DR. LUCKVIN PONSINGH MANUEL (NPI# 1699857813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699857813 |
| Entity Type | Individual |
| Full Name | DR. LUCKVIN PONSINGH MANUEL |
| Credential | M.D. |
| Practice Address |
1260 Morena Blvd Ste 100 San Diego CA 92110-3850 |
| Practice Telephone | 6193980355 |
| Practice Fax Number | 6193980350 |
| Mailing Telephone | 6193980355 |
| Mailing Fax Number | 6193980350 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A89173 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A89173 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1260 MORENA BLVD STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483476 | Lucinne Kafka | Counselor | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-10-06 |
| 1003422080 | Michelle Renee Zittlau-johnson | Registered Nurse | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-09-16 |
| 1780202994 | Robert Ivar Lindbloom | Peer Specialist | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-07-14 |
| 1720605538 | Dylan Clements Landon | Counselor | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-06-26 |
| 1134742463 | Vivienne M Hickey | Student in an Organized Health Care Education/Training Program | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-05-20 |
| 1124653480 | Marina Spacek | Counselor | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-03-06 |
| 1871126466 | John P Gallagher Jr. | Counselor | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-02-21 |
| 1861031452 | Laila Wahib | Counselor | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2019-12-30 |
| 1750932414 | Grace Catherine Mickle | Counselor | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2019-09-24 |
| 1508419391 | Mara Mcbride | Registered Nurse | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2019-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255951620 | Dymphna San Diego Tms Inc | Psychiatry & Neurology | 10850 Baroque Ln Ste A, San Diego, CA 92124-3029 | 2020-04-25 |
| 1316581846 | Botkiss Center for Recovery | Psychiatry & Neurology | 12625 High Bluff Dr Ste 301, San Diego, CA 92130-2054 | 2019-10-28 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1629501770 | Amanda Suzette Freitas | Psychiatry & Neurology | 11634 Maroon Peak Ct, San Diego, CA 92131-3846 | 2017-04-06 |
| 1114312147 | Jaclyn Joyce | Psychiatry & Neurology | 3344 4th Ave Ste 100, San Diego, CA 92103-5704 | 2015-04-07 |
| 1326433525 | Azin Khazaeli | Psychiatry & Neurology | 4445 Eastgate Mall Fl 2, San Diego, CA 92121-1979 | 2015-04-03 |
| 1083054639 | Kiran Sufian Munir | Psychiatry & Neurology | 8170 Miramar Rd, San Diego, CA 92126-4321 | 2013-06-27 |
| 1457799462 | Charles Howard Merideth | Psychiatry & Neurology | 8889 Rio San Diego Dr, Suite 103, San Diego, CA 92108-1670 | 2013-06-12 |
| 1114363876 | Safi Ahmed | Psychiatry & Neurology | 200 W Arbor Dr # 8809, San Diego, CA 92103-1911 | 2013-05-21 |
| 1639515364 | Paul Joseph Smith | Psychiatry & Neurology | 12520 High Bluff Dr Ste 135, San Diego, CA 92130 | 2013-05-21 |
| 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.