DR. JEREMY B ROARK (NPI# 1578860193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578860193 |
| Entity Type | Individual |
| Full Name | DR. JEREMY B ROARK |
| Credential | PH.D. |
| Practice Address |
250 Storke Rd Ste 9 Goleta CA 93117-2969 |
| Practice Telephone | 8055707688 |
| Practice Fax Number | 8057281755 |
| Mailing Telephone | 8055707688 |
| Mailing Fax Number | 8057281755 |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2014-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 24012 | CA | Behavioral Health & Social Service Providers |
| Street Address |
250 STORKE RD STE 9 |
| City | GOLETA |
| State | CA |
| Zip Code | 93117-2969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063937647 | Cac Goleta 1, 2, Toddler Center | Counselor | 5681 Hollister Avenue, Goleta, CA 93117 | 2017-08-04 |
| 1396270302 | Jung Hsieh | Dentist | 671 Arundel Rd, Goleta, CA 93117 | 2017-04-27 |
| 1679958607 | Alexander Benitez | Physical Therapist | 5718 Hollister Ave Ste 105, Goleta, CA 93117 | 2015-07-20 |
| 1699024299 | Caitlin Ann Belter | Physical Therapist | 6030 Hollister Ave, Goleta, CA 93117 | 2012-08-29 |
| 1538434956 | Stanley Ostern | Internal Medicine | 7757 Kestrel Lane, Goleta, CA 93117 | 2012-03-19 |
| 1083901011 | John Robert Hoyer | Counselor | 162 Kingston Ave., Unit A, Goleta, CA 93117 | 2011-06-28 |
| 1104141662 | Bryan J Moore | Psychiatry & Neurology | Intouch Health / C3o Telemedicine, 7402 Hollister Avenue, Santa Barbara, CA 93117 | 2010-03-28 |
| 1467786384 | Qualtek Molecular Laboratories | Spec/Tech, Pathology | 6483 Calle Real, Suite A, Goleta, CA 93117 | 2009-09-24 |
| 1376784553 | Edelweiss Home Inc. | Assisted Living Facility | 7067 Armstrong Road, Goleta, CA 93117 | 2009-03-17 |
| 1588832307 | Kirk Concepcion | Specialist/Technologist | 7070 Marketplace Drive, Goleta, CA 93117 | 2008-02-14 |
| Find all providers in zip 93117 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780195198 | Jordan Wesley Edwards | Psychologist | 5901 Encina Rd Ste A, Goleta, CA 93117-2270 | 2017-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306690 | Eileen Kay Laughman | Psychologist | 24545 Town Center Dr Apt 5406, Valencia, CA 91355-1397 | 2020-11-08 |
| 1194324954 | Rachel Charman | Psychologist | 1001 Dove St Ste 110, Newport Beach, CA 92660-2845 | 2020-10-22 |
| 1700485760 | Melissa Ernestine Munoz | Psychologist | 353 H St # 1517, Chula Vista, CA 91910-5501 | 2020-10-21 |
| 1235737669 | Maha Nasrallah-babenko | Psychologist | 33442 Valley View Ct, Dana Point, CA 92629-1515 | 2020-10-16 |
| 1689272544 | Kaleidoscope Solutions Family Therapy | Psychologist | 25876 The Old Road, #85, Stevenson Ranch, CA 91381 | 2020-10-13 |
| 1992302814 | Sheena Gill | Psychologist | 2501 E Chapman Ave Ste 265, Fullerton, CA 92831-3108 | 2020-10-04 |
| 1255948600 | Kesha Patrice | Psychologist | 939 Ellis St, San Francisco, CA 94109-7714 | 2020-09-29 |
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1376159541 | Jill Caryn Campbell | Psychologist | 342 Ocho Rios Way, Oak Park, CA 91377-5541 | 2020-09-22 |
| 1225644487 | Brock Louis Pistel | Psychologist | 939 Ellis St Fl 67, San Francisco, CA 94109-7714 | 2020-09-22 |
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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.