DR. JOEL EDWARD FICK (NPI# 1366442527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366442527 |
| Entity Type | Individual |
| Full Name | DR. JOEL EDWARD FICK |
| Credential | PH.D. |
| Practice Address |
42145 Lyndie Ln Suite 102 Temecula CA 92591-3612 |
| Mailing Address |
Po Box 188 Livermore CA 94551-0188 |
| Practice Telephone | 9516994906 |
| Practice Fax Number | 9515872625 |
| Mailing Telephone | 4155289111 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2019-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
022908 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY17903 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | STATE LICENSE | 022908 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 156 W 56th St Ste 1804, New York, NY 100193878 | 2128518100 | 2125370102 |
| Street Address |
42145 LYNDIE LN SUITE 102 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591-3612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689009102 | Trevor Eugene Foster | Counselor | 42145 Lyndie Ln, Temecula, CA 92591-3612 | 2013-09-04 |
| 1790123362 | Erin Michelle Robertson | Counselor | 42145 Lyndie Ln, Temecula, CA 92591-3612 | 2013-06-05 |
| 1053656462 | Maria Danielle Romo | Counselor | 42145 Lyndie Ln, Temecula, CA 92591-3612 | 2012-12-11 |
| 1689949562 | Megan Marie Long | Marriage & Family Therapist | 42145 Lyndie Ln, Suite 101, Temecula, CA 92591-3612 | 2012-03-12 |
| 1528392925 | John Thomas Lopez | Counselor | 42145 Lyndie Ln, Suite# 102, Temecula, CA 92591-3612 | 2009-10-01 |
| 1033442926 | Sherri Ann Polidoro | Counselor | 42145 Lyndie Ln, #102, Temecula, CA 92591-3612 | 2009-09-10 |
| 1306179296 | Linhda Fink Prog | Counselor | 42145 Lyndie Ln, Suite 102, Temecula, CA 92591-3612 | 2009-09-10 |
| 1538343793 | Afog, Inc. | Marriage & Family Therapist | 42145 Lyndie Ln, Suite 108, Temecula, CA 92591-3612 | 2007-12-24 |
| 1053301804 | Sylvia Ybarra | Marriage & Family Therapist | 42145 Lyndie Ln, Ste 124, Temecula, CA 92591-3612 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982051413 | Teresa Loar Sage | Psychologist | 32023 Via Bonilla, Temecula, CA 92592-3658 | 2016-05-13 |
| 1528461597 | Xochitl Cortina Leevers | Psychologist | 44025 Margarita Rd Ste 101, Temecula, CA 92592-2728 | 2014-10-03 |
| 1255678595 | Dr. Linda Comin Psychologist Inc | Psychologist | 33386 Morning View Dr, Temecula, CA 92592-9186 | 2013-01-07 |
| 1659503647 | Salma Salem | Psychologist | 42267 Faber Ct, Temecula, CA 92592-7220 | 2009-08-10 |
| 1639362494 | Jennifer Woodworth | Psychologist | 43385 Business Park Dr Ste 110, Temecula, CA 92590 | 2007-08-23 |
| 1427253715 | Christine H. Duong | Psychologist | 27403 Ynez Rd Ste 202, Temecula, CA 92591-4616 | 2007-06-18 |
| 1659336204 | Tanya Mesirow | Psychologist | 28999 Old Town Front St, Suite 105, Temecula, CA 92590-5805 | 2006-04-18 |
| 1417933607 | Kristen Elizabeth Barry | Psychologist | 32966 Embassy Ave, Temecula, CA 92592-1366 | 2005-12-20 |
| 1811598881 | Jefferson Family Services, Inc. | Psychologist | 27715 Jefferson Ave Ste 112, Temecula, CA 92590-6601 | 2020-11-05 |
| 1659906774 | Mindwell Gardens Counseling and Psychological Services, PC | Psychologist | 44025 Margarita Rd Ste 101, Temecula, CA 92592-2728 | 2020-03-09 |
| Find all providers in TEMECULA | ||||
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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.