MRS. ROSE BAZAKAS (NPI# 1679644041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679644041 |
| Entity Type | Individual |
| Full Name | MRS. ROSE BAZAKAS |
| Credential | PHD |
| Practice Address |
23151 Moulton Pkwy Laguna Hills CA 92653 |
| Practice Telephone | 9499512077 |
| Practice Fax Number | 9495875768 |
| Mailing Telephone | 9499512077 |
| Mailing Fax Number | 9495875768 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY19971 | CA | Behavioral Health & Social Service Providers |
| Street Address |
23151 MOULTON PKWY |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124582309 | Bret Everett Turecek | Counselor | 23151 Moulton Pkwy, Laguna Hills, CA 92653-1206 | 2019-01-22 |
| 1265974588 | Nadine Durbach | Social Worker | 23151 Moulton Pkwy, Laguna Hills, CA 92653-1206 | 2016-11-17 |
| 1124426143 | Care Van,llc | Non-emergency Medical Transport (VAN) | 23151 Moulton Pkwy, Laguna Hills, CA 92653-1206 | 2014-12-08 |
| 1780905109 | Atd Ventures Inc. | Home Health | 23151 Moulton Pkwy, 103 C, Laguna Hills, CA 92653-1206 | 2010-06-21 |
| 1780715524 | Domarina E Pace | Chiropractor | 23151 Moulton Pkwy, Laguna Hills, CA 92653-1206 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| 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 |
|---|---|---|---|---|
| 1225696008 | Wel-mor Psychology Group, Inc | Psychologist | 25401 Cabot Rd Ste 212, Laguna Hills, CA 92653-5514 | 2019-06-05 |
| 1033692652 | Harpreet Malla | Psychologist | 23461 S Pointe Dr Ste 100, Laguna Hills, CA 92653-1523 | 2018-09-10 |
| 1386983708 | Justin Christopher Lutz | Psychologist | 63 Carriage Hill Ln, Laguna Hills, CA 92653-6039 | 2013-02-05 |
| 1073767554 | Susan L. Potts | Psychologist | 23177 La Cadena Dr Ste 103, Laguna Hills, CA 92653-1428 | 2008-11-10 |
| 1740333749 | Jean Dzierzynski | Psychologist | 23181 La Cadena Dr, Suite 103, Laguna Hills, CA 92653-1479 | 2007-01-21 |
| 1689725459 | Sheila Ann Church | Psychologist | 234 50th S Pointe, #190, Laguna Hills, CA 92653 | 2007-01-16 |
| 1417005570 | Linda Marie Grossman | Psychologist | 25255 Cabot Rd Ste 210, Laguna Hills, CA 92653-5508 | 2007-01-08 |
| 1629092127 | Katharine Ann Clarke | Psychologist | 25401 Cabot Rd Ste 116, Laguna Hills, CA 92653-5530 | 2006-07-27 |
| 1972592020 | Sandra Jorgensen | Psychologist | 25411 Cabot Rd, Suite 107, Laguna Hills, CA 92653-5520 | 2005-10-20 |
| 1184231227 | Brent Murray | Psychologist | 23461 S Pointe Dr Ste 100, Laguna Hills, CA 92653-1523 | 2020-09-23 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on MRS. ROSE BAZAKAS.
| 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.