CENTER FOR REFLECTIVE PRACTICE


Address: 9606 Tierra Grande St Ste 201, San Diego, CA 92126-6501
Phone: 6193695050

CENTER FOR REFLECTIVE PRACTICE (NPI# 1720616600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720616600
Entity Type Organization
Organization Name CENTER FOR REFLECTIVE PRACTICE
Practice Address 9606 Tierra Grande St Ste 201
San Diego
CA 92126-6501
Mailing Address Po Box 421146
San Diego
CA 92142-1146
Practice Telephone 6193695050
Practice Fax Number 8774855961
Mailing Telephone 6193695050
Mailing Fax Number 8774855961
Enumeration Date 2020-03-27
Last Update Date 2020-03-27
Authorized Official Name SHERRY CASPER (OWNER)
Authorized Official Telephone 6193695050
Authorized Official Credential PHD
Is Organization Subpart Y
Parent Organization Name CENTER FOR THOUGHTFUL LASTING CHANGE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 103TP2701X Psychologist
Specialization: Group Psychotherapy
Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Center for Thoughtful Lasting Change Doing Business As Name - Organization

Office Location

Street Address 9606 TIERRA GRANDE ST STE 201
City SAN DIEGO
State CA
Zip Code 92126-6501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811522931 Dane Thoreson Behavior Technician 9606 Tierra Grande St Ste 201, San Diego, CA 92126-6501 2020-03-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730741299 Eye Connection Optometry, Inc Optometrist 9516 Miramar Road, San Diego, CA 92126 2019-07-05
1811450935 Anne Phabmixay Student in an Organized Health Care Education/Training Program Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 2019-04-08
1679035588 Emily Nguyen Registered Nurse 8210 Elston Place, San Diego, CA 92126 2019-04-01
1558832139 Dana Douglas-hiley Speech-Language Pathologist 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 2018-12-08
1275022873 Breeann Nicole Poulson Speech-Language Pathologist 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 2018-05-09
1659878882 My Phuong Thi Phan Registered Nurse 10938 Hyades Way, San Diego, CA 92126 2018-04-13
1083132153 Ruth Tamar Morales Occupational Therapist Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 2017-09-08
1487184339 Chelsea Irene Johnson Marriage & Family Therapist 8670 New Salem St. Unit 106, San Diego, CA 92126 2017-06-14
1336508506 Brenda L. Bebal Nurse Practitioner 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 2016-02-17
1700245099 Naval Medical Center San Diego Pharmacy Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 2016-02-16
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Taxonomy Information

Taxonomy Code 103TP2701X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Group Psychotherapy

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: modified title]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427500198 Dialectical Behavioral Therapy of San Diego Psychologist 9666 Businesspark Ave, Suite 105, San Diego, CA 92131-1646 2016-10-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205455250 Vladimir Anoyan Psychologist 376 Amherst Dr Apt A, Burbank, CA 91504-4220 2020-04-09
1235770181 The Lotus Collaborative, Inc., A Psychology Clinic Psychologist 611 Mission St, Santa Cruz, CA 95060-3612 2019-10-02
1841845716 Jonathan Pappas Marriage Family Therapy Inc. Psychologist 100 E Thousand Oaks Blvd Ste 326, Thousand Oaks, CA 91360-5713 2019-08-07
1710547690 The Institute for Professional Parenting (tipp) Psychologist 15650 Devonshire Street, Suite 210-212, Granada Hills, CA 91344 2019-06-13
1528574019 Jori Adler Marriage & Family Therapy Prof. Corp. Psychologist 3846 Lyceum Ave, Los Angeles, CA 90066-4125 2017-12-19
1609396472 Rosanne Miranda Psychologist 3500 Barranca Pkwy Ste 305, Irvine, CA 92606-8232 2017-06-22
1972055655 Richard Linares Psychologist 270 W 5th St, Oxnard, CA 93030-7107 2016-10-28
1912397787 Operation:i.v.,inc Psychologist 1000 Town Center Dr Ste 300, Oxnard, CA 93036-1117 2015-01-30
1427486133 Apex Recovery and Wellness, A Professional Corp. Psychologist 36 Quail Ct Ste 100, Walnut Creek, CA 94596-5514 2013-10-16
1154768307 Redwood Psychology Center, Inc. Psychologist 709 Davis St, Santa Rosa, CA 95401-4767 2013-05-29
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Competitor

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City SAN DIEGO
Zip Code 92126

Improve Information

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Dataset Information

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.

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