RILEY CORMACK (NPI# 1992976880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992976880 |
| Entity Type | Individual |
| Full Name | RILEY CORMACK |
| Other Name | MICHAEL MCCORMACK |
| Credential | MA, LPCC |
| Practice Address |
2214 5th Ave San Diego CA 92101-2104 |
| Practice Telephone | 6195123545 |
| Mailing Telephone | 6195123545 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2014-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
18 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2214 5TH AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301335 | Soul Psychology | Psychologist | 2214 5th Ave, San Diego, CA 92101-2104 | 2019-11-26 |
| 1558805283 | Pin Lu | Acupuncturist | 2214 5th Ave, San Diego, CA 92101-2104 | 2016-12-15 |
| 1306221262 | Haron Hashmat Kazem | Chiropractor | 2214 5th Ave, San Diego, CA 92101-2104 | 2015-07-21 |
| 1215332804 | Martha Marquez Metcalf | Marriage & Family Therapist | 2214 5th Ave, San Diego, CA 92101-2104 | 2014-10-26 |
| 1053694810 | Stephen Trombley | Marriage & Family Therapist | 2214 5th Ave, San Diego, CA 92101-2104 | 2011-09-27 |
| 1699077206 | Bryan R Mcnutt | Psychologist | 2214 5th Ave, San Diego, CA 92101-2104 | 2010-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606221 | Jennifer Bohan | Counselor | 9889 Scripps Westview Way Unit 204, San Diego, CA 92131-2426 | 2020-07-10 |
| 1578188066 | Compassionate Behavioral Health Services | Counselor | 4080 Centre St Ste 207, San Diego, CA 92103-2658 | 2020-06-10 |
| 1518587906 | Dong-ru Ho | Counselor | 13015 Evening Creek Dr S Unit 17, San Diego, CA 92128-8114 | 2020-04-25 |
| 1023659679 | Amy Abbasov | Counselor | 10232 Camino Ruiz Apt 108, San Diego, CA 92126-6458 | 2019-10-04 |
| 1255990347 | Pilar Marie Placone | Counselor | 3356 2nd Ave Ste A1, San Diego, CA 92103-5636 | 2019-06-12 |
| 1265099055 | Emily Duval | Counselor | 4519 Idaho St Unit 6, San Diego, CA 92116-3175 | 2019-05-28 |
| 1194230078 | Nnamdi Rashid Okafor | Counselor | 9606 Tierra Grande St Ste 207, San Diego, CA 92126-6501 | 2017-12-13 |
| 1275074379 | Rachel Gabrielle Packer | Counselor | 5252 Balboa Ave Ste 801, San Diego, CA 92117 | 2017-03-09 |
| 1396100442 | Sylvia Vella | Counselor | 1455 Frazee Rd, Suite 500, San Diego, CA 92108-4301 | 2015-12-16 |
| 1376985788 | Lauren Stern | Counselor | 2535 Kettner Blvd Ste 2b1, San Diego, CA 92101-1253 | 2013-07-26 |
| Find all providers in SAN DIEGO | ||||
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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.