MARY-JO BAUTISTA (NPI# 1003166380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003166380 |
Entity Type | Individual |
Full Name | MARY-JO BAUTISTA |
Credential | M.A. |
Practice Address |
13715 Via Del Palma Ave Apt G Whittier CA 90602-2325 |
Practice Telephone | 8082925693 |
Mailing Telephone | 8082925693 |
Enumeration Date | 2012-09-14 |
Last Update Date | 2016-12-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 28789 | CA | Behavioral Health & Social Service Providers |
Street Address |
13715 VIA DEL PALMA AVE APT G |
City | WHITTIER |
State | CA |
Zip Code | 90602-2325 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346896412 | Alexis Pettway | Specialist/Technologist | 13847 Earlham Drive, Whittier, CA 90602 | 2019-08-14 |
1053898486 | Bridget Joanne Islas | Case Manager/Care Coordinator | 8219 Milton Ave., Apt. D, Whittier, CA 90602 | 2018-07-27 |
1184175606 | Metzie America Moran | Specialist | 8135 Painter Ave Suite 201, Whittier, CA 90602 | 2016-10-19 |
1811348360 | Jasmine Renee Simmons | Speech-Language Pathologist | 8135 Painter Avenue, Suite #200, Whittier, CA 90602 | 2016-06-27 |
1194108084 | Aaronshawn Poolsaad | Optometrist | 8135 Painter Ave Ste 100, Whittier, CA 90602 | 2015-07-09 |
1124409677 | Alliance Orthotics & Prosthetics Inc. | Clinic/Center | 12458 East Washington Blvd, Whittier, CA 90602 | 2015-06-10 |
1205223567 | Maria Ursula Jarrin Lopez | Speech-Language Pathologist | 8135 Painter Avenue, Suite 201, Whittier, CA 90602 | 2015-04-23 |
1932595055 | Sotto Lin Weng | Acupuncturist | 7754 Painter Avenue, Whittier, CA 90602 | 2015-04-15 |
1770978660 | Carolyn Rumpeltes | Physician Assistant | 12462 Putnam St Ste 203, Whittier, CA 90602 | 2015-03-30 |
1609273671 | Anthony Razon | Specialist/Technologist | 8132 Painter Ave Ste 201, Whittier, CA 90602 | 2014-11-19 |
Find all providers in zip 90602 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154675643 | Jannina Darling | Psychologist | 11038 Washington Blvd Unit A, Whittier, CA 90606-3006 | 2012-11-05 |
1396993127 | Wray E De Anda | Psychologist | 13601 Whittier Blvd Ste 310, Whittier, CA 90605-1969 | 2008-09-04 |
1720279870 | Mental Health Services- A Psychological Corporation | Psychologist | 7238 South Painter Avenue, Whittier, CA 90602 | 2007-08-05 |
1063543858 | Daniel William Puls | Psychologist | 6503 Greenleaf Ave Ste A, Whittier, CA 90601-4138 | 2007-03-07 |
1760548374 | George Rawalt | Psychologist | 6335 Elmquist Ave, Whittier, CA 90601-3822 | 2006-12-28 |
1104987882 | Jonathan Richard Strickler | Psychologist | 13006 Philadelphia Street, Suite 205, Whittier, CA 90601-4265 | 2006-12-13 |
1326124959 | Melissa H Robertson | Psychologist | 7007 Washington Ave, Suite 321, Whittier, CA 90602-1484 | 2006-10-27 |
1932296779 | Mary Monica Guevara | Psychologist | 6737 Bright Ave, Suite 103, Whittier, CA 90601-4300 | 2006-10-05 |
1235141102 | Marcos Martinez IIi | Psychologist | 9829 Carmenita Rd, Suite # H, Whittier, CA 90605-3229 | 2006-08-12 |
1487675914 | Laura Robles-campos | Psychologist | 7032 Comstock Ave Ste 202, Whittier, CA 90602-1390 | 2006-07-21 |
Find all providers in WHITTIER |
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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.