ADVANCED RESEARCH CENTER, INC. (NPI# 1619100260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619100260 |
Entity Type | Organization |
Organization Name | ADVANCED RESEARCH CENTER, INC. |
Practice Address |
1020 S Anaheim Blvd #316 Anaheim CA 92805-5851 |
Mailing Address |
6789 Quail Hill Pkwy #336 Irvine CA 92603-4233 |
Practice Telephone | 7149996688 |
Practice Fax Number | 7146774040 |
Mailing Telephone | 7144937258 |
Mailing Fax Number | 7146774040 |
Enumeration Date | 2009-08-31 |
Last Update Date | 2009-08-31 |
Authorized Official Name | DR. SUNG HYE YI (CFO) |
Authorized Official Telephone | 7144937258 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY17357 | CA | Behavioral Health & Social Service Providers |
Street Address |
1020 S ANAHEIM BLVD #316 |
City | ANAHEIM |
State | CA |
Zip Code | 92805-5851 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174504138 | Carolyn Anne Mottola | Psychologist | 1020 S Anaheim Blvd, Suite 215, Anaheim, CA 92708 | 2005-11-08 |
1841658291 | Natalie Anne Bader | Social Worker | 1020 S Anaheim Blvd, Suite 215, Anaheim, CA 92805-5851 | 2016-01-31 |
1619355500 | Anaheim Care Pharmacy Inc | Pharmacy | 1020 S Anaheim Blvd, Suite 106, Anaheim, CA 92805-5851 | 2015-05-11 |
1316331887 | Sunghye Med Corp | Psychiatric Residential Treatment Facility | 1020 S Anaheim Blvd, Suite 209, Anaheim, CA 92805-5851 | 2015-03-23 |
1235549262 | Mi Familia Nursing PC | Nurse Practitioner | 1020 S Anaheim Blvd, Suite 208, Anaheim, CA 92805-5851 | 2014-04-29 |
1245540475 | J.a.l. Santos M.d. Inc | Clinic/Center | 1020 S Anaheim Blvd, Suite 220, Anaheim, CA 92805-5851 | 2010-10-21 |
1689987521 | Pravin J Kansagra Md Inc | Clinic/Center | 1020 S Anaheim Blvd, Suite 215, Anaheim, CA 92805-5851 | 2010-07-21 |
1821118472 | Gregory Lwinthet Chan | Obstetrics & Gynecology | 1020 S Anaheim Blvd, Ste #101, Anaheim, CA 92805-5807 | 2007-03-29 |
1780709253 | Bum Soo Lee | Psychiatric Hospital | 1020 S Anaheim Blvd, Anaheim, CA 92805-5851 | 2007-03-21 |
1639243769 | Jose C. Gamboa, M.d., Inc. | Psychiatry & Neurology | 1020 S Anaheim Blvd, Suite 214, Anaheim, CA 92805-5851 | 2006-11-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
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Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174932297 | Sarah Kathleen Rimack | Psychologist | 505 N Euclid St, Suite 300, Anaheim, CA 92801-5506 | 2014-08-04 |
1699043604 | Melissa Lynn Batista | Psychologist | 505 N. Euclid Ave., Suite 300, Anaheim, CA 92801 | 2011-12-05 |
1003103268 | Lori Johnson | Psychologist | 160 W Cerritos Ave, Anaheim, CA 92805-6546 | 2011-07-07 |
1821229253 | Jennifer L Fanzo | Psychologist | 217 W Cerritos Ave, Building 8, Anaheim, CA 92805-6549 | 2009-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124631312 | Kathleen Carroll-wray | Psychologist | 818 W 7th St Ste 930, Los Angeles, CA 90017-3476 | 2020-08-26 |
1568082113 | Laura Adery | Psychologist | 760 Westwood Plz # 27-448, Los Angeles, CA 90095-8353 | 2020-04-23 |
1073148938 | Kristine Fleming | Psychologist | 4309 Campbell Dr, Pittsburg, CA 94565-6017 | 2020-03-11 |
1730711375 | Benjamin Alpert, Psyd, A Psychological Corporation | Psychologist | 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 | 2020-02-11 |
1073144010 | Melissa Alexis Ramirez | Psychologist | 1514 Caminito Soria Unit 2, Chula Vista, CA 91913-2503 | 2020-01-29 |
1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
1184264533 | New Vision Counseling Center | Psychologist | 8050 La Mesa Blvd, La Mesa, CA 91942-0335 | 2020-01-14 |
1235778614 | Jessica Herbold | Psychologist | 1044 Sir Francis Drake Blvd Ste 7, Kentfield, CA 94904-1454 | 2020-01-02 |
1003478405 | Melissa Berrenge-browde | Psychologist | 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 | 2019-07-05 |
1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
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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.