DR. GINA PETRUS (NPI# 1336410596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336410596 |
| Entity Type | Individual |
| Full Name | DR. GINA PETRUS |
| Credential | PHD |
| Practice Address |
1500 S Mcdonnell Ave Commerce CA 90040-5623 |
| Practice Telephone | 3239814301 |
| Mailing Telephone | 3239814301 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY17390 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1500 S MCDONNELL AVE |
| City | COMMERCE |
| State | CA |
| Zip Code | 90040-5623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255355673 | Los Angeles County Department of Mental Health | Clinic/Center | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2006-07-27 |
| 1508485145 | Janice Harris | Marriage & Family Therapist | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2020-04-14 |
| 1629697206 | Lacretia Nicole English | Marriage & Family Therapist | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2020-04-13 |
| 1891314589 | Elizabeth Collins | Social Worker | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2020-04-13 |
| 1922627660 | Michelle Marie Medina | Social Worker | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2020-04-13 |
| 1790294320 | Genesia Arkita Foster | Social Worker | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2017-09-26 |
| 1568903904 | Imelda Vargas | Social Worker | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2017-03-18 |
| 1548700073 | Teresa Roman | Marriage & Family Therapist | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2017-03-02 |
| 1821536830 | Rosie Watson | Marriage & Family Therapist | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2017-02-09 |
| 1306290473 | Krystal Parks-fulton | Marriage & Family Therapist | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2016-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178358 | On Site Physician Services, PC | Family Medicine | 6131 Telegraph Road, Commerce, CA 90040 | 2018-09-20 |
| 1912423831 | Rafael Marron IIi | Health Educator | 5675 E. Telegraph Rd., Commerce, CA 90040 | 2017-08-22 |
| 1699196378 | Altamed Health Services | Health Maintenance Organization | 2040 Camfield Ave., Los Angeles, CA 90040 | 2013-12-23 |
| 1578815072 | Martha Rose Lopez | Rehabilitation Practitioner | 2450 South Atlantic Blvd., Suite #101, Commerce, CA 90040 | 2012-10-08 |
| 1386906949 | Nadia Felix | Case Manager/Care Coordinator | 2450 Atantic Blvd, Suite #101, Commerce, CA 90040 | 2012-06-11 |
| 1215206503 | Jwch Institute, Inc. | Clinic/Center | 5650 Jillson St, Commerce, CA 90040 | 2011-12-15 |
| 1821398488 | Karla Sandin | Marriage & Family Therapist | 5628 E Slauson Ave., City of Commerce, CA 90040 | 2010-10-29 |
| 1437461662 | Stephanie Ann Villasenor | Counselor | 5800 S Eastern Ave Ste 500, Commerce, CA 90040 | 2010-07-02 |
| 1699940296 | Carolyn Coolidge | Rehabilitation Practitioner | 6055 E. Washingtonblvd., Suite 900, Commerce, CA 90040 | 2008-04-24 |
| 1508040379 | Miyoshi Umeki Dorsey | Case Management | 1500 S. Mc Dowell Ave., Los Angeles, CA 90040 | 2007-12-28 |
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| 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 |
|---|---|---|---|---|
| 1710141155 | Gloria Macias | Psychologist | 1436 Goodrich Blvd., Commerce, CA 90022-5103 | 2008-07-15 |
| 1548447212 | Venessa Ann Baumann | Psychologist | 5400 E Olympic Blvd Ste 140, Commerce, CA 90022-5186 | 2008-01-24 |
| 1376931956 | Evgeniya Gabrielyan | Psychologist | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2015-01-05 |
| 1225440738 | Michael David Martinez Jr. | Psychologist | 1436 Goodrich Blvd, Commerce, CA 90022-5111 | 2014-06-02 |
| 1881010338 | Vi N Nguyen | Psychologist | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2014-03-07 |
| 1861828113 | Ho Ying Chu | Psychologist | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2013-09-18 |
| 1548542962 | Elizabeth Petrisca | Psychologist | 1000 Goodrich Blvd, Commerce, CA 90022 | 2011-09-12 |
| 1740574367 | Vianey Midgette | Psychologist | 5400 E Olympic Blvd Ste 140, Commerce, CA 90022-5186 | 2011-05-31 |
| 1003125303 | Jeneve Kanaventi | Psychologist | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2010-10-04 |
| 1063727550 | Christina Falcon | Psychologist | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2010-08-10 |
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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.