DR. JACK LEE FARMER JR. (NPI# 1972671899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972671899 |
Entity Type | Individual |
Full Name | DR. JACK LEE FARMER JR. |
Credential | PHD |
Practice Address |
1202 Morena Blvd Suite 300 San Diego CA 92110-3841 |
Practice Telephone | 6192750822 |
Practice Fax Number | 6192751422 |
Mailing Telephone | 6192750822 |
Mailing Fax Number | 6192751422 |
Enumeration Date | 2006-11-30 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
16037 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306484878 | Jack Alexander Farmer | Physical Therapist | 1000 E Main St, Danville, IN 46122-1948 | 2019-12-16 |
Street Address |
1202 MORENA BLVD SUITE 300 |
City | SAN DIEGO |
State | CA |
Zip Code | 92110-3841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952328700 | Community Research Foundation Inc | Social Worker | 1202 Morena Blvd, Suite 300, San Diego, CA 92110-3841 | 2006-07-17 |
1750920492 | Kate Coffey | Marriage & Family Therapist | 1202 Morena Blvd, San Diego, CA 92110-3841 | 2019-12-28 |
1780235309 | Patricia Mast | Counselor | 1202 Morena Blvd, San Diego, CA 92110-3841 | 2019-09-25 |
1427609007 | Nilofar Sediqi | Student in an Organized Health Care Education/Training Program | 1202 Morena Blvd, San Diego, CA 92110-3841 | 2019-09-24 |
1649828658 | Josette Cannon | Marriage & Family Therapist | 1202 Morena Blvd, San Diego, CA 92110-3841 | 2019-09-03 |
1750939054 | Fernando Valencia | Counselor | 1202 Morena Blvd, San Diego, CA 92110-3841 | 2019-08-29 |
1730740283 | Brianna Lammatao | Student in an Organized Health Care Education/Training Program | 1202 Morena Blvd, San Diego, CA 92110-3841 | 2019-06-25 |
1811453939 | Elizabeth Frances Feess | Registered Nurse | 1202 Morena Blvd, San Diego, CA 92110-3841 | 2019-02-13 |
1275067126 | Lynna Murray | Licensed Vocational Nurse | 1202 Morena Blvd, San Diego, CA 92110-3841 | 2017-04-18 |
1548707862 | Derrick Antwon Woods | Counselor | 1202 Morena Blvd, Suite 300, San Diego, CA 92110-3841 | 2017-01-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
Find all providers in zip 92110 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
1396353520 | Chandra Estelle Khalifian | Psychologist | 4975 Foothill Blvd, San Diego, CA 92109-2236 | 2020-07-14 |
1225661838 | Sharon Saeedi Psy D Psychologist Inc | Psychologist | 185 W F St Ste 100l, San Diego, CA 92101-6029 | 2020-02-21 |
1609414242 | Laura Beth Fitzpatrick | Psychologist | 3322 29th St, San Diego, CA 92104-4533 | 2019-12-13 |
1790329613 | Growgood Psychology, Corp | Psychologist | 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 | 2019-11-04 |
1891355996 | Stephanie Ann Massey | Psychologist | 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 | 2019-06-19 |
1225697543 | Dr. Emily N. Kierce, Psychologist, A Professional Corporation | Psychologist | 402 W Broadway Ste 1925, San Diego, CA 92101-8505 | 2019-06-10 |
1023674884 | Desiree Arlene Cuevas | Psychologist | 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 | 2019-05-16 |
1396212023 | Paul William Randolph | Psychologist | 727 Robinson Ave Apt D, San Diego, CA 92103-4364 | 2018-10-31 |
1952876526 | Amanda Cooney | Psychologist | 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 | 2018-10-09 |
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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.