EVELYN G SPRICKTOVAR (NPI# 1518308741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518308741 |
| Entity Type | Individual |
| Full Name | EVELYN G SPRICKTOVAR |
| Credential | PHD |
| Practice Address |
1 Main St San Quentin CA 94964-1000 |
| Practice Telephone | 4154541460 |
| Mailing Telephone | 4154541460 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY13541 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1 MAIN ST |
| City | SAN QUENTIN |
| State | CA |
| Zip Code | 94964-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811447592 | Margaret Hanna | Nurse Practitioner | 1 Main St, San Quentin Prison, San Quentin, CA 94964-1000 | 2016-10-06 |
| 1851740708 | Haiyan Ramirez Batlle | Internal Medicine | 1 Main St, San Quentin, CA 94964-1000 | 2016-06-10 |
| 1851704027 | Erica Haines | Psychologist | 1 Main St, San Quentin, CA 94964-1000 | 2014-06-05 |
| 1023438645 | Total Renal Care Inc | Clinic/Center | 1 Main St, San Quentin, CA 94964-1000 | 2014-04-22 |
| 1720408859 | Yan Chan | Student in an Organized Health Care Education/Training Program | 1 Main St, San Quentin, CA 94964 | 2014-04-16 |
| 1780012914 | Reyna Downey | Psychologist | 1 Main St, San Quentin, CA 94964-1000 | 2013-10-25 |
| 1710319819 | Angelina K Enos | Psychologist | 1 Main St, San Quentin, CA 94964-1000 | 2013-07-31 |
| 1033551593 | Karen Lippman | Psychologist | 1 Main St, San Quentin, CA 94964-1000 | 2013-07-25 |
| 1124460688 | Robert Steiner | Psychologist | 1 Main St, Chsb Rm 2123, San Quentin, CA 94964-1000 | 2013-07-25 |
| 1164864187 | Judy M. Wick | Social Worker | 1 Main St, San Quentin, CA 94964-1000 | 2013-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760636864 | Harun Evcimen | Psychiatry & Neurology | 1 Main St. H-unit Yard Tele Psychiatry, Cdcr San Quetin State Prison, San Quentin, CA 94964 | 2008-11-17 |
| 1790905156 | Ucsf Medical Center | Nurse Practitioner | San Quentin State Prison, San Quentin, CA 94964 | 2007-04-26 |
| 1477613115 | Laureen Linda Jang | Dentist | San Quentin, San Quentin, CA 94964 | 2006-12-11 |
| 1427062660 | Elena Tootell | Family Medicine | Office of The Cmo, San Quentin State Prison, San Quentin, CA 94964 | 2006-07-27 |
| 1205894771 | Fouad Kiani | Dentist | 1 Main St., San Quentin, CA 94964 | 2006-05-03 |
| 1518958743 | Bradley Kenneth Deal | Psychiatry & Neurology | 13 Main St., San Quentin Prison, San Quentin, CA 94964 | 2005-11-05 |
| 1104373570 | Jane Lovelle | Social Worker | San Quentin State Prison, San Quentin, CA 94964 | 2016-09-02 |
| 1780049213 | Patricia Sweeny Toboni | Speech-Language Pathologist | 64 Main Street, #2 Rear Bldg., San Quentin, CA 94964 | 2015-12-29 |
| 1144621368 | Eric Monthei | Psychologist | San Quentin State Prison, San Quentin, CA 94964 | 2014-09-08 |
| 1982025755 | Hillel Greene | Social Worker | San Quentin State Prison, Central Health Services Building 4th Floor, San Quentin, CA 94964 | 2013-12-22 |
| Find all providers in zip 94964 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851704027 | Erica Haines | Psychologist | 1 Main St, San Quentin, CA 94964-1000 | 2014-06-05 |
| 1780012914 | Reyna Downey | Psychologist | 1 Main St, San Quentin, CA 94964-1000 | 2013-10-25 |
| 1881036929 | Reina Lorine Fong | Psychologist | 1 Main St, San Quentin, CA 94964-1000 | 2013-07-17 |
| 1205182300 | Ashley Mowrey | Psychologist | 1 Main St, San Quentin, CA 94964 | 2012-07-26 |
| 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 | SAN QUENTIN |
| Zip Code | 94964 |
Please comment or provide details below to improve the information on EVELYN G SPRICKTOVAR.
| 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.