DR HAYGOUSH KALINIAN (NPI# 1609296086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609296086 |
Entity Type | Organization |
Organization Name | DR HAYGOUSH KALINIAN |
Practice Address |
30320 Rancho Viejo Rd St 5 San Juan Capistrano CA 92675-1581 |
Practice Telephone | 9494818414 |
Practice Fax Number | 9494818415 |
Mailing Telephone | 9494818414 |
Mailing Fax Number | 9494818415 |
Enumeration Date | 2014-04-23 |
Last Update Date | 2014-04-23 |
Authorized Official Name | DR. HAYGOUSH KALINIAN (NEUROPSYCHOLOGIT) |
Authorized Official Telephone | 9494818414 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY20155 | CA | Behavioral Health & Social Service Providers |
Y | 103G00000X | Clinical Neuropsychologist | PSY20155 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE ID | CP20155 | 01 |
CA | AETNA | 7099933 | 01 |
Street Address |
30320 RANCHO VIEJO RD ST 5 |
City | SAN JUAN CAPISTRANO |
State | CA |
Zip Code | 92675-1581 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346205101 | Haygoush Kalinian | Clinical Neuropsychologist | 30320 Rancho Viejo Rd, Suite 5, San Juan Capistrano, CA 92675-1581 | 2006-04-17 |
1497079263 | Bright Speech-language Pathology, Inc | Speech-Language Pathologist | 30320 Rancho Viejo Rd, Suite 2, San Juan Capistrano, CA 92675-1581 | 2010-03-23 |
1205070521 | Stacey A. Bright | Speech-Language Pathologist | 30320 Rancho Viejo Rd, Suite 2, San Juan Capistrano, CA 92675-1581 | 2009-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184268088 | Dana Caballero | Social Worker | 30240 Racho Viejo Rd, Suite C-1, San Juan Capistrano, CA 92675 | 2019-11-04 |
1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
1487132551 | Alex James Vanderschelden | Chiropractor | 36461 Rancho Viejo Rd. Suiete 103, Suite 103, San Juan Capistrano, CA 92675 | 2018-08-01 |
1295224780 | Gateway Healthcare, Inc. | Skilled Nursing Facility | 29222 Rancho Viejo Rd Ste 127, San Juan Capistrano, CA 92675 | 2018-05-09 |
1033606991 | Pelican Point Dental | Dentist | 31103 Rancho Viejo Road Ste D2444, San Juan Capistrano, CA 92675 | 2018-04-17 |
1639677511 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 27126b Paseo Espada, Suite 725, San Juan Capistrano, CA 92675 | 2018-01-25 |
1679091441 | D Dawn Maxwell | Counselor | 30950 Rancho Viejo Rd Suite 225, San Juan Capistrano, CA 92675 | 2017-08-31 |
1417491523 | Terry D'amico | Physical Therapy Assistant | 32961 Calle Miguel, San Juan Capistrano, CA 92675 | 2016-12-08 |
1235580556 | Marriage Made Better Relationship Counseling | Community/Behavioral Health | 30200 Rancho Viejo Road, Suite D, San Juan Capistrano, CA 92675 | 2016-06-28 |
1679923288 | Shanti Recovery Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 31211 Casa Grande Drive, San Juan Capistrano, CA 92675 | 2016-06-14 |
Find all providers in zip 92675 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346205101 | Haygoush Kalinian | Clinical Neuropsychologist | 30320 Rancho Viejo Rd, Suite 5, San Juan Capistrano, CA 92675-1581 | 2006-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
Find all providers with the same taxonomy |
City | SAN JUAN CAPISTRANO |
Zip Code | 92675 |
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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.