DR. CATHERINE FITZSIMONS JERVEY (NPI# 1194949370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194949370 |
Entity Type | Individual |
Full Name | DR. CATHERINE FITZSIMONS JERVEY |
Credential | PH.D. |
Practice Address |
3420 Kenyon St San Diego CA 92110-5001 |
Mailing Address |
5141 Randlett Dr La Mesa CA 91941-3900 |
Practice Telephone | 6192216550 |
Mailing Telephone | 6196981792 |
Enumeration Date | 2007-04-12 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
PSY7427 | CA | Behavioral Health & Social Service Providers |
X | 103TC0700X |
Psychologist Specialization: Clinical |
PSY7427 | CA | Behavioral Health & Social Service Providers |
Street Address |
3420 KENYON ST |
City | SAN DIEGO |
State | CA |
Zip Code | 92110-5001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194803130 | Lana Charlene Lee | Psychiatry & Neurology | 3420 Kenyon St, San Diego, CA 92110-5001 | 2006-11-01 |
1437669637 | Tina Tsou | Psychologist | 3420 Kenyon St, San Diego, CA 92110-5001 | 2017-10-03 |
1407196413 | Khadijah Hinna Bhutto Ramirez | Marriage & Family Therapist | 3420 Kenyon St, Building B, San Diego, CA 92110-5001 | 2013-02-28 |
1063788719 | Melissa Hawthorne-campos | Social Worker | 3420 Kenyon St, San Diego, CA 92110-5001 | 2012-03-27 |
1770878977 | Douglas Wayne Skelly-brown IIi | Marriage & Family Therapist | 3420 Kenyon St, San Diego, CA 92110-5001 | 2011-06-15 |
1003113622 | Channing Gredvig | Social Worker | 3420 Kenyon St, San Diego, CA 92110-5001 | 2011-02-16 |
1033424817 | Martha Kemper Batchelder | Social Worker | 3420 Kenyon St, San Diego, CA 92110-5001 | 2010-08-17 |
1316250285 | Cherie Lee Traylor | Social Worker | 3420 Kenyon St, Bldg B, 2nd Floor, San Diego, CA 92110-5001 | 2010-07-21 |
1053549998 | Shahida Parveen | Psychiatric Hospital | 3420 Kenyon St, San Diego, CA 92110-5001 | 2009-06-30 |
1134356264 | Jane Agnes Sinclair | Counselor | 3420 Kenyon St, San Diego, CA 92110-5001 | 2009-06-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
Find all providers in zip 92110 |
Taxonomy Code | 103TA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548460835 | Seda Gragossian | Psychologist | 5935 Cornerstone Ct W, Suite 125, San Diego, CA 92121-3737 | 2007-07-24 |
1902011950 | Annemarie Stokes | Psychologist | 4649 60th St, San Diego, CA 92115-3825 | 2007-05-12 |
1861595423 | Darryl Kenneth Moore | Psychologist | 3110 Camino Del Rio S Ste 220, San Diego, CA 92108 | 2006-09-07 |
1982254397 | Practice of Being Human Psychology PC | Psychologist | 835 5th Ave Ste 307, San Diego, CA 92101-6136 | 2019-09-17 |
1992273411 | Demet Cek | Psychologist | 2221 Camino Del Rio S Ste 200, San Diego, CA 92108-3609 | 2018-11-02 |
1831689439 | Matthew David Madden | Psychologist | 1733 Euclid Ave, San Diego, CA 92105-5414 | 2018-05-18 |
1871090977 | Patrick James Germany | Psychologist | 1733 Euclid Ave, San Diego, CA 92105-5414 | 2018-04-06 |
1144736000 | James Lee Profit | Psychologist | 1081 Camino Del Rio S Ste 103, San Diego, CA 92108-3543 | 2017-12-14 |
1598217135 | Recovery Partners, P.C. | Psychologist | 11720 El Camino Real, Suite 200, San Diego, CA 92130-2224 | 2016-10-31 |
1306219050 | Michael Cloud Sr. | Psychologist | 1733 Euclid Ave, San Diego, CA 92105-5414 | 2015-11-03 |
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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.