SAN DIEGO PSYCHOLOGICAL COUPLE CARE, INC. (NPI# 1548881501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548881501 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO PSYCHOLOGICAL COUPLE CARE, INC. |
| Practice Address |
3233 3rd Ave San Diego CA 92103-5615 |
| Practice Telephone | 6197848504 |
| Practice Fax Number | 6197904776 |
| Mailing Telephone | 6197848504 |
| Mailing Fax Number | 6197904776 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | DR. LARISA CICILA (CEO) |
| Authorized Official Telephone | 6197848504 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| San Diego Couple Care | Doing Business As Name - Organization |
| Street Address |
3233 3RD AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-5615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629110127 | Hillcrest Psychological Services, Inc. | Psychologist | 3233 3rd Ave, San Diego, CA 92103-5615 | 2007-02-12 |
| 1447704598 | Andrea Pape Rose | Social Worker | 3233 3rd Ave, San Diego, CA 92103 | 2016-08-06 |
| 1174736136 | Shari Mednitsky | Psychologist | 3233 3rd Ave, San Diego, CA 92103-5615 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 103TF0000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772447 | Alice Elliott Smith | Psychologist | 3033 St George St, Los Angeles, CA 90027-2516 | 2020-08-28 |
| 1619520319 | Puneetbir Singh | Psychologist | 4127 Bay St Ste 5, Fremont, CA 94538-4240 | 2019-07-22 |
| 1922666346 | Trashanay Lakeya Johnson | Psychologist | 15374 Coleen St, Fontana, CA 92337-9040 | 2019-05-31 |
| 1275199705 | Svitlana Bondar | Psychologist | 15211 Vanowen St Ste 209, Van Nuys, CA 91405-3624 | 2019-05-09 |
| 1750843603 | Chelsea K Morris | Psychologist | 112 7th St Unit C, Santa Rosa, CA 95401-6203 | 2019-04-01 |
| 1124513379 | Sarah Edem | Psychologist | 900 E 1st St Apt 108, Los Angeles, CA 90012-4038 | 2018-06-28 |
| 1588152573 | Kenneth Jones Jr. | Psychologist | 13634 Mayflower St, Victorville, CA 92392-8366 | 2018-04-25 |
| 1932565207 | Home Base: Parenting Fundamentals | Psychologist | 411 30th St Ste 514, Oakland, CA 94609-3303 | 2016-01-02 |
| 1821470337 | Devon Cortright | Psychologist | 4421 Gilbert St, Apt 111, Oakland, CA 94611-4652 | 2015-06-19 |
| 1730510744 | Robyn Lisa Bettenhausen Geis | Psychologist | 840 Town & Country Rd, Orange, CA 92868 | 2013-12-02 |
| 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.