DR. GEORGES ALEXANDRE TICHY (NPI# 1154346070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154346070 |
| Entity Type | Individual |
| Full Name | DR. GEORGES ALEXANDRE TICHY |
| Credential | PSY.D. |
| Practice Address |
8787 Center Dr La Mesa CA 91942-3034 |
| Mailing Address |
10940 Foote Ct Riverside CA 92505-3012 |
| Practice Telephone | 8002578715 |
| Practice Fax Number | 8008191655 |
| Mailing Telephone | 9517430642 |
| Mailing Fax Number | 9513522986 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY17833 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSY178330 | 05 |
| Street Address |
8787 CENTER DR |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076026 | Abbie Maio De Los Reyes | Registered Nurse | 8787 Center Dr, La Mesa, CA 91942-3034 | 2020-05-29 |
| 1982169116 | Lindsay Scheppmann | Occupational Therapist | 8787 Center Dr, La Mesa, CA 91942-3034 | 2019-02-01 |
| 1710422878 | Abby Henderson | Occupational Therapist | 8787 Center Dr, La Mesa, CA 91942 | 2016-12-28 |
| 1366986614 | Laurie Modrow I | Occupational Therapy Assistant | 8787 Center Dr, La Mesa, CA 91942-3034 | 2016-12-06 |
| 1053855478 | Rebecca Chiu | Physical Therapist | 8787 Center Dr, La Mesa, CA 91942-3034 | 2016-12-05 |
| 1013450519 | Scott Kensinger | Speech-Language Pathologist | 8787 Center Dr, La Mesa, CA 91942-3034 | 2016-12-01 |
| 1811430374 | Leilanie Diaz Morrissette | Physical Therapy Assistant | 8787 Center Dr, La Mesa, CA 91942-3034 | 2016-11-30 |
| 1255874897 | Evan Kruisheer | Occupational Therapist | 8787 Center Dr, La Mesa, CA 91942-3034 | 2016-11-30 |
| 1225571862 | Jennifer Stinson | Occupational Therapist | 8787 Center Dr, La Mesa, CA 91942-3034 | 2016-11-30 |
| 1912440553 | Amber Dawn Larsen | Physical Therapist | 8787 Center Dr, La Mesa, CA 91942-3034 | 2016-11-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568919983 | Grace Counseling & Psychotherapy Inc. | Psychologist | 5575 Lake Park Way Ste 100-6, La Mesa, CA 91942-1664 | 2016-09-01 |
| 1093122608 | John Robert-clyde Helmer | Psychologist | 5360 Jackson Dr Ste 220-c, La Mesa, CA 91942 | 2014-07-15 |
| 1841541984 | Bruce L. Thiessen | Psychologist | 8360 University Ave, La Mesa, CA 91942-9374 | 2012-09-28 |
| 1700080132 | Margaret Ann Edel | Psychologist | 7589 El Cajon Blvd, La Mesa, CA 91942-7695 | 2007-06-11 |
| 1124169347 | John S. Bartholow, Ph.d A Psychological Corp. | Psychologist | 7777 Alvarado Rd # 278, La Mesa, CA 91941-3616 | 2007-02-09 |
| 1063569135 | Stacy Kim Johnston | Psychologist | 4730 Palm Ave, 202, La Mesa, CA 91941-5266 | 2007-01-04 |
| 1922194703 | James L. Bull | Psychologist | 8787 Center Drive, La Mesa, CA 91942-3034 | 2006-10-05 |
| 1366464810 | William Loughman Higgins | Psychologist | 3643 Nereis Dr, La Mesa, CA 91941-8012 | 2006-07-24 |
| 1134148448 | Jay Alperson | Psychologist | 8029 La Mesa Blvd, La Mesa, CA 91941-6434 | 2006-07-18 |
| 1609820398 | Idalia E. Mcgivern | Psychologist | 9340 Fuerte Dr, Suite 300, La Mesa, CA 91941-4164 | 2006-05-19 |
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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.