BRANDON DEAREN (NPI# 1629324249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629324249 |
| Entity Type | Individual |
| Full Name | BRANDON DEAREN |
| Credential | PSYD |
| Practice Address |
121 W Victoria St Long Beach CA 90805-2162 |
| Mailing Address |
2093 Kirkman Dr Birmingham AL 35242-4639 |
| Practice Telephone | 3106031050 |
| Mailing Telephone | 2058482750 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2020-03-18 |
| NPI Deactivation Date | 08/26/2018 |
| NPI Reactivation Date | 2020-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2020 | AL | Behavioral Health & Social Service Providers |
| Street Address |
121 W VICTORIA ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805-2162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821128612 | Tracye Jones | Marriage & Family Therapist | 121 W Victoria St, Long Beach, CA 90805-2162 | 2007-03-07 |
| 1801221437 | Helene Farr | Student in an Organized Health Care Education/Training Program | 121 W Victoria St, Long Beach, CA 90805-2162 | 2013-09-13 |
| 1376978908 | Aron Cutler | Student in an Organized Health Care Education/Training Program | 121 W Victoria St, Long Beach, CA 90805-2162 | 2013-09-13 |
| 1750714952 | Annat Levran | Student in an Organized Health Care Education/Training Program | 121 W Victoria St, Long Beach, CA 90805-2162 | 2013-08-12 |
| 1679824668 | Gera Anderson | Student in an Organized Health Care Education/Training Program | 121 W Victoria St, Long Beach, CA 90805-2162 | 2012-10-01 |
| 1285984591 | Ashley Weintraub | Student in an Organized Health Care Education/Training Program | 121 W Victoria St, Long Beach, CA 90805-2162 | 2012-09-13 |
| 1427383710 | Mariela Organista | Rehabilitation Practitioner | 121 W Victoria St, Long Beach, CA 90805-2162 | 2009-10-05 |
| 1801029509 | Jessica Richardson | Student in an Organized Health Care Education/Training Program | 121 W Victoria St, Long Beach, CA 90805-2162 | 2009-08-27 |
| 1043453012 | Andrew Christopher Kami | Psychologist | 121 W Victoria St, Long Beach, CA 90805-2162 | 2009-04-07 |
| 1396983045 | Erin Roediger | Marriage & Family Therapist | 121 W Victoria St, Long Beach, CA 90805-2162 | 2009-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275147316 | Molly Tucker | Psychologist | 536 Linden Ave Apt 403, Long Beach, CA 90802-2448 | 2020-09-05 |
| 1689158719 | Elizabeth Anne Mulherron | Psychologist | 1439 Cedar Ave Apt 1, Long Beach, CA 90813-1731 | 2018-09-25 |
| 1861893141 | Juliana Larossa-dzerens | Psychologist | 60 Franklin Blvd, Unit A, Long Beach, NY 11561-4530 | 2014-09-05 |
| 1457783862 | Gretchen Louise Sholty | Psychologist | 5901 E. 7th St (06/116b), Long Beach, CA 90822 | 2013-08-08 |
| 1366749699 | Jennifer Lee Rousch | Psychologist | 5500 E Atherton St Ste 310, Long Beach, CA 90815-4022 | 2011-02-23 |
| 1487985396 | Stephanie Jacobs | Psychologist | 1140 E Ocean Blvd Unit 124, Long Beach, CA 90802 | 2010-01-18 |
| 1710155171 | Mark H Michaels | Psychologist | 110 Pine Ave., #1070, Long Beach, CA 90802 | 2008-02-19 |
| 1689850927 | Vonda Loretta Pelto | Psychologist | 3310 El Dorado Dr, Long Beach, CA 90808 | 2008-01-17 |
| 1972797660 | Lateefh Wielenga | Psychologist | 3531 Julian Ave, Long Beach, CA 90808-3111 | 2007-09-05 |
| 1578765020 | Leah Sharon Levenson | Psychologist | 6120 Beatline Rd, Long Beach, MS 39560-2509 | 2007-06-05 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90805 |
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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.