DR. ANNE ELYSE CUSACK


Address: 4510 Executive Dr Ste 315, San Diego, CA 92121-3029
Phone: 8585348067

DR. ANNE ELYSE CUSACK (NPI# 1114414943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114414943
Entity Type Individual
Full Name DR. ANNE ELYSE CUSACK
Credential PSYD
Practice Address 4510 Executive Dr Ste 315
San Diego
CA 92121-3029
Practice Telephone 8585348067
Mailing Telephone 8585348067
Enumeration Date 2018-04-17
Last Update Date 2018-04-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Office Location

Street Address 4510 EXECUTIVE DR STE 315
City SAN DIEGO
State CA
Zip Code 92121-3029

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922303411 Gina M Burkhardt Marriage & Family Therapist 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 2011-01-14
1801400437 Adrianne Anderegg Marriage & Family Therapist 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 2020-09-01
1699397760 Tana Luo Psychologist 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 2020-05-12
1194376145 Terra Lee Towne Psychologist 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 2019-09-20
1912554965 Natalie Blue Heller Marriage & Family Therapist 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 2019-08-23
1437715000 Brittany Kay Bohrer Student in an Organized Health Care Education/Training Program 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 2019-05-19
1992297980 Alexandra Felicia Muratore Student in an Organized Health Care Education/Training Program 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 2018-06-05
1326535121 Jennifer Ling Wang-hall Psychologist 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 2018-04-17
1801383625 Haily Jeanne Humphrey Counselor 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 2018-04-17
1538656350 Claire Spencer Marriage & Family Therapist 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 2018-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225644917 Anna Hand Physical Therapist 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 2020-09-18
1972138030 Lamarr Joyner Licensed Vocational Nurse 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 2020-03-10
1396383212 La Jolla Professional Plastic Surgery Plastic Surgery 4510 Executive Dr. Suite 105, San Diego, CA 92121 2019-12-11
1841852472 Unmanned Systems Operations Group Air Carrier 4655 Executive Dr., Suite 700, San Diego, CA 92121 2019-07-03
1861051922 Grace Getchell Behavior Technician 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 2019-06-11
1720643299 Megan Jean Bathen Behavior Technician Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 2019-05-09
1346804366 Daniel Melita Massage Therapist 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 2019-04-25
1831674464 Stepahnie Becerra Behavior Technician 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 2018-09-28
1265915466 Ailyn Martinez Behavior Technician 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 2018-09-13
1790265163 Genben Lifesciences Corporation Public Health or Welfare 6370 Lusk Blvd Ste F205, San Diego, CA 92121 2018-08-15
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538789573 Shayla Robertson Psychologist 2602 Crosshaven Ln, San Diego, CA 92139-2952 2020-04-20
1467083949 Corrine Joslyn Hufford Psychologist 6549 Jaffe Ct Apt 10, San Diego, CA 92119-2150 2020-02-03
1225678840 Nicholas Buhr Psychologist 140 Sylvester Road Bldg 500, Navy Drug Alcohol Counselor School, San Diego, CA 92106-3521 2020-01-11
1215572003 Alpha Theta Center, Inc Psychologist 6540 Lusk Blvd Ste C175, San Diego, CA 92121-2768 2019-11-15
1740825686 Jill Allison Cooley Psychologist 8543 Old Stonefield Chase, San Diego, CA 92127-6133 2019-11-14
1093350456 Annie Lin Psychologist 10531 4s Commons Dr # 530, San Diego, CA 92127-3517 2019-11-08
1164066072 Elizabeth Kristin Stanton Psychologist 3910 Chapman St Ste I, San Diego, CA 92110-5644 2019-11-04
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1225505480 Margaret Marie Williams Psychologist 4010 Sorrento Valley Blvd Ste 400, San Diego, CA 92121-1433 2018-10-25
1841779154 Carla Payne, Psychology, Inc. Psychologist 2525 Camino Del Rio S. #245, San Diego, CA 92108 2018-08-08
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Competitor

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City SAN DIEGO
Zip Code 92121

Improve Information

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Dataset Information

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.

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