DR. JESSICA TAVERNITI HORNBROOK (NPI# 1134401805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134401805 |
| Entity Type | Individual |
| Full Name | DR. JESSICA TAVERNITI HORNBROOK |
| Credential | PSY.D, BCBA-D |
| Practice Address |
243 N Highway 101 Solana Beach CA 92075-1180 |
| Mailing Address |
3675 Ethan Allen Ave San Diego CA 92117-5615 |
| Practice Telephone | 4065706184 |
| Mailing Telephone | 4065706184 |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2019-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 26598 | CA | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 1-11-8560 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSYCHOLOGY BOARD | PSY 26598 | 01 |
| Street Address |
243 N HIGHWAY 101 |
| City | SOLANA BEACH |
| State | CA |
| Zip Code | 92075-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487731618 | Mary Fong | Acupuncturist | 243 N Highway 101, Suite #5, Solana Beach, CA 92075-1180 | 2006-11-01 |
| 1730591728 | Stephen Park | Psychologist | 243 N Highway 101, Suite 16, Solana Beach, CA 92075-1180 | 2014-05-23 |
| 1184991796 | Mark Cooper | Clinical Neuropsychologist | 243 N Highway 101, Suite 22, Solana Beach, CA 92075-1180 | 2011-11-28 |
| 1396983748 | Shannon Lerach | Psychologist | 243 N Highway 101, Solana Beach, CA 92075-1180 | 2009-01-22 |
| 1619162047 | Peyton Theodore | Acupuncturist | 243 N Highway 101, Suite 13, Solana Beach, CA 92075-1180 | 2007-09-10 |
| 1316131600 | Gina M Taffi | Psychologist | 243 N Highway 101, Ste. #16, Solana Beach, CA 92075-1180 | 2007-08-30 |
| 1164562757 | Jaqueline Kiefer | Psychologist | 243 N Highway 101, Ste 16, Solana Beach, CA 92075-1180 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669092490 | Tara Tryphena Steinke | Naturopath | 124 Lomas Santa Fe Dr Ste 20b, Encinitas, CA 92075 | 2020-04-22 |
| 1336782085 | Jeremy Tiefenbrun | Behavior Technician | 992 1 C Lomas Santa Fe Dr Pmb 291, Solana Beach, CA 92075 | 2019-10-25 |
| 1851827927 | Amelia Rose Clark | Physician Assistant | 437 S. Highway 101 Suite 217, Solana Beach, CA 92075 | 2017-05-10 |
| 1518348317 | Kelly Pounds | Counselor | 2101 East First Street, Santa Ana, CA 92075 | 2015-06-17 |
| 1295114908 | Synapse Hearing Health, Inc. | Audiologist | 991 Lomas Santa Fe Drive, Suite A, Solana Beach, CA 92075 | 2015-05-27 |
| 1619381464 | Michael David Leiderman | Community Health Worker | 309 N Solana Hills Drive Apt #95, Solana Beach, CA 92075 | 2014-06-19 |
| 1881932879 | Edward S. Loh | Urology | 775 Beachfront Dr., Solana Beach, CA 92075 | 2013-01-25 |
| 1093076135 | Jodi Lee Abramowitz | Psychologist | 115 W Plaza St Ste 200, Solana Beach, CA 92075 | 2012-06-05 |
| 1710297692 | Aliza Danielle Cicerone | Naturopath | 124 Lomas Santa Fe Drive, Suite 206, Solana Beach, CA 92075 | 2010-10-13 |
| 1518273309 | Martin Landau-north | Marriage & Family Therapist | 731 South Highway 101, Suite 2j, Solana Beach, CA 92075 | 2010-08-31 |
| Find all providers in zip 92075 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831600998 | Jason Yoonhyung Lee | Psychologist | 615 Seabright Ln, Solana Beach, CA 92075-1264 | 2017-10-17 |
| 1093076135 | Jodi Lee Abramowitz | Psychologist | 115 W Plaza St Ste 200, Solana Beach, CA 92075 | 2012-06-05 |
| 1235419029 | Kathryn Olson | Psychologist | 674 Via De La Valle Ste 114, Solana Beach, CA 92075-3405 | 2011-08-24 |
| 1861721672 | Kim Ajlouny Ford | Psychologist | 265 Santa Helena Ste 214, Solana Beach, CA 92075 | 2009-12-08 |
| 1619143641 | James Lionel Spira | Psychologist | 817 Mola Vista Way, Solana Beach, CA 92075-2056 | 2008-04-30 |
| 1487867883 | Shauna Katherine Oeth | Psychologist | 990 Highland Dr. #103, Solana Beach, CA 92075 | 2007-05-08 |
| 1134348055 | Amy B. Horne | Psychologist | 990 Highland Dr Ste 103, Solana Beach, CA 92075-2409 | 2007-04-25 |
| 1427181163 | Tanya Grame | Psychologist | 990 Highland Dr Ste 110r, Solana Beach, CA 92075-3403 | 2007-03-13 |
| 1255416111 | Ida Houby | Psychologist | 639 Glenmont Dr, Solana Beach, CA 92075-1314 | 2006-10-26 |
| 1235188988 | Michelle Lalouche-kadden | Psychologist | 336 N Granados Ave, Solana Beach, CA 92075-1213 | 2006-05-09 |
| Find all providers in SOLANA BEACH | ||||
| City | SOLANA BEACH |
| Zip Code | 92075 |
Please comment or provide details below to improve the information on DR. JESSICA TAVERNITI HORNBROOK.
| 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.