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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
Street Address |
4510 EXECUTIVE DR STE 315 |
City | SAN DIEGO |
State | CA |
Zip Code | 92121-3029 |
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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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 Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
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] |
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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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.