Justine A Petrie (NPI# 1730264912, PAC ID# 5496830739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1730264912 |
| PAC ID by PECOS | 5496830739 |
| Professional Enrollment ID | I20080311000231 |
| Full Name | Justine A Petrie |
| Organization Legal Name | FULLERTON COUNSELING AND MEDICAL GROUP, INC. |
| Address |
2228 N State College Blvd Fullerton CA 92831-1361 |
| Phone Number | 7149900700 |
| Gender | F |
| Graduation Year | 1961 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 0345285235 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050168 | ST JUDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2228 N State College Blvd, Fullerton, CA 92831-1361 | 7149900700 | FULLERTON COUNSELING AND MEDICAL GROUP, INC. |
| Organization Legal Name | FULLERTON COUNSELING AND MEDICAL GROUP, INC. |
| Physicians | 1 |
| Street Address |
2228 N STATE COLLEGE BLVD |
| City | FULLERTON |
| State | CA |
| Zip | 92831-1361 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly M Hagan | Psychologist, Clinical | 2228 N State College Blvd, Fullerton, CA 92831-1361 | |
| Richard Alan Fry | Clinical Psychologist | 2228 N State College Blvd, Fullerton, CA 92831-1361 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Melik Hovsepian | Diagnostic Radiology | Brfhh Monroe LLC | 1239 Coach House Ct, Fullerton, CA 92831-1052 |
| Jerald Thanos | Obstetrics/gynecology | 2262 N State College Blvd, Fullerton, CA 92831-1361 | |
| Nicholas J Thanos | Obstetrics/gynecology | Center for Women's Health | 2262 N State College Blvd, Fullerton, CA 92831-1361 |
| Carl W Buckhorn | Internal Medicine | 2282 N State College Blvd, Fullerton, CA 92831-1362 | |
| Thomas W Ela | Neurology | 2282 N State College Blvd, Fullerton, CA 92831-1362 | |
| Michael D Lenhardt | Optometry | 501 N Cornell Ave, Fullerton, CA 92831-2744 | |
| Mandana Miramadi | Chiropractic | 2501 E Chapman Ave, Suite 107, Fullerton, CA 92831-3135 | |
| Kendra M Higgins | Physician Assistant | First Choice Physician Partners | 680 Langsdorf Dr, Suite 103, Fullerton, CA 92831-3702 |
| Ronald L Cunningham | Physical Therapy | Fullerton Physical Therapy and Sports Care, Inc | 680 Langsdorf Dr, Suite 100, Fullerton, CA 92831-3702 |
| Ronald A Okubo | Occupational Therapy | Fullerton Physical Therapy and Sports Care, Inc | 680 Langsdorf Dr, Suite 100, Fullerton, CA 92831-3702 |
| Find all physicians in zip 92831 | |||
| City | FULLERTON |
| Zip Code | 92831 |
| Specialty | PSYCHIATRY |
| City + Specialty | FULLERTON + PSYCHIATRY |
Please comment or provide details below to improve the information on Justine A Petrie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.