DR. JOHN PAUL BEAUDOIN (NPI# 1467424721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467424721 |
| Entity Type | Individual |
| Full Name | DR. JOHN PAUL BEAUDOIN |
| Credential | M.DIV.,PH.D.,Q.M.E. |
| Practice Address |
542 Pi Ne Avenue A Pacific Grove CA 93950-3082 |
| Mailing Address |
542 Pine Ave A Pacific Grove CA 93950-3443 |
| Practice Telephone | 8316480845 |
| Practice Fax Number | 8316429831 |
| Mailing Telephone | 8316480845 |
| Mailing Fax Number | 8316429831 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2010-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY13842 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
935452 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | QUAILIFIED MEDICAL EXAMIN | 935452 | 01 |
| CA | PSYCHOLOGY LIC. | PSY13842 | 01 |
| CA | PROVIDER NUMBER | OPL138420 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235285164 | John Ralph Beaudoin | Dentist | 2 Stilson St, Sanford, ME 04073-3228 | 2007-01-25 |
| Street Address |
542 PI NE AVENUE A |
| City | PACIFIC GROVE |
| State | CA |
| Zip Code | 93950-3082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588167878 | Joseph C. Hutchinson Jr. | Massage Therapist | 505 Lighthouse Ave. (#104) Ca, Suite # 104, Pacific Grove, CA 93950 | 2018-03-13 |
| 1306274956 | Katherine Hoops | Speech-Language Pathologist | 170 17th St Ste B, Pacific Grove, CA 93950 | 2013-10-17 |
| 1568896918 | Dr Li Liu Acupuncture & Herbal Medicine | Acupuncturist | 311 Forest Ave., Suite B-2, Pacific Grove, CA 93950 | 2013-08-21 |
| 1417298811 | Sibyl Knight | Neuromusculoskeletal Medicine & OMM | 199 17th St Ste J, Pacific Grove, CA 93950 | 2013-03-09 |
| 1417224395 | David J Banks | Pharmacist | 1212 Forest Avenue, Pacific Grove, CA 93950 | 2011-11-21 |
| 1558643346 | Carolyn Bloye | Counselor | 207 16th St Ste 314, Pacific Grove, CA 93950 | 2011-09-16 |
| 1821327248 | David Craig Wright | Internal Medicine | 510 Lighthouse Ave Ste 6, Pacific Grove, CA 93950 | 2009-12-14 |
| 1558512350 | Rachel Evelyn Amerault | Counselor | 951 Blanco Cr Ste B, Salinas, CA 93950 | 2008-10-10 |
| 1629237664 | David Randall Simonds | Marriage & Family Therapist | 621 Forest Avenue, Pacific Grove, CA 93950 | 2008-06-05 |
| 1942410311 | Barbara Carroll Robinson | Marriage & Family Therapist | 311c Forest Ave, Pacific Grove, CA 93950 | 2007-05-23 |
| Find all providers in zip 93950 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467857474 | Treloar Price | Psychologist | 455 Junipero Ave, Pacific Grove, CA 93950-4418 | 2014-11-03 |
| 1578870382 | Ann Elkin | Psychologist | 92 Glen Lake Dr, Pacific Grove, CA 93950-5376 | 2010-09-01 |
| 1366489577 | Shauna Jean Stott | Psychologist | 220 Country Club Gate Ctr, Suite 16, Pacific Grove, CA 93950-5014 | 2006-05-31 |
| 1528306230 | Laura Robinson Harbert | Psychologist | 667 Lighthouse Ave, Suite 202, Pacific Grove, CA 93950-2665 | 2013-01-30 |
| 1710194667 | Lynne Conlon | Psychologist | 621 Forest Ave, Suite 3, Pacific Grove, CA 93950-4264 | 2007-05-17 |
| 1780707802 | Elaine Agnes Finnberg | Psychologist | 940 Forest Ave, Pacific Grove, CA 93950-4836 | 2007-04-06 |
| 1659403624 | Charlotte A. Sky | Psychologist | 716 Lighthouse Ave, Ste D, Pacific Grove, CA 93950-2567 | 2007-03-12 |
| 1730262189 | Daniel Stuart Robbins | Psychologist | 621 Forest Ave, Pacific Grove, CA 93950-4264 | 2006-10-21 |
| 1881614626 | Bill Zika | Psychologist | 621 Forest Ave, Suite 3, Pacific Grove, CA 93950-4264 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | PACIFIC GROVE |
| Zip Code | 93950 |
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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.