ROCHELLE MEDICI (NPI# 1699845701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699845701 |
Entity Type | Individual |
Full Name | ROCHELLE MEDICI |
Credential | PHD |
Practice Address |
2220 El Molino Pl San Marino CA 91108-2317 |
Practice Telephone | 6264413817 |
Practice Fax Number | 6264413833 |
Mailing Telephone | 6264413817 |
Mailing Fax Number | 6264413833 |
Enumeration Date | 2006-11-08 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | CP6942 | CA | Behavioral Health & Social Service Providers |
Street Address |
2220 EL MOLINO PL |
City | SAN MARINO |
State | CA |
Zip Code | 91108-2317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235781808 | Bhc Alhambra Hospital, Inc. | Psychiatric Residential Treatment Facility | 1925 Lombardy Road, San Marino, CA 91108 | 2019-07-12 |
1649764374 | Cristine Philina Ong | Registered Nurse | 2233 Huntington Dr Ste 12, San Marino, CA 91108 | 2018-06-16 |
1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
1649729831 | Harvey A Luu | Dentist | 1085 Winston Ave, San Marino, CA 91108 | 2016-09-28 |
1629438643 | Ellen Marie Tan | Marriage & Family Therapist | 1625 So. Chelsea Rd. Ellen M. Tan, Mft, San Marino, CA 91108 | 2016-03-03 |
1144696592 | Vision Institute of Southern California A Professional Medical Corpora | Ophthalmology | 375 Huntington Dr. Ste. D, San Marino, CA 91108 | 2015-08-19 |
1386068237 | Dorothy Agnes Mcvann | General Practice | 764 Winston Ave., San Marino, CA 91108 | 2014-02-13 |
1215372040 | Doctors Choice Medical Group | Exclusive Provider Organization | 2295-a Huntington Drive, San Marino, CA 91108 | 2013-05-07 |
1831449222 | Apcn-aco, A Medical Professional Corp | Exclusive Provider Organization | 2360 Huntington Drive #201, C/o Mso, Inc. of Southern California, San Marino, CA 91108 | 2012-09-13 |
1538499777 | Elsa Busch | Psychologist | 1420 Ridgeway Rd, San Marino, CA 91108 | 2010-01-11 |
Find all providers in zip 91108 |
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 |
---|---|---|---|---|
1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
Find all providers with the same taxonomy |
City | SAN MARINO |
Zip Code | 91108 |
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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.