DR. JOSEFA BADAR LICAS (NPI# 1083650535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083650535 |
| Entity Type | Individual |
| Full Name | DR. JOSEFA BADAR LICAS |
| Credential | M.D. |
| Practice Address |
2120 Thibodo Ct Suite 230 Vista CA 92081-7965 |
| Mailing Address |
1241 Holmgrove Dr San Marcos CA 92078-2800 |
| Practice Telephone | 8582791223 |
| Practice Fax Number | 7605974880 |
| Mailing Telephone | 7607987624 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A82991 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2120 THIBODO CT SUITE 230 |
| City | VISTA |
| State | CA |
| Zip Code | 92081-7965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144381898 | David Paul Hatherill | Psychologist | 2120 Thibodo Ct, Suite 230, Vista, CA 92085 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896202 | Maritza Mercado | Behavior Technician | 1926 Civic Center Dr Suite B, Vista, CA 92081 | 2020-03-13 |
| 1417599267 | Cherelle Artise Lewis | Behavior Technician | 1926 Via Centre Drive, Suite B, Vista, CA 92081 | 2019-10-14 |
| 1194101295 | Mary Stewart | Physical Therapist | 1515 S Melrose Dr, Vista, CA 92081 | 2015-07-31 |
| 1184069122 | Houri Fatourachi, Dds Inc | Dentist | 2325 S Melrose Dr., Vista, CA 92081 | 2013-05-03 |
| 1821377037 | Mori Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2320 La Mirada Dr, Vista, CA 92081 | 2011-08-05 |
| 1497068563 | Gerald Francis Moore | Dentist | 610 S. Melrose Dr, Vista, CA 92081 | 2010-07-19 |
| 1316274749 | Mahtab Saadatmandi | Dentist | 2311 S. Melrose Dr., Vista, CA 92081 | 2009-11-05 |
| 1760650808 | Edward George Dougherty | Occupational Therapy Assistant | 1579 Wellington Lane, 51, Vista, CA 92081 | 2008-02-12 |
| 1831398676 | Longs Drug Stores California LLC | Pharmacy | 635 S Melrose Dr, Vista, CA 92081 | 2007-07-12 |
| 1346462231 | Houri Fatourachi | Dentist | 2325 South Melrose Drive, Vista, CA 92081 | 2007-05-02 |
| Find all providers in zip 92081 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538365309 | Larissa Lacorte | Psychiatry & Neurology | 780 Shadowridge Drive, Vista, CA 92083 | 2007-06-26 |
| 1437215621 | James Erwin Adams | Psychiatry & Neurology | 2120 Thibodo Ct. Ste. 230, Vista, CA 92081 | 2006-12-29 |
| 1063580587 | Paula A Proffitt | Psychiatry & Neurology | 550 W Vista Wy, #407, Vista, CA 92083 | 2006-12-01 |
| 1114952876 | Leor Matalon | Psychiatry & Neurology | 440 S Melrose Dr Ste 201, Vista, CA 92081-6666 | 2006-07-11 |
| 1942284666 | Ji Hyung Yoo | Psychiatry & Neurology | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2005-12-06 |
| 1275863854 | Brenda Erickson | Psychiatry & Neurology | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2010-01-05 |
| 1083854558 | Elise A Reed | Psychiatry & Neurology | 2023 West Vista Way, Suite K-2, Vista, CA 92083-6030 | 2009-02-24 |
| 1114188646 | Garth Stephen Watkins | Psychiatry & Neurology | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2008-06-18 |
| 1952569063 | Muralikrishnan Parthasarathy | Psychiatry & Neurology | 2120 Thibodo Rd, Ste# 230, Vista, CA 92081-7901 | 2008-05-26 |
| 1952599938 | Richard A Oliva | Psychiatry & Neurology | 969 S Santa Fe Ave Ste A, Vista, CA 92083-6910 | 2007-10-04 |
| Find all providers in VISTA | ||||
Please comment or provide details below to improve the information on DR. JOSEFA BADAR LICAS.
| 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.