MRS. TIFFANY KRISTEN KALICK (NPI# 1558908277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558908277 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY KRISTEN KALICK |
| Credential | LEP |
| Practice Address |
3150 El Camino Real Ste E Carlsbad CA 92008-2110 |
| Practice Telephone | 7608455803 |
| Mailing Telephone | 7608455803 |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
LEP3544 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | N/A | 83-1608338 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1902 Wright Pl, Carlsbad, CA 920086583 | 7603093449 |
| Street Address |
3150 EL CAMINO REAL STE E |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92008-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124176334 | Martha Katherine Barr | Social Worker | 3150 El Camino Real Ste E, Carlsbad, CA 92008-2110 | 2007-01-08 |
| 1558866590 | Encourageher Counseling Inc. | Social Worker | 3150 El Camino Real Ste E, Carlsbad, CA 92008-2110 | 2018-03-29 |
| 1316293327 | Maria Alejandra Mejia Rivera | Social Worker | 3150 El Camino Real Ste E, Carlsbad, CA 92008-2110 | 2012-07-27 |
| 1942358031 | Wickliffe Loomis Blasi | Social Worker | 3150 El Camino Real Ste E, Carlsbad, CA 92008-2110 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
| 1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
| 1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
| 1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
| 1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
| Find all providers in zip 92008 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386128684 | Jennifer Godfrey | Psychologist | 3150 El Camino Real Ste G, Carlsbad, CA 92008-2110 | 2018-09-21 |
| 1013127059 | Ellen Margaret Balsys-murphy | Psychologist | 7728 Calina Way, Carlsbad, CA 92009-8103 | 2007-05-22 |
| 1548732803 | Michael J Doria | Psychologist | 6225 El Camino Real, Carlsbad, CA 92009-1604 | 2018-12-27 |
| 1437371465 | Ellen L Krumm | Psychologist | 408 N Canyon St, Carlsbad, NM 88220-5812 | 2007-05-02 |
| 1952464000 | Teresa Marie Allery | Psychologist | 408 N Canyon St, Carlsbad, NM 88220-5812 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800610 | Christine Irene Wyeth I | Psychologist | 420 Orrell Dr, National City, CA 91950-7019 | 2020-10-30 |
| 1396351755 | Darinisha Williams | Psychologist | 228 W Pomona Ave Unit 453, Monrovia, CA 91016-4853 | 2020-09-21 |
| 1861006280 | Waneka Cabrera | Psychologist | 6140 Monterey Rd Apt 419, Los Angeles, CA 90042-5410 | 2020-09-02 |
| 1447862669 | Lynn Syrvart Saroyan | Psychologist | 302 W 5th St Ste 301, San Pedro, CA 90731-2750 | 2020-08-19 |
| 1386256741 | Earaj Afzal | Psychologist | 4175 Williwaw Dr, Irvine, CA 92620-3279 | 2020-08-18 |
| 1518578145 | Christina Marie Keefe | Psychologist | 222 Terrace Dr, Big Pine, CA 93513-2002 | 2020-08-17 |
| 1992317572 | Ferris Kevin Bruton | Psychologist | 850 Rosewood Ave, Vallejo, CA 94591-5647 | 2020-08-17 |
| 1376153460 | Louis Scott Addleson | Psychologist | 7915 Alida St, La Mesa, CA 91942-2541 | 2020-08-04 |
| 1326658592 | Aamna Hassan | Psychologist | 15132 Amso St, Poway, CA 92064-2604 | 2020-08-03 |
| 1922616218 | Janis Kingsley | Psychologist | 2746 Granville Ave, Los Angeles, CA 90064-3604 | 2020-07-22 |
| 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.