TAMARA SUE BRENNER (NPI# 1982929360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982929360 |
Entity Type | Individual |
Full Name | TAMARA SUE BRENNER |
Credential | PH.D. |
Practice Address |
242 W Main St Tustin CA 92780-7723 |
Mailing Address |
234 E O St Colton CA 92324-3466 |
Practice Telephone | 7146120241 |
Mailing Telephone | 7146120241 |
Mailing Fax Number | 7145169141 |
Enumeration Date | 2010-03-29 |
Last Update Date | 2012-10-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 19218 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497787857 | Tamara Brenner | Anesthesiology | 1653 W Congress Pkwy, 735 Jelke Anesthesia Department, Chicago, IL 60612-3833 | 2006-07-07 |
Street Address |
242 W MAIN ST |
City | TUSTIN |
State | CA |
Zip Code | 92780-7723 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689697567 | Lisa Holland-fretz | Marriage & Family Therapist | 242 W Main St, Tustin, CA 92780-7715 | 2006-07-25 |
1396190385 | Kimberly Feld | Marriage & Family Therapist | 242 W Main St, Tustin, CA 92780-7723 | 2016-04-27 |
1720325178 | Lee Ann Orme | Marriage & Family Therapist | 242 W Main St, Suite 200i, Tustin, CA 92780-7723 | 2013-01-04 |
1427303320 | Lennox Travis Buchanan | Marriage & Family Therapist | 242 W Main St, Ste. 104, Tustin, CA 92780-7723 | 2012-07-17 |
1275854101 | Laura Rothafel | Marriage & Family Therapist | 242 W Main St, #104, Tustin, CA 92780-7723 | 2010-06-15 |
1518190065 | Shelley Zeigler | Marriage & Family Therapist | 242 W Main St, 200 I, Tustin, CA 92780-7723 | 2009-09-01 |
1992937734 | Kristyn Anne Fazzalaro | Social Worker | 242 W Main St, Suite 105, Tustin, CA 92780-7723 | 2009-08-12 |
1871724336 | Nancy Caltagirone | Marriage & Family Therapist | 242 W Main St, Ste 200 I, Tustin, CA 92780-7723 | 2009-08-01 |
1629279575 | Cheryl Lynn Graybill | Marriage & Family Therapist | 242 W Main St, Ste. 104, Tustin, CA 92780-7723 | 2007-05-29 |
1861521718 | Ruth Anne Fox | Psychiatry & Neurology | 242 W Main St, Tustin, Tustin, CA 92780-7723 | 2007-03-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
Find all providers in zip 92780 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568941201 | Del Mundo Psychological, Apc | Psychologist | 17621 Irvine Blvd Ste 214, Tustin, CA 92780-3131 | 2018-08-13 |
1649785403 | Kimberley R. Argue Schwartz | Psychologist | 250 W Main St Ste 201, Tustin, CA 92780-7718 | 2017-12-02 |
1104278100 | Jenny Yip | Psychologist | 3002 Dow Ave Ste 122, Tustin, CA 92780-7247 | 2016-07-01 |
1891199352 | Mission Psychology Group, Inc | Psychologist | 17821 E. 17th St. Ste #250, Tustin, CALIFORNIA 92780 | 2014-10-13 |
1649548652 | Asap Family Therapy, Inc. | Psychologist | 17821 East 17th St, Suite 250, Tustin, CA 92780 | 2011-12-05 |
1740597566 | Oranoos Ariane | Psychologist | 17291 Irvine Blvd Ste 164, Tustin, CA 92780 | 2010-09-01 |
1174754634 | Edward James Pallotta Jr. | Psychologist | 14081 Yorba St Ste 203, Tustin, CA 92780-2011 | 2009-07-31 |
1972795086 | Nicole Zaha | Psychologist | 130 S B St, Tustin, CA 92780-3609 | 2007-08-13 |
1285846741 | Kevin Scott Thomas | Psychologist | 232 W Main St Ste 101, Tustin, CA 92780-7712 | 2007-05-04 |
1902931108 | Shirley Shih-i Liao | Psychologist | 17632 Irvine Blvd, #250, Tustin, CA 92780-3148 | 2007-02-21 |
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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.