PSYCARE INC (NPI# 1811927106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811927106 |
| Entity Type | Organization |
| Organization Name | PSYCARE INC |
| Practice Address |
4550 Kearny Villa Rd Suite 116 San Diego CA 92123-1578 |
| Practice Telephone | 8582791223 |
| Practice Fax Number | 8584677161 |
| Mailing Telephone | 8582791223 |
| Mailing Fax Number | 8584677161 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-05-14 |
| Authorized Official Name | MR. ROSBEN GUTIERREZ (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8582791223 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2462 | CA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
028385-06 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE | W13604 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851890842 | Psycare Inc | Community/Behavioral Health | 15303 State Rout 170, East Liverpool, OH 43920 | 2018-02-06 |
| 1336317262 | Psycare Inc | Psychiatry & Neurology | 26 Nesbett Rd, Ste 110, New Castle, PA 16105 | 2008-02-13 |
| 1518098334 | Psycare Inc | Counselor | 136 Westchester Drive, Suite 5, Austintown, OH 44515 | 2007-03-07 |
| 1023338605 | Psycare Inc | Counselor | 107 Javit Ct Ste B, Austintown, OH 44515-2442 | 2010-06-07 |
| 1689992935 | Psycare Inc | Community/Behavioral Health | 107 Javit Ct, Austintown, OH 44515-2442 | 2010-05-12 |
| 1083888796 | Psycare Inc | Counselor | 15549 State Route 170, Suite 10, East Liverpool, OH 43920-9216 | 2008-04-15 |
| 1649457359 | Psycare Inc | Social Worker | 26 Nesbitt Rd, Ste 110, New Castle, PA 16105-3410 | 2008-01-24 |
| 1447444864 | Psycare Inc | Social Worker | 26 Nesbitt Rd, Ste 110, New Castle, PA 16105-3410 | 2007-08-29 |
| 1932312543 | Psycare Inc | Registered Nurse | 15303 St. Rt 170, East Liverpool, OH 43920-9216 | 2007-05-08 |
| 1144433459 | Psycare Inc | Social Worker | 312 6th Ave Ste 2, South Charleston, WV 25303-1265 | 2007-05-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PSYCARE INC | 2980 Belmont Ave, Youngstown, OH 44505-1834 |
| Street Address |
4550 KEARNY VILLA RD SUITE 116 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478400 | Nicodemus J. Garcia | Psychiatry & Neurology | 4550 Kearny Villa Rd, Ste. 116, San Diego, CA 92123-1578 | 2005-06-27 |
| 1194129338 | Carol W. Fowler | Social Worker | 4550 Kearny Villa Rd, San Diego, CA 92123-1578 | 2014-10-17 |
| 1487077228 | Jill Baumgartner | Social Worker | 4550 Kearny Villa Rd, San Diego, CA 92123-1578 | 2014-01-30 |
| 1932459351 | Lindsay I Simon | Marriage & Family Therapist | 4550 Kearny Villa Rd, Ste 116, San Diego, CA 92123-1578 | 2012-09-12 |
| 1952651507 | Cecilia Duenas | Psychologist | 4550 Kearny Villa Rd, Ste 116, San Diego, CA 92123-1578 | 2012-09-11 |
| 1528344033 | Holly Partyka Doolittle | Social Worker | 4550 Kearny Villa Rd, Suite #116, San Diego, CA 92123-1578 | 2011-10-28 |
| 1013239730 | Heather Lee St Jean-garcia | Marriage & Family Therapist | 4550 Kearny Villa Rd, Suite 116, San Diego, CA 92123-1578 | 2010-02-22 |
| 1841438413 | Richard L Buccigross Md A Medical Corporation | Psychiatry & Neurology | 4550 Kearny Villa Rd, Suite 214, San Diego, CA 92123-1578 | 2009-02-04 |
| 1871731109 | Grossman Psychological Associates | Psychologist | 4550 Kearny Villa Rd, Ste 214, San Diego, CA 92123-1578 | 2009-01-23 |
| 1184860603 | Alistair Owen Barron | Psychiatry & Neurology | 4550 Kearny Villa Rd, Suite 116, San Diego, CA 92123-1578 | 2009-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1558974378 | Monica Dixon | Counselor | 4930 Naples St Fl 1, San Diego, CA 92110-3820 | 2020-08-31 |
| 1952911612 | Shannon Kathleen Nolte | Counselor | 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 | 2020-08-06 |
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1487279493 | Christi Susan Leyva | Counselor | 10417 Crosscreek Ter, San Diego, CA 92131-1344 | 2020-06-15 |
| 1285256099 | Jehna Barnes | Counselor | 3636 Camino Del Rio N, San Diego, CA 92108-1703 | 2020-05-14 |
| 1457973455 | Cassandra Detgen | Counselor | 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 | 2020-05-12 |
| 1972131589 | Douglas Baker Marriage and Family Therapy, Inc. | Counselor | 2911 Adams Ave # 5, San Diego, CA 92116-1509 | 2020-03-30 |
| 1255966859 | Job Brunat | Counselor | 4169 38th St Apt 10, San Diego, CA 92105-1367 | 2020-03-04 |
| Find all providers in SAN DIEGO | ||||
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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.