MS. CAROLYN BOOSALIS FOLEY (NPI# 1598095606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598095606 |
| Entity Type | Individual |
| Full Name | MS. CAROLYN BOOSALIS FOLEY |
| Credential | PH.D. |
| Practice Address |
3102 E Highland Avenue Medical Staff Office Patton CA 92369 |
| Practice Telephone | 9094257000 |
| Practice Fax Number | 9092524055 |
| Mailing Telephone | 9094257000 |
| Mailing Fax Number | 9092524055 |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY31282 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992099170 | Carolyn Elizabeth Foley | Speech-Language Pathologist | 13043 Buttercup Ct, Homer Glen, IL 60491-9030 | 2011-06-05 |
| 1306286000 | Carolyn Berger Foley | Anesthesiology | 3181 Sw Sam Jackson Park Rd, Ohsu, Portland, OR 97239-3011 | 2013-06-27 |
| Street Address |
3102 E HIGHLAND AVENUE MEDICAL STAFF OFFICE |
| City | PATTON |
| State | CA |
| Zip Code | 92369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739655 | Miriam Irvin | Social Worker | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2018-02-12 |
| 1306383393 | Kasmira J Sobkow | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-01-27 |
| 1962954040 | Michael Ehlers | Social Worker | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2016-10-25 |
| 1831645837 | Anthony Ortega | Social Worker | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2016-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023255478 | Crystal Mueller | Psychologist | 3102 E. Highland Ave., Patton State Hospital, Patton, CA 92369 | 2009-01-07 |
| 1487698304 | Nitin Kulkarni | Psychiatry & Neurology | 3102. E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2006-06-15 |
| 1174562680 | Flavia Jorge | Psychologist | 3102 E.highland Avenue, Patton, CA 92369 | 2006-06-06 |
| 1326090127 | Mendel Jonathan Feldsher | Psychiatry & Neurology | 3102 East Highland Avenue, Patton, CA 92369 | 2006-05-17 |
| 1124070560 | Liana Niculina Tanase | Psychiatry & Neurology | 3102 E. Highland Ave, Medical Staff Office, Patton, CA 92369 | 2006-05-16 |
| 1518919802 | Manuel B Desagun | Psychiatry & Neurology | 3102 East Highway Ave, Patton, CA 92369 | 2006-05-16 |
| 1225080633 | John I Benson | Psychiatry & Neurology | 3102 East Highland Ave, Patton, CA 92369 | 2006-05-16 |
| 1295735298 | Bruce L Karp | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2005-08-01 |
| 1689185753 | Lorenzo Valdez | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-10-17 |
| 1356868210 | Cheri-lyn Kaye Fahlgren Romero | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-08-23 |
| Find all providers in zip 92369 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735298 | Bruce L Karp | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2005-08-01 |
| 1306383393 | Kasmira J Sobkow | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-01-27 |
| 1619336302 | Melissa Ann Jajko | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2016-02-23 |
| 1598135857 | Adrianne Valda Nelson | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2015-09-30 |
| 1376974113 | Parnian M Toofanian Ross | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2013-12-04 |
| 1194161679 | Piyonik Hartounian | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2013-05-10 |
| 1598025165 | Loren Carrillo King | Psychologist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-05-16 |
| 1760750111 | Elba I Campos | Psychologist | 3102 East Highland Avenue, Patton, CA 92369 | 2011-12-13 |
| 1730462664 | Marla D Berry | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2011-09-27 |
| 1720361926 | Jennifer Marie Utley Buensuceso | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2011-09-23 |
| Find all providers in PATTON | ||||
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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.