MISS CAROLYN ANNE MOTTOLA (NPI# 1174504138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174504138 |
| Entity Type | Individual |
| Full Name | MISS CAROLYN ANNE MOTTOLA |
| Credential | PHD |
| Practice Address |
1020 S Anaheim Blvd Suite 215 Anaheim CA 92708 |
| Mailing Address |
Po Box 8342 Huntington Beach CA 92615-8342 |
| Practice Telephone | 7142374440 |
| Practice Fax Number | 7148397460 |
| Mailing Telephone | 7142374440 |
| Mailing Fax Number | 7148397460 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY10163 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | OPL101631 | 01 |
| CA | MANAGED HEALTH NETWORK | 077554 | 01 |
| CA | AETNA | 4124629 | 01 |
| Street Address |
1020 S ANAHEIM BLVD SUITE 215 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841658291 | Natalie Anne Bader | Social Worker | 1020 S Anaheim Blvd, Suite 215, Anaheim, CA 92805-5851 | 2016-01-31 |
| 1619355500 | Anaheim Care Pharmacy Inc | Pharmacy | 1020 S Anaheim Blvd, Suite 106, Anaheim, CA 92805-5851 | 2015-05-11 |
| 1316331887 | Sunghye Med Corp | Psychiatric Residential Treatment Facility | 1020 S Anaheim Blvd, Suite 209, Anaheim, CA 92805-5851 | 2015-03-23 |
| 1235549262 | Mi Familia Nursing PC | Nurse Practitioner | 1020 S Anaheim Blvd, Suite 208, Anaheim, CA 92805-5851 | 2014-04-29 |
| 1245540475 | J.a.l. Santos M.d. Inc | Clinic/Center | 1020 S Anaheim Blvd, Suite 220, Anaheim, CA 92805-5851 | 2010-10-21 |
| 1689987521 | Pravin J Kansagra Md Inc | Clinic/Center | 1020 S Anaheim Blvd, Suite 215, Anaheim, CA 92805-5851 | 2010-07-21 |
| 1619100260 | Advanced Research Center, Inc. | Psychologist | 1020 S Anaheim Blvd, #316, Anaheim, CA 92805-5851 | 2009-08-31 |
| 1821118472 | Gregory Lwinthet Chan | Obstetrics & Gynecology | 1020 S Anaheim Blvd, Ste #101, Anaheim, CA 92805-5807 | 2007-03-29 |
| 1780709253 | Bum Soo Lee | Psychiatric Hospital | 1020 S Anaheim Blvd, Anaheim, CA 92805-5851 | 2007-03-21 |
| 1639243769 | Jose C. Gamboa, M.d., Inc. | Psychiatry & Neurology | 1020 S Anaheim Blvd, Suite 214, Anaheim, CA 92805-5851 | 2006-11-20 |
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| 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 |
|---|---|---|---|---|
| 1003420142 | Odette Boyd | Psychologist | 5101 E La Palma Ave Ste 100, Anaheim, CA 92807-2056 | 2020-09-05 |
| 1437797859 | Moriah Padilla | Psychologist | 2200 E Ball Rd Apt 54, Anaheim, CA 92806-5206 | 2019-12-16 |
| 1538727318 | Wel-mor Psychological Group, Inc. | Psychologist | 5130 E La Palma Ave Ste 212, Anaheim, CA 92807-2078 | 2019-06-05 |
| 1861932816 | Melissa Huy, Ph.d., Inc. | Psychologist | 4430 E Miraloma Ave, Suite F, Anaheim, CA 92807-1840 | 2017-02-23 |
| 1710308036 | Pathways To Discovery Psychological Solutions, P.C. | Psychologist | 836 S Harding Ave, Anaheim, CA 92804-3819 | 2014-01-05 |
| 1740531474 | Sandra G. Kubicki | Psychologist | 1817 N Glenview Ave, Anaheim, CA 92807-1008 | 2012-09-20 |
| 1609163914 | Michael Van Loon | Psychologist | 1488 E Lincoln Ave, Anaheim, CA 92805-2213 | 2011-07-07 |
| 1487807962 | Mehjabeen Sultana Ali | Psychologist | 160 W Cerritos Ave Bldg 4, Anaheim, CA 92805-6546 | 2008-10-29 |
| 1285761791 | Randolph James Farrell | Psychologist | 1006 S. Marjan St., Anaheim, CA 92806 | 2007-02-28 |
| 1013062546 | Carol M Wells | Psychologist | 8018 E Santa Ana Canyon Rd Ste 100-154, Anaheim, CA 92808-1102 | 2007-01-24 |
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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.