SAN DIEGO FORENSIC PSYCHOLOGY CORPORATION (NPI# 1538620786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538620786 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO FORENSIC PSYCHOLOGY CORPORATION |
| Practice Address |
4640 Cass Street # 90422 San Diego CA 92109 |
| Mailing Address |
Po Box 90422 San Diego CA 92169-2422 |
| Practice Telephone | 8582740874 |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-06-08 |
| Authorized Official Name | SHANDA ANGIOLI (PRESIDENT) |
| Authorized Official Telephone | 8582740874 |
| Authorized Official Credential | PSYCHOLOGIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers |
| Street Address |
4640 CASS STREET # 90422 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982113874 | Holly Mansur | Registered Nurse | 3663 Jewell Street, San Diego, CA 92109 | 2017-09-24 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1689113524 | Tyler Marquis | Pharmacist | 2636 Grand Avenue Apartment 326, San Diego, CA 92109 | 2017-02-13 |
| 1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
| 1275924995 | Pratima S. Gowdar, Dds, Inc | Dentist | 4655 Cass St. Ste 104, San Diego, CA 92109 | 2015-02-17 |
| 1417388562 | Pacific Rim Pathology Medical Corporation | Clinical Medical Laboratory | 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 | 2013-11-27 |
| 1023379997 | Eric Berquist | Student in an Organized Health Care Education/Training Program | 2009 Reed Ave, San Diego, CA 92109 | 2012-06-06 |
| 1982996724 | Miramar Health Physicians Group | Acupuncturist | 1321 Garnet Avenue, San Diego, CA 92109 | 2011-05-12 |
| 1902109325 | Anna N Amagou | Behavioral Analyst | 2221 Felspar Street Apt #c, San Diego, CA 92109 | 2010-12-07 |
| 1225357833 | Gary L Matson Do Inc | Family Medicine | 4501 Mission Bay Dr 3e, San Diego, CA 92109 | 2010-05-21 |
| Find all providers in zip 92109 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265997936 | Shanda Angioli | Psychologist | 4640 Cass St # 90422, San Diego, CA 92109-2804 | 2019-02-06 |
| 1942603550 | Rick Bjorklund | Psychologist | 4728 Allied Rd, San Diego, CA 92120-2412 | 2014-09-28 |
| 1538403100 | Shelby Moreira | Psychologist | 3063 Wing St, San Diego, CA 92110-4746 | 2012-11-20 |
| 1275789703 | Francisco Gomez | Psychologist | 325 W. Washington St. Ste. 2, #117, San Diego, CA 92103 | 2008-08-15 |
| 1548889868 | Diana Avalle | Psychologist | 10065 Old Grove Rd Ste 101, San Diego, CA 92131-1664 | 2020-04-16 |
| 1790211712 | Jessica Jean Gayle | Psychologist | 4100 Normal St, San Diego, CA 92103-2653 | 2017-05-11 |
| 1942677935 | Morgan Shaw | Psychologist | 10065 Old Grove Rd Ste 101, San Diego, CA 92131-1664 | 2015-08-26 |
| 1235478652 | Craig Teofilo | Psychologist | 480 Alta Road, San Diego, CA 92198 | 2013-02-05 |
| 1760782247 | Lee Inbar | Psychologist | 286 Euclid Ave Ste 102, San Diego, CA 92114-3611 | 2010-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049130 | Ashley Cohen | Psychologist | 320 Linda Dr, Hollister, CA 95023-6646 | 2019-12-05 |
| 1174185540 | Daisy Covarrubias | Psychologist | 9727 Diana Ave, Riverside, CA 92503-4281 | 2019-07-05 |
| 1982169587 | Jocelyn Roland | Psychologist | 2937 Veneman Ave Ste B125, Modesto, CA 95356-0690 | 2019-02-07 |
| 1841755626 | Brianna Marie Alcantar | Psychologist | 855 E Laurel Dr Bldg H, Salinas, CA 93905-1300 | 2019-02-05 |
| 1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
| 1003308446 | Kiara Dixon | Psychologist | 15501 San Pablo Ave # G-317, Richmond, CA 94806-5848 | 2018-06-01 |
| 1700322633 | Lindsay Heber | Psychologist | 28204 Picadilly Pl, Castaic, CA 91384-3830 | 2017-01-17 |
| 1295193738 | Schuyler Weifu Liao | Psychologist | 2576 W San Ramon Ave, Fresno, CA 93711-2749 | 2016-01-28 |
| 1699132795 | Sara Kesl-tahan | Psychologist | 4731 W Jennifer Ave, Fresno, CA 93722-6425 | 2016-01-20 |
| 1083089494 | Catherine Constance Athens | Psychologist | 303 First St, Los Alto, CA 94022 | 2015-12-10 |
| Find all providers with the same taxonomy | ||||
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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.