MITCHELL GLICK (NPI# 1588970594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588970594 |
| Entity Type | Individual |
| Full Name | MITCHELL GLICK |
| Practice Address |
10101 Slater Ave Suite 241 Fountain Valley CA 92708-4714 |
| Mailing Address |
163 Magnolia St Unit B Costa Mesa CA 92627-2823 |
| Practice Telephone | 7143782620 |
| Mailing Telephone | 3237931238 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2012-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
10101 SLATER AVE SUITE 241 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336111 | Jo Anne Golden | Psychologist | 10101 Slater Ave, Ste 237, Fountain Valley, CA 92708-4723 | 2005-06-16 |
| 1881094704 | Nwanyieze Iyalomhe | Social Worker | 10101 Slater Ave, Suite 241, Fountain Valley, CA 92708-4714 | 2014-08-28 |
| 1053750505 | Violeta Amanda Mejia | Counselor | 10101 Slater Ave, Suite 241, Fountain Valley, CA 92708-4714 | 2013-06-18 |
| 1669815460 | Rina Susan Varughese | Counselor | 10101 Slater Ave, Fountain Valley, CA 92708-4714 | 2013-04-10 |
| 1689922635 | Jennifer Allen | Social Worker | 10101 Slater Ave, #241, Fountain Valley, CA 92708-4714 | 2012-08-23 |
| 1770830226 | Hannah Rose Bauss | Psychologist | 10101 Slater Ave, Suite 241, Fountain Valley, CA 92708-4714 | 2012-08-14 |
| 1174884803 | Sarah Tran | Marriage & Family Therapist | 10101 Slater Ave, #241, Fountain Valley, CA 92708-4714 | 2012-05-29 |
| 1053692632 | Rachel J Gates | Counselor | 10101 Slater Ave, Suite 241, Fountain Valley, CA 92708-4714 | 2011-09-08 |
| 1588964969 | Karen Marie Allen | Psychologist | 10101 Slater Ave, Fountain Valley, CA 92708-4714 | 2010-11-01 |
| 1396064556 | Abdul A Nawaz | In Home Supportive Care | 10101 Slater Ave, Suite 123, Fountain Valley, CA 92708-4714 | 2010-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913410 | Jacqueline Khanhlinh Pham | Student in an Organized Health Care Education/Training Program | 10474 La Sombra Ave, Fountain Valley, CA 92708-5211 | 2020-08-17 |
| 1447871157 | Edward Tran | Student in an Organized Health Care Education/Training Program | 16831 Pine Cir, Fountain Valley, CA 92708-2238 | 2020-05-04 |
| 1568093938 | Sally Yong Corvacho | Student in an Organized Health Care Education/Training Program | 16290 Redwood St, Fountain Valley, CA 92708-1530 | 2020-02-04 |
| 1205316932 | Maria Akhnoukh | Student in an Organized Health Care Education/Training Program | 9948 Currant Ave, Fountain Valley, CA 92708-2909 | 2018-08-21 |
| 1487142667 | Madison Gomez | Student in an Organized Health Care Education/Training Program | 18558 San Felipe St, Fountain Valley, CA 92708-7119 | 2018-04-24 |
| 1477093318 | Lawrence Lin | Student in an Organized Health Care Education/Training Program | 18133 S 2nd St, Fountain Valley, CA 92708-4419 | 2017-02-25 |
| 1871039354 | Geremy Mamaclay | Student in an Organized Health Care Education/Training Program | 10469 Slater Ave Apt 206, Fountain Valley, CA 92708-7712 | 2017-01-09 |
| 1194110338 | Christopher Michael Yamamoto | Student in an Organized Health Care Education/Training Program | 9648 Rindge Cir, Fountain Valley, CA 92708-1048 | 2015-04-04 |
| 1063640290 | Angelica Thanh Nguyen | Student in an Organized Health Care Education/Training Program | 16261 Shasta St, Fountain Valley, CA 92708-1833 | 2009-06-25 |
| 1336326370 | Young Mi Choi | Student in an Organized Health Care Education/Training Program | 18460 Gifford St, Fountain Valley, CA 92708-5746 | 2008-01-22 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
Please comment or provide details below to improve the information on MITCHELL GLICK.
| 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.