PROGENY MENTAL & BEHAVIORAL HEALTH (NPI# 1285152074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285152074 |
| Entity Type | Organization |
| Organization Name | PROGENY MENTAL & BEHAVIORAL HEALTH |
| Practice Address |
17782 Cowan Ste A Irvine CA 92614-6041 |
| Practice Telephone | (949) 722-7118 |
| Practice Fax Number | 9497227119 |
| Mailing Telephone | 9497227118 |
| Mailing Fax Number | 9497227119 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | CINDY CAPRETZ (VICE PRESIDENT) |
| Authorized Official Telephone | 9496893604 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BUSINESS LICENSE | 170002122 | 01 |
| Street Address |
17782 COWAN STE A |
| City | IRVINE |
| State | CA |
| Zip Code | 92614-6041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740485101 | Farhad Ghasemi Nikoo | Registered Nurse | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2007-06-18 |
| 1043825797 | Robert Anthony Cadena | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-09-10 |
| 1790396794 | Heidi Aguilar | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-08-12 |
| 1497380356 | Helen Kim | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-03-10 |
| 1558995084 | Neo Atienza | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-02-24 |
| 1972134641 | Emily Louise Lippincott | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-01-30 |
| 1427692375 | Jada Alston | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2019-11-04 |
| 1366098279 | Nili Askari | Marriage & Family Therapist | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2019-08-15 |
| 1992363535 | Maria D Acevedo | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2019-05-29 |
| 1548735202 | Progeny Psychiatric Clinic A Medical Corporation | Family Medicine | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2018-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1245843572 | Jose Raul Sanchez IIi | Behavior Technician | 1063 Mcgraw Ave, Irvine, CA 92614 | 2020-08-26 |
| 1548871064 | Angelina Renee Armenta | Behavior Technician | 1063 Mcgraw Avenue, Suite 100, Irvine, CA 92614 | 2020-08-10 |
| 1083267827 | Jd Health LLC | Durable Medical Equipment & Medical Supplies | 18003 Sky Park Circle, Suite B-c, Irvine, CA 92614 | 2019-07-22 |
| 1326609280 | Abigail Briana Lozano-flores | Behavior Technician | 18008 Sky Park Circle, Suite 110, Irvine, CA 92614 | 2019-06-21 |
| 1770085235 | Heather M. Ayala | Dietitian, Registered | 17985 Sky Park Circle Suite A, Irvine, CA 92614 | 2018-03-01 |
| 1598266033 | Camille Plumbar | Chiropractor | 17811 Skypark Circle, Suite E, Irvine, CA 92614 | 2018-02-21 |
| 1952812448 | Mary M Ahmadian | Nurse Practitioner | Global Transitional Care Suite 100, 2 Executive Circle, Irvine, CA 92614 | 2017-10-24 |
| 1134656804 | Reza Abaei Tafreshi | Dentist | 3 Pazzi, Irvine, CA 92614 | 2017-05-12 |
| 1467991307 | Laboratory Medicine Consultants In Diagnostics | Medical Genetics | 1565 A Mcgaw Ave, Irvine, CA 92614 | 2017-02-13 |
| Find all providers in zip 92614 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659618 | Gauri Saxena | Psychologist | 242 Dewdrop, Irvine, CA 92603-0650 | 2020-04-27 |
| 1083198162 | Kyle Kermott | Psychologist | 18010 Sky Park Cir Ste 290, Irvine, CA 92614-6487 | 2018-09-24 |
| 1245713163 | Saimir Thano | Psychologist | 203 Student Services I, Irvine, CA 92697-0001 | 2018-09-07 |
| 1730525536 | Shirin Ansari | Psychologist | 16220 Scientific, Irvine, CA 92618-4349 | 2013-05-20 |
| 1831474345 | Elham Shoja | Psychologist | 8 Corporate Park Suite 300, Irvine, CA 92606 | 2011-10-15 |
| 1538448345 | Connie Joo Won | Psychologist | 19712 Macarthur Blvd Ste 110, Irvine, CA 92612-2407 | 2011-08-10 |
| 1366734477 | Yoon Shim Lee | Psychologist | 4605 Barranca Pkwy Ste 101d, Irvine, CA 92604-1726 | 2011-05-07 |
| 1770884470 | James Shafer Ph.d. A Psychological Corp. | Psychologist | 6 Venture Ste 350, Irvine, CA 92618-7350 | 2010-11-11 |
| 1588971741 | Erica Lehman | Psychologist | 15615 Alton Parkway, Suite 230, Irvine, CA 92618-7306 | 2010-09-09 |
| 1285834424 | Tracy A Williamson | Psychologist | 300 Spectrum Dr., Irvine, CA 92618 | 2007-07-24 |
| Find all providers in IRVINE | ||||
Please comment or provide details below to improve the information on PROGENY MENTAL & BEHAVIORAL HEALTH.
| 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.