San Diego, CA 92104-4533 2019-12-13
1790329613 Growgood Psychology, Corp Psychologist 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 2019-11-04
1891355996 Stephanie Ann Massey Psychologist 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 2019-06-19
1225697543 Dr. Emily N. Kierce, Psychologist, A Professional Corporation Psychologist 402 W Broadway Ste 1925, San Diego, CA 92101-8505 2019-06-10
1023674884 Desiree Arlene Cuevas Psychologist 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 2019-05-16
1396212023 Paul William Randolph Psychologist 727 Robinson Ave Apt D, San Diego, CA 92103-4364 2018-10-31
1952876526 Amanda Cooney Psychologist 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 2018-10-09
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92111

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Dataset Information

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.

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