PETER SIDLAUSKAS (NPI# 1699853655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699853655 |
| Entity Type | Individual |
| Full Name | PETER SIDLAUSKAS |
| Practice Address |
145 S Fig St Escondido CA 92025-4453 |
| Mailing Address |
10635 Cerveza Dr Escondido CA 92026-6218 |
| Practice Telephone | 7607459780 |
| Mailing Telephone | 7607459780 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 8080 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PTX080800 | 05 |
| Street Address |
145 S FIG ST |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-4453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154702744 | Gerardo M. Gonzalez | Psychologist | 145 S Fig St, Escondido, CA 92025-4453 | 2015-06-09 |
| 1659510154 | Abdolhamid Karimi | Psychologist | 145 S Fig St, Escondido, CA 92025-4453 | 2009-02-07 |
| 1881895613 | Joel Owens | Social Worker | 145 S Fig St, Escondido, CA 92025-4453 | 2007-05-30 |
| 1528271145 | Jo Ann Wilder | Social Worker | 145 S Fig St, Escondido, CA 92025-4453 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1427419480 | Angela Mangione Spenser | Psychologist | 670 Stoneybrae Pl, Escondido, CA 92027-1877 | 2016-03-17 |
| 1629435524 | Anna Yam | Psychologist | 1507 E Valley Pkwy, Ste 3, #100, Escondido, CA 92027-3416 | 2016-01-22 |
| 1568703734 | Ri Venuti | Psychologist | 1301 Simpson Way, Escondido, CA 92029-1305 | 2013-03-12 |
| 1811231517 | Joseph Peter Muga | Psychologist | 895 Eldorado Dr, Escondido, CA 92025-6715 | 2012-11-19 |
| 1659648533 | Anthony Frank Vail | Psychologist | 826 Calle Talentia, Escondido, CA 92025-7945 | 2011-11-21 |
| 1427190339 | Edina Dawn Martinez | Psychologist | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2007-02-14 |
| 1508967480 | Matthew John Weltsch | Psychologist | 502 W El Norte Pkwy, Escondido, CA 92026-3983 | 2006-09-26 |
| 1417928227 | Jean Sullivan | Psychologist | 210 S Juniper St, Ste 205, Escondido, CA 92025-4229 | 2006-01-30 |
| 1700870839 | Steven Thomas Griggs | Psychologist | 456 E Grand Ave, #301, Escondido, CA 92025-3319 | 2005-09-05 |
| Find all providers in ESCONDIDO | ||||
Please comment or provide details below to improve the information on PETER SIDLAUSKAS.
| 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.