DR. FREDRICA JILL GOVER (NPI# 1669496899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669496899 |
| Entity Type | Individual |
| Full Name | DR. FREDRICA JILL GOVER |
| Credential | PH.D. |
| Practice Address |
611 S Palm Canyon Dr Suite 201 Palm Springs CA 92264-7213 |
| Mailing Address |
1835 N. Via Miraleste #1618 Palm Springs CA 92262 |
| Practice Telephone | 7604167899 |
| Practice Fax Number | 7604167786 |
| Mailing Telephone | 7608329631 |
| Mailing Fax Number | 7608329631 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY13880 | CA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 13880 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70034F | 05 |
| Street Address |
611 S PALM CANYON DR SUITE 201 |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92264-7213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508298803 | The Lgbt Community Center of The Desert | Community/Behavioral Health | 611 S Palm Canyon Dr, Suite 201, Palm Springs, CA 92264-7213 | 2013-08-08 |
| 1073747994 | Palms Medical Clinic | Surgery | 611 S Palm Canyon Dr, Suite 7464, Palm Springs, CA 92264-7453 | 2009-05-06 |
| 1740360304 | Robin Bernal Brooks | Social Worker | 611 S Palm Canyon Dr, #7-328, Palm Springs, CA 92264-7213 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928679 | Carina Lopez | Technician, Other | 3065 E Ramon Rd, Palm Springs, CA 92264 | 2020-10-07 |
| 1538727466 | Sina Khanbabakhani | Dentist | 555 South Sunrise Way, Palm Springs, CA 92264 | 2019-06-05 |
| 1265971162 | Mark Jordan Agresor | Assisted Living Facility | 4425 Camino Parocela, Palm Springs, CA 92264 | 2017-02-13 |
| 1609329002 | Jeffrey Idica | Naturopath | 1775 E Palm Canyon Dr Ste 310, Palm Springs, CA 92264 | 2016-08-02 |
| 1609240605 | Brandon Hagar | Technician, Other | 3025 E Escoba Dr Apt 236, Palm Springs, CA 92264 | 2015-11-14 |
| 1861618852 | Jin Woo | Acupuncturist | 1001 S Palm Canyon Dr, Suite 105, Palm Springs, CA 92264 | 2007-04-18 |
| 1629114269 | Andrew Petras | Optometrist | 148 Eastlake Dr, Palm Springs, CA 92264 | 2007-01-30 |
| 1952453375 | Gina D Davis | Chiropractor | 4050 Airport Center Drive, Suite G, Palm Springs, CA 92264 | 2007-01-17 |
| 1548328834 | Michael R Gurk Ms Pt Apc | Physical Therapist | 1001 S Palm Canyon Drive, Ste 111, Palm Springs, CA 92264 | 2006-12-05 |
| 1750399747 | Lee Un A Professional Dental Corp | Dentist | 471 E Tahquitz Cyn Way #221, Palm Springs, CA 92264 | 2006-08-04 |
| Find all providers in zip 92264 | ||||
| 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 |
|---|---|---|---|---|
| 1437714540 | Simone Ravicz | Psychologist | 565 S La Mirada Rd, Palm Springs, CA 92264-7314 | 2019-05-03 |
| 1821444985 | Alan Michael Rooney | Psychologist | 723 Summit Drive, Palm Springs, CA 92262 | 2016-05-09 |
| 1316378052 | Elizabeth Ann Jaquay | Psychologist | 11 Araby St, Palm Springs, CA 92264-9083 | 2013-12-05 |
| 1568686855 | Irwin Savodnik, M.d. & Medical Associates, Inc. | Psychologist | 555tachevah Dr. Bldg. 1 W #105, Palm Springs, CA 92262 | 2007-04-11 |
| 1356367403 | Josh Haskett | Psychologist | 2210 E Mcmanus Dr, Box 522, Palm Springs, CA 92262-6529 | 2006-07-14 |
| 1134194921 | Gail Ariel Hromadko | Psychologist | 500 South Palm Canyon Drive, Ste 203, Palm Springs, CA 92264 | 2006-02-23 |
| 1184695546 | Patricia Diane Craine | Psychologist | 2150 Tahquitz Way, Suite 3, Palm Springs, CA 92262 | 2006-02-01 |
| 1003294901 | Marybeth Carter Phd, Psychologist A Professional Corporation | Psychologist | 2150 E Tahquitz Canyon Way, Suite 7, Palm Springs, CA 92262-7045 | 2015-05-12 |
| 1235527599 | Rokhand Soltani | Psychologist | 1301 North Palm Canyon Drive, 3rd Floor, Palm Springs, CA 92262-4405 | 2015-01-08 |
| 1912254954 | Specialized Psychology Solutions | Psychologist | 3605 E Ramon Rd, Palm Springs, CA 92264-1150 | 2012-08-09 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 92264 |
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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.