JENNIFER A MCCORMICK (NPI# 1710162672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710162672 |
| Entity Type | Individual |
| Full Name | JENNIFER A MCCORMICK |
| Credential | MA |
| Practice Address |
15611 Pomerado Rd Ste 535 Poway CA 92064-2437 |
| Mailing Address |
4550 Kearny Villa Rd Suite 116 San Diego CA 92123-1578 |
| Practice Telephone | 8582726100 |
| Mailing Telephone | 8582791223 |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2014-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC48233 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700322377 | Jennifer Lynne Mccormick | Behavioral Analyst | 1163 Old Colony Rd Unit 6, Wallingford, CT 06492-1783 | 2017-01-06 |
| 1144467622 | Jennifer M Mccormick | Occupational Therapist | 24689 Kings Canyon Sq, Stone Ridge, VA 20105-2988 | 2009-01-20 |
| 1669423323 | Jennifer Jane Mccormick | Physician Assistant | 300 N Commercial St, Suite 200, Neenah, WI 54956-2619 | 2006-05-15 |
| 1497299887 | Jennifer Mccormick | Student in an Organized Health Care Education/Training Program | 1601 N Goldenrod Rd, Orlando, FL 32807-8308 | 2016-12-05 |
| 1801248901 | Jennifer Mccormick | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2016-07-13 |
| 1790139582 | Jennifer Mccormick | Speech-Language Pathologist | 3890 Woodridge Dr, The Villages, FL 32162-7186 | 2016-04-18 |
| 1386028298 | Jennifer Mccormick | Social Worker | 22 Harrison St, Suite 101, Johnson City, NY 13790-2142 | 2015-07-10 |
| 1033235429 | Jennifer Mccormick | Occupational Therapist | 1361 Route 72 W, Manahawkin, NJ 08050-2417 | 2007-03-21 |
| 1821162819 | Jennifer Ruth Mccormick | Counselor | 1959 Ne Pacific St, Box 356125, Seattle, WA 98195-0001 | 2006-11-20 |
| 1548272685 | Jennifer Mccormick | Obstetrics & Gynecology | 165 E Plank Rd, Sycamore, IL 60178-8757 | 2006-08-13 |
| Street Address |
15611 POMERADO RD STE 535 |
| City | POWAY |
| State | CA |
| Zip Code | 92064-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021969 | Daniel F Mulvihill | Internal Medicine | 15611 Pomerado Rd, Suite 580, Poway, CA 92064-2437 | 2005-05-24 |
| 1013462852 | Anapatricia Najera-higareda | Nurse Practitioner | 15611 Pomerado Rd, Poway, CA 92064-2437 | 2016-08-22 |
| 1346603024 | Ioanna Vouloumanou | Acupuncturist | 15611 Pomerado Rd, Poway, CA 92064-2437 | 2016-03-31 |
| 1922473701 | Janine Ludwig | Chiropractor | 15611 Pomerado Rd, Ste 100s, Poway, CA 92064-2437 | 2015-12-05 |
| 1396110318 | Jane Lillian Kroese | Nurse Practitioner | 15611 Pomerado Rd, Poway, CA 92064-2437 | 2015-12-02 |
| 1407258395 | San Diego Endocrinology Associates, PC | Internal Medicine | 15611 Pomerado Rd, 525, Poway, CA 92064-2437 | 2014-09-22 |
| 1740607274 | Jessica Mlakar | Acupuncturist | 15611 Pomerado Rd, Suite 100 South, Poway, CA 92064-2437 | 2014-03-21 |
| 1962844233 | Christina Marie Nakanishi | Social Worker | 15611 Pomerado Rd, Suite 535, Poway, CA 92064-2437 | 2013-07-26 |
| 1306280672 | North County Geriatrics | Internal Medicine | 15611 Pomerado Rd, Suite 575, Poway, CA 92064-2437 | 2013-04-17 |
| 1053659995 | Pain Allevia Medical Corporation | Pain Medicine | 15611 Pomerado Rd, Suite 525, Poway, CA 92064-2437 | 2013-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| 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 |
|---|---|---|---|---|
| 1073078283 | Thrive At Home | Marriage & Family Therapist | 12975 Brookprinter Pl Ste 140, Poway, CA 92064-8894 | 2019-02-01 |
| 1629486048 | Kimberly Badt | Marriage & Family Therapist | 12316 Oak Knoll Road, Suite B, Poway, CA 92064 | 2014-07-29 |
| 1073940888 | Jessica Wallace | Marriage & Family Therapist | 15611 Pomerado Rd Ste 535, Poway, CA 92064-2437 | 2013-10-11 |
| 1689912172 | Mark Wery | Marriage & Family Therapist | 14203 Midland Rd, Poway, CA 92064-3405 | 2013-01-18 |
| 1093051260 | Michelle Becker | Marriage & Family Therapist | 15525 Pomerado Rd Ste C7, Poway, CA 92064-2426 | 2012-12-17 |
| 1023363819 | Theresa Huang | Marriage & Family Therapist | 12630 Monte Vista Rd Ste 202, Poway, CA 92064-2527 | 2012-07-17 |
| 1306120027 | Face 2 Face Therapy Services | Marriage & Family Therapist | 13625 Adrian St, Poway, CA 92064-3969 | 2011-09-29 |
| 1043538770 | Jadelyn Thanh Wang | Marriage & Family Therapist | 15525 Pomerado Rd Ste B3, Poway, CA 92064-2425 | 2010-05-05 |
| 1669627303 | Helen Margo Roxborough | Marriage & Family Therapist | 12360 Monte Vista Road, Suite 202, Poway, CA 92064 | 2008-11-21 |
| 1770616005 | Jeanine F Sachs | Marriage & Family Therapist | 13625 Adrian St., Poway, CA 92064 | 2007-03-14 |
| Find all providers in POWAY | ||||
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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.