MARIA ELISABET REVILLA


Address: 1350 W Robinhood Dr Ste 18, Stockton, CA 95207-5519
Phone: 6502792332

MARIA ELISABET REVILLA (NPI# 1518277433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518277433
Entity Type Individual
Full Name MARIA ELISABET REVILLA
Credential PHD
Practice Address 1350 W Robinhood Dr Ste 18
Stockton
CA 95207-5519
Mailing Address 711 Church St
Mountain View
CA 94041-2030
Practice Telephone 6502792332
Mailing Telephone 6509652020
Mailing Fax Number 6509657286
Enumeration Date 2010-10-13
Last Update Date 2010-12-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY 23560 CA Behavioral Health & Social Service Providers

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Office Location

Street Address 1350 W ROBINHOOD DR STE 18
City STOCKTON
State CA
Zip Code 95207-5519

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669004438 Dr. Jeffrey A Saladin, Dental Corporation Dentist 1002 Robinhood Drive, Stockton, CA 95207 2020-02-10
1811533110 Tanya V Jones Dental Hygienist Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 2019-11-21
1053966358 Ingrid Marcela Saavedra Behavioral Analyst 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 2019-08-05
1497218861 Turning Point Community Programs Community/Behavioral Health 1803 W March Ln Ste C-d, Stockton, CA 95207 2019-04-11
1427510627 Stockton Sleep Center Inc Physiological Laboratory 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 2019-04-05
1518436229 Nicolas Anthony Overby Occupational Therapist Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 2018-11-26
1912475724 Ashley Johnson Behavior Technician 87 W. March Ln. Suite 6, Stockton, CA 95207 2018-11-09
1124596085 Korie Cottrell Behavior Technician 87 W. March Ln., Suite 6, Stockton, CA 95207 2018-11-08
1760979645 Maria Esther Rodriguez Counselor 2425 W March Ln., Stockton, CA 95207 2018-04-17
1902301161 Lashray Elliott Behavior Technician 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 2018-03-28
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811352628 Stephen Gutknecht Psychologist 3755 W Benjamin Holt Dr Apt 163, Stockton, CA 95219-3313 2015-12-21
1184869356 Frederick Arthur Martin Psychologist 1232 Mill Way, Stockton, CA 95209-4368 2008-12-02
1720108335 Crystal Rose Krull Psychologist 1117 S Grant St, Stockton, CA 95206-1626 2007-03-29
1316003759 Cheryl Thornton Psychologist 808 South St, Stockton, MO 65785 2006-12-29
1851493639 Victor Manuel Zapien Psychologist 1743 Grand Canal Blvd Suite #16, Stockton, CA 95207 2006-09-02
1720021975 Floyd Joseph O'brien Psychologist 33 W Alder St, Stockton, CA 95204-5701 2006-06-14
1306336888 Debra Ann Robertson Psychologist 7707 Austin Rd, Stockton, CA 95215-8312 2018-05-10
1992175863 Ronnie Doss Psychologist 7707 Austin Rd, Stockton, CA 95215-8312 2015-10-04
1528450459 Jennifer Crews Thom Psychologist 7373 West Ln, Stockton, CA 95210-3377 2015-03-02
1992101612 Carlos Oliveira Psychologist 20 N Sutter St Ste 400, Stockton, CA 95202-2911 2014-11-06
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Competitor

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City STOCKTON
Zip Code 95207

Improve Information

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Dataset Information

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.

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