PROVIA PSYCHOLOGY, INC. (NPI# 1932718350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932718350 |
| Entity Type | Organization |
| Organization Name | PROVIA PSYCHOLOGY, INC. |
| Practice Address |
2530 Atlantic Ave Ste A Long Beach CA 90806-2741 |
| Practice Telephone | 9495006475 |
| Mailing Telephone | 9495006475 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | STACIA E DEIRO (PRESIDENT) |
| Authorized Official Telephone | 9495006475 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
2530 ATLANTIC AVE STE A |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992935639 | Port Medical Associate Inc | General Practice | 2530 Atlantic Ave Ste A, Long Beach, CA 90806-2741 | 2009-07-15 |
| 1760862643 | Stacia Deiro | Counselor | 2530 Atlantic Ave Ste A, Long Beach, CA 90806 | 2015-06-04 |
| 1164852380 | Lucas Chiropractic | Chiropractor | 2530 Atlantic Ave Ste A, Long Beach, CA 90806-2741 | 2013-11-25 |
| 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 | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275147316 | Molly Tucker | Psychologist | 536 Linden Ave Apt 403, Long Beach, CA 90802-2448 | 2020-09-05 |
| 1689158719 | Elizabeth Anne Mulherron | Psychologist | 1439 Cedar Ave Apt 1, Long Beach, CA 90813-1731 | 2018-09-25 |
| 1861893141 | Juliana Larossa-dzerens | Psychologist | 60 Franklin Blvd, Unit A, Long Beach, NY 11561-4530 | 2014-09-05 |
| 1457783862 | Gretchen Louise Sholty | Psychologist | 5901 E. 7th St (06/116b), Long Beach, CA 90822 | 2013-08-08 |
| 1366749699 | Jennifer Lee Rousch | Psychologist | 5500 E Atherton St Ste 310, Long Beach, CA 90815-4022 | 2011-02-23 |
| 1487985396 | Stephanie Jacobs | Psychologist | 1140 E Ocean Blvd Unit 124, Long Beach, CA 90802 | 2010-01-18 |
| 1710155171 | Mark H Michaels | Psychologist | 110 Pine Ave., #1070, Long Beach, CA 90802 | 2008-02-19 |
| 1689850927 | Vonda Loretta Pelto | Psychologist | 3310 El Dorado Dr, Long Beach, CA 90808 | 2008-01-17 |
| 1972797660 | Lateefh Wielenga | Psychologist | 3531 Julian Ave, Long Beach, CA 90808-3111 | 2007-09-05 |
| 1578765020 | Leah Sharon Levenson | Psychologist | 6120 Beatline Rd, Long Beach, MS 39560-2509 | 2007-06-05 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.