ACACIA PSYCHOLOGICAL CORPORATION (NPI# 1295279883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295279883 |
| Entity Type | Organization |
| Organization Name | ACACIA PSYCHOLOGICAL CORPORATION |
| Other Organization Name | ACACIA COUNSELING & WELLNESS |
| Practice Address |
207 E St Ste B Davis CA 95616-4523 |
| Mailing Address |
281 Magnolia Ave Ste 300 Goleta CA 93117-3608 |
| Practice Telephone | 8054726099 |
| Practice Fax Number | 8054726099 |
| Mailing Telephone | 8054726099 |
| Mailing Fax Number | 8054726099 |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | JESS RODRIGUEZ (CHIEF BUSINESS OFFICER) |
| Authorized Official Telephone | 8054726099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
26685 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Acacia Counseling & Wellness | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386139087 | Acacia Psychological Corporation | Psychologist | 1019 Gayley Ave Fl 2, Los Angeles, CA 90024-3437 | 2018-06-25 |
| 1043757925 | Acacia Psychological Corporation | Counselor | 2720 University Ave Se, Unit B, Minneapolis, MN 55414-3210 | 2017-01-30 |
| 1053912477 | Acacia Psychological Corporation | Psychologist | 5900 Balcones Dr Ste 100, Austin, TX 78731-4298 | 2020-11-03 |
| 1962061739 | Acacia Psychological Corporation | Psychologist | 740 Front St Ste 220, Santa Cruz, CA 95060-4536 | 2019-06-06 |
| 1770148827 | Acacia Psychological Corporation | Psychologist | 4255 Campus Dr Ste A245, Irvine, CA 92612-8630 | 2019-05-03 |
| 1316415359 | Acacia Psychological Corporation | Psychologist | 8950 Villa La Jolla Dr Ste C121, La Jolla, CA 92037-1707 | 2018-11-07 |
| 1033561147 | Acacia Psychological Corporation | Psychologist | 948 Embarcadero Del Norte Ste 102, Goleta, CA 93117-5106 | 2016-07-13 |
| Street Address |
207 E ST STE B |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-4523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154820439 | Pilar Antonia Gonzalez-doupe | Psychologist | 207 E St Ste B, Davis, CA 95616-4523 | 2018-02-01 |
| 1437676020 | Ashli Ellis | Psychologist | 207 E St Ste B, Davis, CA 95616-4523 | 2017-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389912 | Daniel Suavengco Lumbres | Psychologist | 207 E St Unit B, Davis, CA 95616-4523 | 2019-11-06 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1326338468 | Thomas Roe | Psychologist | One Shields Avenue, Davis, CA 95616 | 2011-04-11 |
| 1700033040 | Gordon Leroy Ulrey | Psychologist | 433 F Street, Davis, CA 95616 | 2008-08-19 |
| 1457528077 | Katie Pilgeram Cougevan | Psychologist | 621 4th St Ste 3, Davis, CA 95616-4151 | 2008-05-13 |
| 1275727554 | Norma Cole | Psychologist | 712 F St, Davis, CA 95616-3722 | 2007-08-30 |
| 1043435332 | Jerry G Balaban | Psychologist | 3000 Woods Cir, Davis, CA 95616-2678 | 2007-04-13 |
| 1528121571 | Louise G Bettner | Psychologist | 1903 Picasso Ave, Davis, CA 95616-0503 | 2006-12-19 |
| 1902969652 | Dafna Gatmon | Psychologist | 816 Hacienda Ave, Davis, CA 95616-0129 | 2006-12-17 |
| 1831269141 | Margaret Bezmalinovic | Psychologist | 424 2nd St Ste D, Davis, CA 95616-4675 | 2006-11-08 |
| Find all providers in DAVIS | ||||
Please comment or provide details below to improve the information on ACACIA PSYCHOLOGICAL CORPORATION.
| 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.