THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC (NPI# 1407120579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407120579 |
| Entity Type | Organization |
| Organization Name | THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC |
| Practice Address |
603 Mission St Santa Cruz CA 95060-3612 |
| Practice Telephone | 8316007103 |
| Practice Fax Number | 8316007499 |
| Mailing Telephone | 8315880497 |
| Mailing Fax Number | 8316007499 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | DR. ELIZABETH ESALEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8316007103 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY24204 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1225329253 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 Mission St, Santa Cruz, CA 950603614 | 8882349712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235770181 | The Lotus Collaborative, Inc., A Psychology Clinic | Psychologist | 611 Mission St, Santa Cruz, CA 95060-3612 | 2019-10-02 |
| 1720566128 | The Lotus Collaborative, Inc., A Psychology Clinic | Psychologist | 1610 Union St, San Francisco, CA 94123-4507 | 2018-07-30 |
| Street Address |
603 MISSION ST |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-3612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720697824 | Carol Dunn | Dietitian, Registered | 603 Mission St, Santa Cruz, CA 95060-3612 | 2020-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720508914 | Melody Joy S Fo | Psychologist | 100 Braemoor Dr, Santa Cruz, CA 95060-9449 | 2017-06-20 |
| 1639600901 | Gloria Aguilar Blanceagle | Psychologist | 708 Nobel Dr Unit C, Santa Cruz, CA 95060-2366 | 2017-03-27 |
| 1881986578 | Julie Peters Macecevic | Psychologist | 303 Walnut Ave, Santa Cruz, CA 95060-3659 | 2011-05-12 |
| 1841454519 | Shelia K Stack | Psychologist | 349 Western Dr Apt H, Santa Cruz, CA 95060-3043 | 2008-07-11 |
| 1265639678 | Lisa Ann Blevins | Psychologist | 501 Mission St, Suite 102, Santa Cruz, CA 95060-3661 | 2007-06-29 |
| 1205049913 | Norman James Beckett Jr. | Psychologist | 1362 Pacific Avenue, Suite #216, Santa Cruz, CA 95060 | 2007-05-08 |
| 1205059557 | Diane Bridgeman | Psychologist | 1362 Pacific Ave, Suite 210, Santa Cruz, CA 95060-3932 | 2007-04-11 |
| 1023142890 | Jerry Solomon | Psychologist | 407 Avalon St, Santa Cruz, CA 95060-2207 | 2007-03-15 |
| 1396811980 | Bret Kale Johnson | Psychologist | 550 Water St Ste F2, Santa Cruz, CA 95060-4131 | 2006-11-27 |
| 1457423329 | Johanna Frieda Riegg-luedge | Psychologist | 412 Cedar St Ste A, Santa Cruz, CA 95060-4369 | 2006-11-15 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
Please comment or provide details below to improve the information on THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC.
| 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.