DR. DIANA MARCELA CARRILLO (NPI# 1063796696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063796696 |
| Entity Type | Individual |
| Full Name | DR. DIANA MARCELA CARRILLO |
| Credential | PH.D. |
| Practice Address |
2107 N Broadway Ste 207 Santa Ana CA 92706-2625 |
| Mailing Address |
Po Box 6299 Laguna Niguel CA 92607-6200 |
| Practice Telephone | 7149720000 |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | INDIVIDUAL | 1063796696 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790261824 | Diana Carrillo | Contractor | 4920 Vista Grande Cir, El Paso, TX 79922-1737 | 2018-07-11 |
| 1699036004 | Diana T Carrillo | Dentist | 143 Airport Rd, Concord, NH 03301-7300 | 2012-06-01 |
| Street Address |
2107 N BROADWAY STE 207 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92706-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598385197 | Nelson Louis Flores | Psychologist | 2107 N Broadway Ste 207, Santa Ana, CA 92706-2625 | 2020-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1366962854 | Jankee Pandya | Counselor | 2215 N. Broadway, Ste 200, Santa Ana, CA 92706 | 2017-06-26 |
| 1740719178 | Miriam Alejandro Moreno-ortiz | Counselor | 1910 N. Bush St, Santa Ana, CA 92706 | 2017-06-08 |
| 1942617790 | Janice Botzbach | Behavioral Analyst | 1912 N. Broadway Suite 108, Santa Ana, CA 92706 | 2014-07-14 |
| 1841620689 | Orange County Health Care Agency | Clinic/Center | 550 N. Flower Street, Santa Ana, CA 92706 | 2013-11-14 |
| 1740527274 | Jeremy Nishimoto | Counselor | 2100 N. Broadway Ste 101, Santa Ana, CA 92706 | 2013-01-03 |
| 1326392390 | Rosemary Sara Chesters | Marriage & Family Therapist | 921 West Seventeenth Street, Santa Ana, CA 92706 | 2012-10-30 |
| 1790032019 | Jee Hoon Ha | Dentist | 1313 W 17th St Ste B, Santa Ana, CA 92706 | 2012-08-06 |
| 1437404225 | Lisa Steele | Counselor | 1910 N. Bush, Santa Ana, CA 92706 | 2012-07-17 |
| Find all providers in zip 92706 | ||||
| Taxonomy Code | 103TP0814X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Psychoanalysis |
| (1) A practitioner of psychoanalysis: methods of eliciting from patients their past emotional experiences and their role in influencing their current mental life, in order to discover the conflicts and mechanisms by which their pathologic mental state has been produced and to furnish hints for psychotherapeutic procedures, the method employs free association, recall and interpretation of dreams and interpretation of transference and resistance phenomena; (2) An individual who is educated with a doctor’s degree in psychoanalysis or psychology, trained at an established psychoanalytic institute, and practices or adheres to the principles of psychoanalysis. Psychoanalysis is a form of psychotherapy and a system of investigation for determining and understanding mental processes, which was originally conceived by Sigmund Freud. Psychoanalysis involves the analysis and interpretation of dreams, resistances, and transferences, and uses free association and catharsis. Clinical practice requires licensure. |
| Notes: Sources: (1) Dorlands Illustrated Medical Dictionary, 28th Edition, W.B. Saunders Company: Philadelphia, 1994, p. 1382; (2)American Psychological Association, Washington, DC, 1997, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1861012437 | Deborah Sandy | Psychologist | 12011 San Vicente Blvd Ste 250, Los Angeles, CA 90049-4964 | 2020-04-23 |
| 1699328492 | Jeannie Wallace | Psychologist | 16055 Ventura Blvd Ste 728, Encino, CA 91436-2610 | 2019-07-20 |
| 1073174058 | Joyce Lindenbaum | Psychologist | 5435 College Ave., Ste 202, Oakland, CA 94618 | 2019-06-21 |
| 1700446697 | Robert D. Stolorow | Psychologist | 744 21st Place, Santa Monica, CA 90402-3052 | 2019-06-13 |
| 1841854437 | Neil Talkoff | Psychologist | 3667 Sacramento St Ste 102, San Francisco, CA 94118-1709 | 2019-04-29 |
| 1457795890 | John P Conger | Psychologist | 851 Regal Rd, Berkeley, CA 94708-1307 | 2013-04-27 |
| 1669717922 | Redlands Psychological Services | Psychologist | 104 E Olive Ave Ste 100, Redlands, CA 92373-5255 | 2012-11-27 |
| 1194986166 | Pamela Jean Power | Psychologist | 927 Princeton St, Santa Monica, CA 90403-2219 | 2008-06-22 |
| 1992913057 | Katherine De Lestang | Psychologist | 8787 Shoreham Drive, Suite 403, Los Angeles, CA 90069-2227 | 2007-05-20 |
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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.