DR. JACK MICHAEL BARBOUR (NPI# 1568482792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568482792 |
| Entity Type | Individual |
| Full Name | DR. JACK MICHAEL BARBOUR |
| Credential | M.D. |
| Practice Address |
2610 Industry Way Suite A Lynwood CA 90262-4028 |
| Practice Telephone | 3106318004 |
| Practice Fax Number | 3106315875 |
| Mailing Telephone | 3106318004 |
| Mailing Fax Number | 3106315875 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G40995 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2610 INDUSTRY WAY SUITE A |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725797 | Elvira Isabel Burks | Licensed Vocational Nurse | 2610 Industry Way, Lynwood, CA 90262-4283 | 2019-11-25 |
| 1851832976 | Jennifer Frazee | Case Manager/Care Coordinator | 2610 Industry Way, Lynwood, CA 90262-4283 | 2017-03-09 |
| 1265970131 | Billie Jo Summers | Technician, Pathology | 2610 Industry Way, Suite A, Lynwood, CA 90262-4283 | 2017-02-10 |
| 1134662166 | Vivian Suzanne Labbad | Licensed Psychiatric Technician | 2610 Industry Way, A, Lynwood, CA 90262-4283 | 2016-11-22 |
| 1538511670 | Noemi Salazar | Case Manager/Care Coordinator | 2610 Industry Way, Suite A, Lynwood, CA 90262-4283 | 2016-07-12 |
| 1861840837 | Ian Spencer | Marriage & Family Therapist | 2610 Industry Way, Bldg., #7, Lynwood, CA 90262-4283 | 2016-05-31 |
| 1386098036 | Maria Cabrera | Counselor | 2610 Industry Way, Suite A, Lynwood, CA 90262-4283 | 2016-04-19 |
| 1841663549 | Linda Le | Student in an Organized Health Care Education/Training Program | 2610 Industry Way, Suite A, Lynwood, CA 90262-4283 | 2015-11-04 |
| 1649649351 | Matthew Mcdonald | Case Manager/Care Coordinator | 2610 Industry Way, Suite A, Lynwood, CA 90262-4283 | 2015-09-23 |
| 1790165322 | Karla Jessenia Acevedo | Counselor | 2610 Industry Way, Suite A, Lynwood, CA 90262-4283 | 2015-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467699819 | Richard Burton Rosenstein | Psychiatry & Neurology | 11705 S. Alameda St, C/o Crdf, Lynwood, CA 90262 | 2009-01-07 |
| 1225181498 | Herman David Brooks | Psychiatry & Neurology | 2640 Industry Way Ste B, Lynwood, CA 90262-4000 | 2007-01-19 |
| 1003912601 | Morris Alonzo Blount Jr. | Psychiatry & Neurology | 19400 N Creek Dr, Lynwood, IL 60411 | 2006-09-15 |
| 1831173970 | Russell F. Lim | Psychiatry & Neurology | 2640 Industry Way, Lynwood, CA 90262-4284 | 2005-12-02 |
| 1407114697 | Timothy Tawa | Psychiatry & Neurology | 2620 Industry Way, Ste. A, Lynwood, CA 90262 | 2012-04-25 |
| 1376786053 | Francisco Velarde | Psychiatry & Neurology | 11705 S Alameda St, Women's Jail Mental Health Services - Dmh, Lynwood, CA 90262-4023 | 2009-04-10 |
| 1710107693 | Carlotta Vanessa Freeman | Psychiatry & Neurology | 2640 Industry Way, Lynwood, CA 90262-4284 | 2007-04-26 |
| 1528185949 | Katarina Mina Tasic | Psychiatry & Neurology | 11705 Alameda St, Lynwood, CA 90262-4023 | 2007-03-22 |
| 1003954744 | Annette C Blakes | Psychiatry & Neurology | 2610 Industry Way, Suite A, Lynwood, CA 90262-4283 | 2007-02-02 |
| 1073600359 | Sharon Yvette Jones | Psychiatry & Neurology | 2610 Industry Way, Suite A, Lynwood, CA 90262-4283 | 2006-10-06 |
| Find all providers in LYNWOOD | ||||
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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.