JACQUELYN HARLAN (NPI# 1134563133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134563133 |
| Entity Type | Individual |
| Full Name | JACQUELYN HARLAN |
| Practice Address |
9550 Warner Ave Ste 250 Fountain Valley CA 92708-2842 |
| Mailing Address |
Po Box 25913 Santa Ana CA 92799-5913 |
| Practice Telephone | 7145932300 |
| Enumeration Date | 2013-04-20 |
| Last Update Date | 2013-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
9550 WARNER AVE STE 250 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| 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 |
|---|---|---|---|---|
| 1265807119 | David Kendis | Psychologist | 10241 Kings River Ct, Fountain Valley, CA 92708-5902 | 2015-12-03 |
| 1841397734 | Richard R Weber | Psychologist | 10840 Warner Avenue, Suite 105, Fountain Valley, CA 92708 | 2006-09-20 |
| 1336160365 | Marialice Faubel | Psychologist | 11060 El Amarillo Ave, Fountain Valley, CA 92708-4904 | 2006-07-23 |
| 1083263990 | Ana Carina D'abreu | Psychologist | 18350 Mount Langley St Ste 200, Fountain Valley, CA 92708-6912 | 2019-09-04 |
| 1790255214 | Kenzie Ward | Psychologist | 18350 Mount Langley St Ste 220, Fountain Valley, CA 92708-6912 | 2018-11-27 |
| 1548742083 | David Whitsett | Psychologist | 18350 Mount Langley St Ste 220, Fountain Valley, CA 92708-6912 | 2018-08-31 |
| 1982077715 | Toluwanimi Oduleye | Psychologist | 18350 Mount Langley St Ste 220, Fountain Valley, CA 92708-6912 | 2015-11-02 |
| 1265826325 | Kathryn Dorsheimer | Psychologist | 10061 Talbert Ave, 200, Fountain Valley, CA 92708-5159 | 2015-03-26 |
| 1568711653 | Angelica Bowen | Psychologist | 10101 Slater Avenue, Fountain Valley, CA 92708 | 2012-09-05 |
| 1659607364 | Rajarathnam Sainath | Psychologist | 11100 Warner Ave, Suite 268, Fountain Valley, CA 92708-7506 | 2009-10-30 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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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.