SANDRA JORGENSEN (NPI# 1972592020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972592020 |
| Entity Type | Individual |
| Full Name | SANDRA JORGENSEN |
| Practice Address |
25411 Cabot Rd Suite 107 Laguna Hills CA 92653-5520 |
| Mailing Address |
96 Siena Laguna Niguel CA 92677-8628 |
| Practice Telephone | 9497702258 |
| Mailing Telephone | 9494953553 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY15011 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366468811 | Sandra Jorgensen | Nurse Practitioner | 16313 Lake Ave, Lakewood, OH 44107-1250 | 2006-07-15 |
| 1366646994 | Sandra Min Lit Jorgensen | Dietitian, Registered | 1850 S Azusa Ave, Suite 112, Hacienda Heights, CA 91745-6813 | 2007-06-14 |
| Street Address |
25411 CABOT RD SUITE 107 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-5520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881234540 | Leonel Martinez | Behavior Technician | 25411 Cabot Rd, Laguna Hills, CA 92653-5520 | 2020-01-10 |
| 1265679237 | Sylvia B. Lane | Social Worker | 25411 Cabot Rd, Suite 107, Laguna Hills, CA 92653-5520 | 2009-01-13 |
| 1144466384 | Kelly Portnoff, M.d., Inc. | Internal Medicine | 25411 Cabot Rd, Suite 109, Laguna Hills, CA 92653-5520 | 2008-12-17 |
| 1124200084 | Sandra M. Klonsky | Marriage & Family Therapist | 25411 Cabot Rd, Suite 107, Laguna Hills, CA 92653-5520 | 2007-12-03 |
| 1720268980 | Vitaliy Shaulov, Md, Inc | Marriage & Family Therapist | 25411 Cabot Rd, Suite 116, Laguna Hills, CA 92653-5520 | 2007-11-05 |
| 1295818565 | Gary L. Sugarman,m.d.,inc. | Clinic/Center | 25411 Cabot Rd, Suite 105, Laguna Hills, CA 92653-5520 | 2006-10-23 |
| 1942383203 | Gary Louis Sugarman | Internal Medicine | 25411 Cabot Rd, Suite 105, Laguna Hills, CA 92653-5520 | 2006-10-23 |
| 1902999576 | Schahrokh Fatehi | Dentist | 25411 Cabot Rd, Suite #108, Laguna Hills, CA 92653-5520 | 2006-10-02 |
| 1801987037 | Arthritis Center of Southern Orange County | Specialist | 25411 Cabot Rd, Suite 112, Laguna Hills, CA 92653-5520 | 2006-09-26 |
| 1629179536 | Mark Jason | Specialist | 25411 Cabot Rd, Suite 112, Laguna Hills, CA 92653-5520 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| 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 |
|---|---|---|---|---|
| 1225696008 | Wel-mor Psychology Group, Inc | Psychologist | 25401 Cabot Rd Ste 212, Laguna Hills, CA 92653-5514 | 2019-06-05 |
| 1033692652 | Harpreet Malla | Psychologist | 23461 S Pointe Dr Ste 100, Laguna Hills, CA 92653-1523 | 2018-09-10 |
| 1386983708 | Justin Christopher Lutz | Psychologist | 63 Carriage Hill Ln, Laguna Hills, CA 92653-6039 | 2013-02-05 |
| 1073767554 | Susan L. Potts | Psychologist | 23177 La Cadena Dr Ste 103, Laguna Hills, CA 92653-1428 | 2008-11-10 |
| 1740333749 | Jean Dzierzynski | Psychologist | 23181 La Cadena Dr, Suite 103, Laguna Hills, CA 92653-1479 | 2007-01-21 |
| 1689725459 | Sheila Ann Church | Psychologist | 234 50th S Pointe, #190, Laguna Hills, CA 92653 | 2007-01-16 |
| 1417005570 | Linda Marie Grossman | Psychologist | 25255 Cabot Rd Ste 210, Laguna Hills, CA 92653-5508 | 2007-01-08 |
| 1679644041 | Rose Bazakas | Psychologist | 23151 Moulton Pkwy, Laguna Hills, CA 92653 | 2006-11-10 |
| 1629092127 | Katharine Ann Clarke | Psychologist | 25401 Cabot Rd Ste 116, Laguna Hills, CA 92653-5530 | 2006-07-27 |
| 1184231227 | Brent Murray | Psychologist | 23461 S Pointe Dr Ste 100, Laguna Hills, CA 92653-1523 | 2020-09-23 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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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.