DR. ELAINE R COLLINS (NPI# 1649540352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649540352 |
| Entity Type | Individual |
| Full Name | DR. ELAINE R COLLINS |
| Credential | PH.D., LMFC |
| Practice Address |
17817 Santiago Blvd Villa Park Medical Villa Park CA 92861 |
| Mailing Address |
18340 Yorba Linda Blvd Suite 107-280 Yorba Linda CA 92886-4058 |
| Practice Telephone | 7143508634 |
| Practice Fax Number | 7147335699 |
| Mailing Telephone | 7143508634 |
| Mailing Fax Number | 7147335699 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC 48471 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518330810 | Elaine Collins | Case Manager/Care Coordinator | 119 Herriford Curve Rd, Jamestown, KY 42629 | 2015-11-09 |
| 1710256870 | Elaine Collins | Rehabilitation Practitioner | 2933 El Nido Dr, Altadena, CA 91001-4529 | 2011-12-19 |
| Street Address |
17817 SANTIAGO BLVD VILLA PARK MEDICAL |
| City | VILLA PARK |
| State | CA |
| Zip Code | 92861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518023308 | Eric Martin Sense | Chiropractor | 17817 Santiago Blvd, Villa Park, CA 92861-4133 | 2006-12-28 |
| 1902380827 | Mahsan Behnoud | Marriage & Family Therapist | 17817 Santiago Blvd, Villa Park, CA 92861-4133 | 2018-09-17 |
| 1639311285 | Jennifer Lynn Kroger | Acupuncturist | 17817 Santiago Blvd, Villa Park, CA 92861-4133 | 2009-03-28 |
| 1477718559 | Aniko F Lengyel | Nutritionist | 17817 Santiago Blvd, Villa Park, CA 92861-4133 | 2008-07-28 |
| 1215152137 | Eddie Scales | Family Medicine | 17817 Santiago Blvd, Villa Park, CA 92861-4133 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528615127 | Jospeh A Ropel | Technician | 9492 Brynmar Dr, Villa Park, CA 92861 | 2019-08-20 |
| 1982027868 | Junn Yann Chang | General Practice | 9431 Featherhill Dr., Villa Park, CA 92861 | 2014-01-28 |
| 1679830749 | Arnold Philip Deutsch | Psychiatry & Neurology | 10141 Morning Star Circle, Villa Park, CA 92861 | 2012-04-13 |
| 1558594994 | Richard Lyle Goldman | Obstetrics & Gynecology | 18892 Patrician Dr., Villa Park, CA 92861 | 2009-09-02 |
| 1871600395 | James Patrick Furcolow | Optometrist | 17829 Santiago Blvd, Villa Park, CA 92861 | 2006-08-23 |
| 1619597671 | Harry Eisenbach | Family Medicine | 9312 Smoketree Ln, Villa Park, CA 92861-1011 | 2020-04-20 |
| 1154668457 | Warren Harmon Fox | Specialist | 9681 Crestview Cir, Villa Park, CA 92861-1311 | 2013-01-08 |
| 1053654269 | Kristen Michele Fuller | Student in an Organized Health Care Education/Training Program | 9461 Featherhill Dr, Villa Park, CA 92861-2613 | 2013-04-05 |
| 1316088529 | Sam Joseph Poidmore | Dentist | 18152 Pamela Pl, Villa Park, CA 92861-2626 | 2007-02-09 |
| 1124238308 | Kathryn A. Gibbs | Family Medicine | 9811 Ryan Cir, Villa Park, CA 92861-2710 | 2007-05-23 |
| Find all providers in zip 92861 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811031453 | Leah Deboer Mitchell | Marriage & Family Therapist | 17871 Santiago Blvd Ste 202, Villa Park, CA 92861-4121 | 2007-02-16 |
| 1902380827 | Mahsan Behnoud | Marriage & Family Therapist | 17817 Santiago Blvd, Villa Park, CA 92861-4133 | 2018-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467291 | Jasmine Oganesyan | Marriage & Family Therapist | 29217 Flowerpark Dr, Santa Clarita, CA 91387-1807 | 2020-11-08 |
| 1760083463 | John Nelson | Marriage & Family Therapist | 4625 Mountain Lakes Blvd, Redding, CA 96003-1450 | 2020-11-08 |
| 1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
| 1760083679 | Heidi J Flanagan | Marriage & Family Therapist | 705 Sunrise Ave, D115, Roseville, CA 95661-6411 | 2020-11-06 |
| 1447851266 | Gloria Alice Lakin | Marriage & Family Therapist | 2720 Neilson Way # 5564, Santa Monica, CA 90405-4060 | 2020-11-06 |
| 1497356398 | Lourdes Loyola | Marriage & Family Therapist | 15720 Ventura Blvd Ste 603, Encino, CA 91436-4727 | 2020-11-06 |
| 1639770761 | Renee Lopez-delfino | Marriage & Family Therapist | 1244 Heatherstone Way, Sunnyvale, CA 94087-1537 | 2020-11-04 |
| 1346841558 | Jennifer Spiegel Aune | Marriage & Family Therapist | 810 College Ave Ste 1a, Kentfield, CA 94904-2565 | 2020-11-04 |
| 1225639495 | Bringing Medicine Culturally Competent Counseling and Indigenous | Marriage & Family Therapist | 206 Sacramento St Suite 212, Nevada, CA 95959 | 2020-11-04 |
| 1689275810 | Milestone Marriage and Family Therapy Services Professional Corporati | Marriage & Family Therapist | 10601 Civic Center Dr Ste 100a-d, Rancho Cucamonga, CA 91730-3878 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
| City | VILLA PARK |
| Zip Code | 92861 |
Please comment or provide details below to improve the information on DR. ELAINE R COLLINS.
| 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.