BRENDAN C HICKEY (NPI# 1790074847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790074847 |
Entity Type | Individual |
Full Name | BRENDAN C HICKEY |
Practice Address |
College Medical Center- 2776 Pacific Ave Medica Staffing Office Long Beach CA 90806 |
Practice Telephone | 5629972330 |
Practice Fax Number | 5625956985 |
Mailing Telephone | 5629972330 |
Mailing Fax Number | 5625956985 |
Enumeration Date | 2011-03-29 |
Last Update Date | 2019-12-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
549249 | CA | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SSN | $$$$$$$$$ | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063799815 | Brendan Hickey | Psychologist | 1270 Kings Hwy, Lewes, DE 19958-1735 | 2011-11-08 |
Street Address |
COLLEGE MEDICAL CENTER- 2776 PACIFIC AVE MEDICA STAFFING OFFICE |
City | LONG BEACH |
State | CA |
Zip Code | 90806 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
Find all providers in zip 90806 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679124044 | Eric Osterlind | Registered Nurse | 6695 E Pacific Coast Hwy Ste 135, Long Beach, CA 90803-4235 | 2019-09-26 |
1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
1285763847 | Dere Randolph Bushey | Registered Nurse | 1437 N Studebaker Rd, Long Beach, CA 90815-4838 | 2007-03-02 |
1275623241 | Francis Earl Mullnix | Registered Nurse | 3544 Walnut Ave, Long Beach, CA 90807-4844 | 2006-10-13 |
1578185658 | Jacqueline Jines | Registered Nurse | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-05-12 |
1245864131 | John D Nguyen | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-02-28 |
1699325142 | Kyle Jame-hines Bescoby | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2019-09-17 |
1437709151 | Marietta Mantilla | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2019-09-14 |
1720637127 | Richard Justin Holmes I | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2019-09-09 |
1598314379 | Rodica Vilanela Rigney | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2019-09-05 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90806 |
Please comment or provide details below to improve the information on BRENDAN C HICKEY.
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.