PSYCHDOC INC, A PROFESSIONAL PSYCHOLOGY CORPORATION (NPI# 1992318893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992318893 |
| Entity Type | Organization |
| Organization Name | PSYCHDOC INC, A PROFESSIONAL PSYCHOLOGY CORPORATION |
| Practice Address |
2100 Palomar Airport Rd Ste 214-26 Carlsbad CA 92011-4402 |
| Practice Telephone | 8778158845 |
| Mailing Telephone | 8778158845 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | DR. JESSICA M STEVENS (CEO) |
| Authorized Official Telephone | 8778158845 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2655 Camino Del Rio N Ste 340, San Diego, CA 921081683 | 8778158845 |
| Street Address |
2100 PALOMAR AIRPORT RD STE 214-26 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92011-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134691488 | Anne Meyers French | Nurse Practitioner | 6735 Palermi Place, Carlsbad, CA 92011 | 2018-12-27 |
| 1457876401 | Danika Enid Miranda | Behavioral Analyst | 2441 Palomar Airport Road #350, Carlsbad, CA 92011 | 2017-08-11 |
| 1902299472 | Jessica Tn Truong | Dentist | 520 Stern Way, Carlsbad, CA 92011 | 2015-03-09 |
| 1902140734 | Hygeia II Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 6241 Yarrow Dr, Suite A, Carlsbad, CA 92011 | 2012-11-16 |
| 1063522548 | Dawn Anderson | Physical Therapist | 6070 Avenida Encinas, Carlsbad, CA 92011 | 2006-08-30 |
| 1962512566 | Costco Wholesale Corporation | Pharmacy | 951 Palomar Airport Rd, Carlsbad, CA 92011 | 2006-08-30 |
| 1003860537 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011 | 2006-05-20 |
| 1932176898 | Garrett J Tallman | Orthopaedic Surgery | 6125 Paseo Del Norte Ste 110, Carlsbad, CA 92011 | 2006-02-28 |
| 1821096157 | Paul Eric Dicesare | Orthopaedic Surgery | 1544 Weatherly Road, Carlsbad, CA 92011 | 2005-07-11 |
| 1699277897 | Priscilla Marie San Vicente | Technician, Other | 2141 Palomar Airport Rd Ste 350, Carlsbad, CA 92011 | 2018-03-03 |
| Find all providers in zip 92011 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053950634 | Kathleen Kawamura | Psychologist | 2604-b El Camino Real, #405, Carlsbad, CA 92008-1205 | 2019-12-31 |
| 1518527258 | Balanced Psychology Services | Psychologist | 2777 Jefferson St Ste 203, Carlsbad, CA 92008-1743 | 2019-06-15 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1558772772 | Tulsi Milliken | Psychologist | 6813 Briarwood Dr, Carlsbad, CA 92011-3925 | 2014-05-09 |
| 1215355227 | Judy Weiss | Psychologist | 6663 Sitio Palmas, Carlsbad, CA 92009-5919 | 2014-04-07 |
| 1881015733 | Ted Shore | Psychologist | 3295 Avenida Anacapa, Carlsbad, CA 92009-9301 | 2013-12-19 |
| 1225398696 | Melissa Mckeown Jenkins | Psychologist | 1265 Carlsbad Village Dr Ste 210c, Carlsbad, CA 92008-1972 | 2012-05-20 |
| 1306103098 | Angela Sue Klein | Psychologist | 2683 State St, Carlsbad, CA 92008-1627 | 2012-04-18 |
| 1699009308 | Robert William Mcalister Jr. | Psychologist | 2541 State St Ste 112, Carlsbad, CA 92008-1679 | 2009-09-28 |
| 1902039555 | Nichole Antoinette Duarte | Psychologist | 2382 Faraday Ave Ste 250-12, Carlsbad, CA 92008-7218 | 2009-08-31 |
| Find all providers in CARLSBAD | ||||
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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.