DR. SHAUL M SADDICK (NPI# 1689747503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689747503 |
| Entity Type | Individual |
| Full Name | DR. SHAUL M SADDICK |
| Credential | PH.D. |
| Practice Address |
6046 Cornerstone Ct W Suite 100 San Diego CA 92121-4758 |
| Mailing Address |
Po Box 927857 San Diego CA 92192-7857 |
| Practice Telephone | 8584556587 |
| Practice Fax Number | 8583621472 |
| Mailing Telephone | 8584556587 |
| Mailing Fax Number | 8583621472 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | PSY7534 | CA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PSY7534 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PZ0075340 | 05 | |
| CA | OTHER HEALTH INSURANCE | PSY7534 | 01 |
| Street Address |
6046 CORNERSTONE CT W SUITE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-4758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932653219 | Kelsey Peterson | Dietitian, Registered | 6046 Cornerstone Ct W, Suite 226, San Diego, CA 92121-4758 | 2016-08-04 |
| 1649663600 | Elizabeth Louise Amelia Quintana | Nutritionist | 6046 Cornerstone Ct W, Suite 104, San Diego, CA 92121-4758 | 2015-03-13 |
| 1093900334 | Mollie Coughlin | Marriage & Family Therapist | 6046 Cornerstone Ct W, Suite 114, San Diego, CA 92121-4758 | 2007-09-10 |
| 1912192469 | Arthur J. Farkas | Psychologist | 6046 Cornerstone Ct W, Ste 113, San Diego, CA 92121-4758 | 2007-09-07 |
| 1326108507 | Farkas & Saalinger Psychology Corp | Clinic/Center | 6046 Cornerstone Ct W, #113, San Diego, CA 92121-4758 | 2006-12-11 |
| 1902966849 | Carol Rider | Acupuncturist | 6046 Cornerstone Ct W, Ste. 104, San Diego, CA 92121-4758 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| 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 |
|---|---|---|---|---|
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1528414430 | Mitchel D Pelrman | Clinical Neuropsychologist | 2430 Palermo Dr, San Diego, CA 92106-1221 | 2016-05-10 |
| 1528468816 | Erin Almklov | Clinical Neuropsychologist | 11512 El Camino Real, 350, San Diego, CA 92130-2087 | 2014-08-25 |
| 1871930404 | Mili Parikh | Clinical Neuropsychologist | 5752 Oberlin Dr # 112, San Diego, CA 92121-1747 | 2013-05-22 |
| 1629329164 | Joanna Jacobus | Clinical Neuropsychologist | 3350 La Jolla Village Dr # Mc151b, San Diego, CA 92161-0002 | 2012-09-24 |
| 1619251790 | Barbara Jean Schrock | Clinical Neuropsychologist | 5989 Cozzens St, San Diego, CA 92122-3724 | 2011-10-06 |
| 1598099657 | Cheryl La Sasso | Clinical Neuropsychologist | 12526 High Bluff Dr Ste 300, San Diego, CA 92130-2067 | 2009-09-22 |
| 1295963288 | Delia Maria Silva | Clinical Neuropsychologist | 1901 1st Ave., Ste 245, San Diego, CA 92101 | 2009-06-29 |
| 1629264130 | Spencer Wetter | Clinical Neuropsychologist | 9648 Caminito Del Feliz, San Diego, CA 92121-1903 | 2007-09-18 |
| Find all providers in SAN DIEGO | ||||
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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.