TANYA MESIROW (NPI# 1659336204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659336204 |
| Entity Type | Individual |
| Full Name | TANYA MESIROW |
| Credential | PH.D |
| Practice Address |
28999 Old Town Front St Suite 105 Temecula CA 92590-5805 |
| Practice Telephone | 9517754057 |
| Practice Fax Number | 9513029235 |
| Mailing Telephone | 9517754057 |
| Mailing Fax Number | 9513029235 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2011-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY17044 | CA | Behavioral Health & Social Service Providers |
| Street Address |
28999 OLD TOWN FRONT ST SUITE 105 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851854657 | Bh-rc Opco, LLC | Community Based Residential Treatment Facility, Mental Illness | 28999 Old Town Front St, Temecula, CA 92590-5805 | 2019-04-09 |
| 1306212246 | Peter Bishay Dds Inc | Clinic/Center | 28999 Old Town Front St, 208, Temecula, CA 92590-5805 | 2015-08-14 |
| 1083039432 | Timothy Francis Irving | Counselor | 28999 Old Town Front St, Temecula, CA 92590-5805 | 2014-02-21 |
| 1508207234 | Tvfm, Inc. | Family Medicine | 28999 Old Town Front St, Suite 104, Temecula, CA 92590-5805 | 2013-07-10 |
| 1639459217 | George L Hunter Mft | Clinic/Center | 28999 Old Town Front St, Suite 105, Temecula, CA 92590-5805 | 2011-08-26 |
| 1235439332 | Rancho Family Counseling, Inc. | Counselor | 28999 Old Town Front St, Suite 202, Temecula, CA 92590-5805 | 2010-10-25 |
| 1407978844 | Jerry Ray Pulley | Social Worker | 28999 Old Town Front St, Ste. 105, Temecula, CA 92590-5805 | 2007-04-05 |
| 1326177577 | Hyung Sub Kim | Acupuncturist | 28999 Old Town Front St, Suite 101, Temecula, CA 92590-5805 | 2007-03-05 |
| 1225049406 | Richard Bennett Haas | Podiatrist | 28999 Old Town Front St, Suite 205, Temecula, CA 92590-5805 | 2006-08-11 |
| 1184678658 | Daniel Kemmer | Chiropractor | 28999 Old Town Front St, Temecula, CA 92590-5806 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| Find all providers in zip 92590 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982051413 | Teresa Loar Sage | Psychologist | 32023 Via Bonilla, Temecula, CA 92592-3658 | 2016-05-13 |
| 1528461597 | Xochitl Cortina Leevers | Psychologist | 44025 Margarita Rd Ste 101, Temecula, CA 92592-2728 | 2014-10-03 |
| 1255678595 | Dr. Linda Comin Psychologist Inc | Psychologist | 33386 Morning View Dr, Temecula, CA 92592-9186 | 2013-01-07 |
| 1659503647 | Salma Salem | Psychologist | 42267 Faber Ct, Temecula, CA 92592-7220 | 2009-08-10 |
| 1639362494 | Jennifer Woodworth | Psychologist | 43385 Business Park Dr Ste 110, Temecula, CA 92590 | 2007-08-23 |
| 1427253715 | Christine H. Duong | Psychologist | 27403 Ynez Rd Ste 202, Temecula, CA 92591-4616 | 2007-06-18 |
| 1417933607 | Kristen Elizabeth Barry | Psychologist | 32966 Embassy Ave, Temecula, CA 92592-1366 | 2005-12-20 |
| 1366442527 | Joel Edward Fick | Psychologist | 42145 Lyndie Ln, Suite 102, Temecula, CA 92591-3612 | 2005-07-28 |
| 1811598881 | Jefferson Family Services, Inc. | Psychologist | 27715 Jefferson Ave Ste 112, Temecula, CA 92590-6601 | 2020-11-05 |
| 1659906774 | Mindwell Gardens Counseling and Psychological Services, PC | Psychologist | 44025 Margarita Rd Ste 101, Temecula, CA 92592-2728 | 2020-03-09 |
| Find all providers in TEMECULA | ||||
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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.