JEREMY MADOFF (NPI# 1740204569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740204569 |
| Entity Type | Individual |
| Full Name | JEREMY MADOFF |
| Credential | PH.D. |
| Practice Address |
3914 Murphy Canyon Rd Suite A241 San Diego CA 92123-4491 |
| Practice Telephone | 8585690454 |
| Mailing Telephone | 8585690454 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2014-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 7502 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3914 MURPHY CANYON RD SUITE A241 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952330052 | Joel Larralde | Urology | 3914 Murphy Canyon Rd, Suite# A206, San Diego, CA 92123-4491 | 2006-07-01 |
| 1053941146 | Jocelyn Jezycki | Behavioral Analyst | 3914 Murphy Canyon Rd, San Diego, CA 92123-4491 | 2020-01-17 |
| 1235603580 | Shannon Vinson | Behavior Technician | 3914 Murphy Canyon Rd, San Diego, CA 92123-4491 | 2019-01-18 |
| 1003322975 | Brandie Arrington | Technician, Other | 3914 Murphy Canyon Rd, San Diego, CA 92123-4491 | 2017-12-14 |
| 1639684541 | Priscilla Irene Cisneros | Behavior Technician | 3914 Murphy Canyon Rd, San Diego, CA 92123-4491 | 2017-12-14 |
| 1861908758 | Daneshia Sandlin | Behavior Technician | 3914 Murphy Canyon Rd, San Diego, CA 92123-4491 | 2017-12-14 |
| 1700391695 | John Magarian | Behavior Technician | 3914 Murphy Canyon Rd, San Diego, CA 92123-4491 | 2017-12-13 |
| 1639614688 | Koinonia Foster Homes Inc | Community/Behavioral Health | 3914 Murphy Canyon Rd, Ste. A224, San Diego, CA 92123-4491 | 2016-12-29 |
| 1225580350 | Rebecca Lee Arnold | Marriage & Family Therapist | 3914 Murphy Canyon Rd, Suite A237, San Diego, CA 92123-4491 | 2016-10-24 |
| 1952767022 | Senior Emergency Alert System, Inc | Emergency Response System Companies | 3914 Murphy Canyon Rd, Suite A-164, San Diego, CA 92123-4491 | 2016-01-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1396353520 | Chandra Estelle Khalifian | Psychologist | 4975 Foothill Blvd, San Diego, CA 92109-2236 | 2020-07-14 |
| 1225661838 | Sharon Saeedi Psy D Psychologist Inc | Psychologist | 185 W F St Ste 100l, San Diego, CA 92101-6029 | 2020-02-21 |
| 1609414242 | Laura Beth Fitzpatrick | Psychologist | 3322 29th St, San Diego, CA 92104-4533 | 2019-12-13 |
| 1790329613 | Growgood Psychology, Corp | Psychologist | 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 | 2019-11-04 |
| 1891355996 | Stephanie Ann Massey | Psychologist | 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 | 2019-06-19 |
| 1225697543 | Dr. Emily N. Kierce, Psychologist, A Professional Corporation | Psychologist | 402 W Broadway Ste 1925, San Diego, CA 92101-8505 | 2019-06-10 |
| 1023674884 | Desiree Arlene Cuevas | Psychologist | 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 | 2019-05-16 |
| 1396212023 | Paul William Randolph | Psychologist | 727 Robinson Ave Apt D, San Diego, CA 92103-4364 | 2018-10-31 |
| 1952876526 | Amanda Cooney | Psychologist | 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 | 2018-10-09 |
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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.