MICHELE MARIE MARCINKEVICZ (NPI# 1568086486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568086486 |
| Entity Type | Individual |
| Full Name | MICHELE MARIE MARCINKEVICZ |
| Practice Address |
1060 S Brookhurst Rd Fullerton CA 92833-3709 |
| Practice Telephone | 7144491339 |
| Mailing Telephone | 7144491339 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
99361 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1060 S BROOKHURST RD |
| City | FULLERTON |
| State | CA |
| Zip Code | 92833-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184716581 | Korean Community Services | Community/Behavioral Health | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2006-09-30 |
| 1508474826 | Vanessa Valdivia | Marriage & Family Therapist | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2020-07-22 |
| 1295240463 | Rene Osorio Santiago | Counselor | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2017-12-08 |
| 1609249267 | Kc Services | Community/Behavioral Health | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2015-11-04 |
| 1326389206 | James P Dublino | Counselor | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2013-03-02 |
| 1134380348 | Tito Toreno Sanchez | Social Worker | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2008-06-19 |
| 1558545848 | Leslie Allyson Mitchell | Counselor | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2007-12-21 |
| 1952513756 | Raelee Elba Hood | Marriage & Family Therapist | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2007-05-04 |
| 1437233889 | Judy S. Tompkins | Counselor | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2006-10-24 |
| 1417039579 | James Otis Ray | Counselor | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333565 | Qz Enterpprises Corp | In Home Supportive Care | 2817 Muir Trail Dr, Fullerton, CA 92833 | 2019-08-26 |
| 1780114306 | Acupuncture Nara Inc | Clinic/Center | 2334 W. Valencia Dr., Fullerton, CA 92833 | 2017-06-15 |
| 1518350149 | Young A Lee | Nurse Practitioner | 2529 Monterey Pl, Fullerton, CA 92833 | 2015-03-06 |
| 1538557871 | Annacess Arcadio | Occupational Therapy Assistant | 1437 W Woodcrest Ave, Fullerton, CA 92833 | 2015-01-08 |
| 1710306923 | Nora Edith Heredia | Counselor | 1060 S Brookhurst Road, Fullerton, CA 92833 | 2014-04-15 |
| 1912322892 | Louis Michael Hinzo | Counselor | 1060 S. Brookhurst Rd., Fullerton, CA 92833 | 2014-02-28 |
| 1497011290 | Paul Choong Hwan Lee, M.d. A Medical Corporation | Ophthalmology | 1401 S. Brookhurst Rd., Suite 107, Fullerton, CA 92833 | 2012-04-05 |
| 1992073860 | Tammy Phan | Pharmacist | 1826 W Orangethrope Ave, Fullerton, CA 92833 | 2011-12-07 |
| 1346577160 | Hara Orthotics and Prosthetics,inc | Prosthetic/Orthotic Supplier | 1343 W. Valencia Dr., Suite E, Fullerton, CA 92833 | 2009-11-16 |
| 1265669923 | Marcelle Bonneau Taylor | Marriage & Family Therapist | 1145 W. Valencia Mesa, Emmanuel Episcopal Church, Fullerton, CA 92833 | 2009-06-19 |
| Find all providers in zip 92833 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170734 | Cynthia Sue Melican | Counselor | 3160 Yorba Linda Blvd Apt D3, Fullerton, CA 92831-2338 | 2020-09-30 |
| 1033720990 | Casey Postma | Counselor | 1101 Williamson Ave, Fullerton, CA 92833-2747 | 2020-08-13 |
| 1538528542 | Colleen Louise Childress | Counselor | 1201 W Valencia Dr, Space 29, Fullerton, CA 92833-3310 | 2016-02-18 |
| 1871907972 | Edward Walls | Counselor | 771 W.orangethorpe Ave., Fullerton, CA 92832 | 2014-06-17 |
| 1790072155 | Richard Lynn Spurlock | Counselor | 2317 Nicolas Dr, Fullerton, CA 92833-1342 | 2011-07-06 |
| 1275747453 | Dennis Bocanegra | Counselor | 1501 W Baker Ave, Fullerton, CA 92833-4519 | 2007-05-09 |
| 1306920236 | James Allen Luther | Counselor | 329 E Commonwealth Ave, Fullerton, CA 92832-2016 | 2006-10-25 |
| 1669563573 | Brian Greene | Counselor | 1425 N Placentia Ave, # 77, Fullerton, CA 92831-2575 | 2006-09-27 |
| 1811506991 | Desiree Lanette Bishop | Counselor | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2020-07-24 |
| 1952925000 | Reymunda Sandoval | Counselor | 731 S Highland Ave, Fullerton, CA 92832-2753 | 2020-06-04 |
| Find all providers in FULLERTON | ||||
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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.