EARL LEBOW (NPI# 1881779627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881779627 |
| Entity Type | Individual |
| Full Name | EARL LEBOW |
| Credential | PH.D. |
| Practice Address |
3121 Park Ave Suite I Soquel CA 95073 |
| Mailing Address |
3121 Park Ave Ste I Soquel CA 95073-2956 |
| Practice Telephone | 8314772847 |
| Practice Fax Number | 8314772847 |
| Mailing Telephone | 8314772847 |
| Mailing Fax Number | 8314772847 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY10141 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3121 PARK AVE SUITE I |
| City | SOQUEL |
| State | CA |
| Zip Code | 95073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194708040 | Anne Bridget Howard | Physical Therapist | 3121 Park Ave, Suite K, Soquel, CA 95073-2920 | 2005-11-23 |
| 1679937924 | Suhas G Kshirsagar | Health Educator | 3121 Park Ave, Ste D, Soquel, CA 95073-2920 | 2016-04-12 |
| 1629494521 | Debra Jill Houston | Marriage & Family Therapist | 3121 Park Ave, Suite K, Soquel, CA 95073 | 2014-03-16 |
| 1134552425 | Randolph F Brock | Psychologist | 3121 Park Ave, Suite I, Soquel, CA 95073-2920 | 2013-08-09 |
| 1710237920 | Qualium Corp | Clinic/Center | 3121 Park Ave, Suite C, Soquel, CA 95073-2920 | 2012-09-14 |
| 1942481312 | Jean Anne Doverspike | Marriage & Family Therapist | 3121 Park Ave, Suite I, Soquel, CA 95073-2920 | 2007-11-14 |
| 1548395692 | Lisa Lin | Acupuncturist | 3121 Park Ave, Ste J, Soquel, CA 95073-2920 | 2007-02-22 |
| 1770629719 | Carol Feinfield Berman | Social Worker | 3121 Park Ave, Suite I, Soquel, CA 95073-2956 | 2007-01-29 |
| 1114952629 | Peter Thibodeau | Chiropractor | 3121 Park Ave, B, Soquel, CA 95073-2920 | 2006-07-12 |
| 1235163411 | Aneita Sharples Radov | Marriage & Family Therapist | 3121 Park Ave, Suite I, Soquel, CA 95073-2920 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083963938 | Camille Ditter | Social Worker | 281 Paradise Lane, Soquel, CA 95073 | 2012-09-06 |
| 1811212640 | Rebecca C Hughes | Registered Nurse | 3622 Pringle Lane, Soquel, CA 95073 | 2010-04-05 |
| 1144450966 | Victoria Eagle | Counselor | 2425 Porter Street, #7, Soquel, CA 95073 | 2009-07-15 |
| 1184879405 | Mark Kevin Kalemos | Social Worker | 5905 Soquel Dr #300, Soquel, CA 95073 | 2008-12-01 |
| 1710144845 | Pauline Irene Fillion | Marriage & Family Therapist | 5905 Soquel Dr., Ste 200, Soquel, CA 95073 | 2008-05-16 |
| 1750508362 | Vickie Assunto | Marriage & Family Therapist | 2805 Porter St., Soquel, CA 95073 | 2007-04-18 |
| 1245356286 | Judy Gonzalez | Counselor | 2715 Porter Street, Soquel, CA 95073 | 2007-03-21 |
| 1942330550 | Jasmine Debra Berke | Acupuncturist | 2425 Porter Street, Soquel, CA 95073 | 2007-03-06 |
| 1275690802 | Andrea Beth Wachter | Marriage & Family Therapist | 5905 Soquel Dr 650, Soquel, CA 95073 | 2007-01-02 |
| 1194886606 | Shirley Laden Marcus | Marriage & Family Therapist | 5905 Soquel Drive, Suite 250, Soquel, CA 95073 | 2006-12-12 |
| Find all providers in zip 95073 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417122128 | Leah Louanne Ellison Cole | Psychologist | 5905 Soquel Dr, 600, Soquel, CA 95073-2855 | 2008-04-23 |
| 1578762407 | Amy Irene Gregg | Psychologist | 5905 Soquel Dr, Ste 500, Soquel, CA 95073-2855 | 2007-07-11 |
| 1447457924 | Nancy Krogseng-adams | Psychologist | 5905 Soquel Dr Ste 250, Soquel, CA 95073-2860 | 2007-06-28 |
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| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
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| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
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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.