DR. JACQUELINE D BROCK (NPI# 1780905000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780905000 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE D BROCK |
| Credential | LMFT |
| Practice Address |
760 N Euclid St Suite 108 Anaheim CA 92801-4133 |
| Practice Telephone | 3238935522 |
| Practice Fax Number | 3237283911 |
| Mailing Telephone | 3238935522 |
| Mailing Fax Number | 3237283911 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 47723 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295171510 | Jacqueline Brock | Counselor | 1016 Silo Ln, Anderson, SC 29625-6753 | 2013-05-14 |
| 1386019123 | Jacqueline Marie Brock | Counselor | 3106 S W S Young Dr, Suite 201-b, Killeen, TX 76542-2000 | 2015-12-04 |
| Street Address |
760 N EUCLID ST SUITE 108 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92801-4133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245251511 | Wilcox Physical Rehabilitation Center | Clinic/Center | 760 N Euclid St, Suite 105, Anaheim, CA 92801-4133 | 2006-07-22 |
| 1679990105 | Magnolia Guardamondo | Marriage & Family Therapist | 760 N Euclid St, Anaheim, CA 92801-4133 | 2014-03-21 |
| 1194847764 | Ronald Louis Zishka | Marriage & Family Therapist | 760 N Euclid St, Suite #108, Anaheim, CA 92801-4133 | 2007-04-04 |
| 1174531099 | Kristine Lynette Boyle-walker | Clinic/Center | 760 N Euclid St, Suite 105, Anaheim, CA 92801-4133 | 2006-08-04 |
| 1598788713 | Amy Louise Miller | Clinic/Center | 760 N Euclid St, Suite 105, Anaheim, CA 92801-4133 | 2006-07-26 |
| 1841211034 | Bernardina Gertruda Wilcox | Clinic/Center | 760 N Euclid St, Suite 105, Anaheim, CA 92801-4133 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178996 | Megalink Staffing Services Corp. | Non-emergency Medical Transport (VAN) | 780 N. Euclid St., Suite 207, Anaheim, CA 92801 | 2020-03-04 |
| 1669988630 | Munoz Urgent Care Inc. | Clinic/Center | 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 | 2017-12-28 |
| 1922523257 | Enrique Esparza Jr. | Peer Specialist | 501 North Brookhurst Street, Anahiem, CA 92801 | 2017-08-08 |
| 1336689405 | Lan P. Tran | Pharmacist | 2308 W Huntington Ave, Anaheim, CA 92801 | 2017-03-08 |
| 1982065447 | Giselle Magdaleno | Marriage & Family Therapist | 505 N Euclid St #300, Anaheim, CA 92801 | 2016-03-11 |
| 1346605433 | Esther Chong | Nurse Practitioner | 710 N. Euclid St., 400, Anaheim, CA 92801 | 2015-12-16 |
| 1629441183 | Caremore Health Plan | Nurse Practitioner | 1182 N. Euclid Street, Anaheim, CA 92801 | 2015-11-05 |
| 1205208451 | Uyen Diem Ngo | Pharmacist | 1188 N. Euclid St., Anaheim, CA 92801 | 2015-10-28 |
| 1962873729 | Herb and Acu | Acupuncturist | 1737 W. Romneya Dr., Anaheim, CA 92801 | 2015-10-19 |
| 1437535721 | Yessenia Alvarado | Marriage & Family Therapist | 505 N. Euclid Street, Suite 300, Anaheim, CA 92801 | 2015-08-10 |
| Find all providers in zip 92801 | ||||
| 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 |
|---|---|---|---|---|
| 1427676337 | Ezra Lim | Marriage & Family Therapist | 8870 E Garden View Dr, Anaheim, CA 92808-1677 | 2020-07-07 |
| 1396362158 | Meredith L Stanton | Marriage & Family Therapist | 5241 E Santa Ana Canyon Rd Ste 132, Anaheim, CA 92807-3744 | 2020-06-28 |
| 1962058578 | Michael Bergeron | Marriage & Family Therapist | 9941 Chanticleer Rd, Anaheim, CA 92804-5625 | 2019-08-11 |
| 1881248706 | Penelope Anne Valenzuela | Marriage & Family Therapist | 5101 E La Palma Ave Ste 100g, Anaheim, CA 92807-2056 | 2019-07-29 |
| 1598327439 | Jennifer Lucas | Marriage & Family Therapist | 160 W Center Street Promenade Unit 112, Anaheim, CA 92805-3986 | 2019-07-01 |
| 1588155998 | Judith Arlene Hails | Marriage & Family Therapist | 101 E Lincoln Ave Ste 230, Anaheim, CA 92805-3206 | 2018-05-21 |
| 1942791595 | Brenna Renae Kress | Marriage & Family Therapist | 6200 E Canyon Rim Rd Ste 212, Anaheim, CA 92807-4317 | 2018-05-18 |
| 1639627086 | Dorothy D O'neill | Marriage & Family Therapist | 6200 E Canyon Rim Rd Ste 215, Anaheim, CA 92807-4317 | 2016-09-14 |
| 1487100798 | Gary Lira | Marriage & Family Therapist | 2272 W Colchester Dr, Apt. 1, Anaheim, CA 92804-4255 | 2016-08-27 |
| 1376991349 | Deana Helmy | Marriage & Family Therapist | 2180 W Crescent Ave Ste C, Anaheim, CA 92801-3842 | 2016-05-31 |
| Find all providers in ANAHEIM | ||||
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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.