MEDICAL PSYCHOLOGY SERVICES, INC. (NPI# 1740510809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740510809 |
| Entity Type | Organization |
| Organization Name | MEDICAL PSYCHOLOGY SERVICES, INC. |
| Practice Address |
820 Bay Ave Suite 248 Capitola CA 95010-2140 |
| Practice Telephone | 8316211150 |
| Practice Fax Number | 8316211154 |
| Mailing Telephone | 8316211150 |
| Mailing Fax Number | 8316211154 |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |
| Authorized Official Name | GITTY K DASHTBAN (PRESIDENT) |
| Authorized Official Telephone | 8316211150 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0004X |
Psychologist Specialization: Health |
PSY22256 | CA | Behavioral Health & Social Service Providers |
| Street Address |
820 BAY AVE SUITE 248 |
| City | CAPITOLA |
| State | CA |
| Zip Code | 95010-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518992270 | John William Visher | Psychologist | 820 Bay Ave, #208 B, Capitola, CA 95010 | 2006-07-11 |
| 1548699853 | Licia Ginne | Marriage & Family Therapist | 820 Bay Ave, Suite 205, Capitola, CA 95010-2140 | 2013-11-06 |
| 1679705297 | Sybil Rose Kline | Psychologist | 820 Bay Ave, Suite 204c, Capitola, CA 95010-2140 | 2009-08-14 |
| 1811136252 | Gitty Katie Dashtban | Psychologist | 820 Bay Ave, Ste 248, Capitola, CA 95010-2140 | 2009-02-09 |
| 1942463823 | Speechrighter, Inc. | Occupational Therapist | 820 Bay Ave, Suite 212, Capitola, CA 95010 | 2008-07-09 |
| 1053587907 | Patrice Mullen Keet | Counselor | 820 Bay Ave, Suite 205, Capitola, CA 95010-2140 | 2008-05-01 |
| 1043496458 | Bette Kaiser | Marriage & Family Therapist | 820 Bay Ave, Suite 205, Capitola, CA 95010-2140 | 2008-01-15 |
| 1043495294 | Raymond Louis Ledoux | Counselor | 820 Bay Ave, Suite 203b, Capitola, CA 95010-2140 | 2008-01-07 |
| 1780864694 | Michael Arthur Siegel | Physical Therapist | 820 Bay Ave, Suite 204-c, Capitola, CA 95010-2172 | 2007-11-08 |
| 1689891533 | Elizabeth A. Bennett | Marriage & Family Therapist | 820 Bay Ave, Suite 208, Capitola, CA 95010-2140 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609436641 | Suzanne Lerner | Psychologist | 720a Capitola Ave, Capitola, CA 95010 | 2019-06-20 |
| 1801351317 | Michael Stephen Quinn | Chiropractor | 720 A- Capitola Ave, Capitola, CA 95010 | 2019-02-08 |
| 1053885194 | Health In Mind P.C. | Psychiatry & Neurology | 610 Capitola Ave, Capitola, CA 95010 | 2019-01-11 |
| 1427547355 | Jerry Wallace Fulford | Massage Therapist | 4170 Gross Rd. Extension, Suite 6, Capitola, CA 95010 | 2018-05-07 |
| 1457730293 | Cpap Experts LLC | Durable Medical Equipment & Medical Supplies | 820 Bay Ave #203a, Capitola, CA 95010 | 2015-05-26 |
| 1972904241 | Molly Chaudoir | Acupuncturist | 4170 Gross Rd. Ext., Suite 6, Santa Cruz, CA 95010 | 2014-09-05 |
| 1245598374 | Stan C Wolken | Dentist | 4770 Capitola Rd, Capitola, CA 95010 | 2012-04-26 |
| 1104103399 | Jacinda Ann Maurer | Registered Nurse | 4725 Grace Street, Apt. 1, Capitola, CA 95010 | 2011-11-16 |
| 1508043225 | Brian J. Schabel, Dds, Ms & Vivian H. Chan, Dds, Ms, Inc. | Dentist | 1830 41st Ave., Capitola, CA 95010 | 2008-01-24 |
| 1609066679 | Sandra Polakoff | Marriage & Family Therapist | 519 Capitola Avenue, Suite B, Capitola, CA 95010 | 2007-07-26 |
| Find all providers in zip 95010 | ||||
| Taxonomy Code | 103TH0004X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health |
| The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care. |
| Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432004 | Hannah N Krueger | Psychologist | 1530 East Chevy Chase Drive, Suite #204, Glendale, CA 91206-4139 | 2020-09-17 |
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1801453758 | Hathaway Sycamores Child and Family Services | Psychologist | 13233 Eustace St., Pacoima, CA 91331 | 2019-05-28 |
| 1003319104 | Veronica Regueiro | Psychologist | 1499 S Tippecanoe Ave Bldg A, San Bernardino, CA 92408-2920 | 2018-03-14 |
| 1457878803 | Gabriele Goodman | Psychologist | 43 Quail Ct Ste 111, Walnut Creek, CA 94596-5546 | 2017-08-26 |
| 1619420858 | Michael Surban | Psychologist | 2272 Pacific Ave # A, Long Beach, CA 90806-4312 | 2016-07-24 |
| 1851788962 | Danielle D. Weisman | Psychologist | 9335 Airway Rd Ste 202, San Diego, CA 92154 | 2015-04-16 |
| 1720414014 | William Howard Polonsky | Psychologist | 5405 Oberlin Dr, Suite 100, San Diego, CA 92121-1700 | 2013-09-19 |
| 1457786170 | Tikesha Leslie-jones | Psychologist | 2811 W California Ave, Fresno, CA 93706-2307 | 2013-09-12 |
| 1093156630 | Neuropsychologyca | Psychologist | 9663 Santa Monica Blvd # 1058, Beverly Hills, CA 90210-4303 | 2013-07-11 |
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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.