INTEGRATED SELF IMAGE SYSTEMS, INC. (NPI# 1881732949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881732949 |
| Entity Type | Organization |
| Organization Name | INTEGRATED SELF IMAGE SYSTEMS, INC. |
| Practice Address |
9255 Towne Centre Dr Ste 370 San Diego CA 92121-3033 |
| Practice Telephone | 8584503210 |
| Practice Fax Number | 8584589767 |
| Mailing Telephone | 8584503210 |
| Mailing Fax Number | 8584589767 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SUSAN KAY WARD (LCSW) |
| Authorized Official Telephone | 8584503210 |
| Authorized Official Credential | MA, MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCS13789 | CA | Behavioral Health & Social Service Providers |
| Street Address |
9255 TOWNE CENTRE DR STE 370 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215924014 | Christopher Gerald Carstens | Psychologist | 9255 Towne Centre Dr, Suite 875, San Diego, CA 92121-3033 | 2005-10-05 |
| 1629272984 | Evelyn Anne De Villiers | Psychologist | 9255 Towne Centre Dr, Suite 875, San Diego, CA 92121-3033 | 2007-06-12 |
| 1790823854 | Susan Kay Ward | Counselor | 9255 Towne Centre Dr, Ste.370, San Diego, CA 92121-3033 | 2007-02-01 |
| 1336215102 | Lawrence Todd Woodburn | Psychologist | 9255 Towne Centre Dr, Suite 370, San Diego, CA 92121-3033 | 2006-11-25 |
| 1346329752 | Christine Saroian | Psychiatry & Neurology | 9255 Towne Centre Dr, Suite 875, San Diego, CA 92121-3033 | 2006-11-04 |
| 1942385992 | Richard Scott Rhodes | Psychologist | 9255 Towne Centre Dr, Suite 370, San Diego, CA 92121-3033 | 2006-10-26 |
| 1437184975 | Bryan Edward Bruns | Psychiatry & Neurology | 9255 Towne Centre Dr, Suite 370, San Diego, CA 92121-3033 | 2006-07-12 |
| 1427083963 | Bryan E Bruns Md A Medical Corp | Psychiatry & Neurology | 9255 Towne Centre Dr, Suite 370, San Diego, CA 92121-3033 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| 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.