DR. JOSEPH VACCARO (NPI# 1770652141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770652141 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH VACCARO |
| Credential | PSY.D. |
| Practice Address |
1503 S Coast Dr Costa Mesa CA 92626-1534 |
| Mailing Address |
111w Bastanchury Rd 1a Fullerton CA 92835-2527 |
| Practice Telephone | 9495155440 |
| Mailing Telephone | 7147734111 |
| Mailing Fax Number | 7147734222 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY27192 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1503 S COAST DR |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140398 | Minji Lee | Behavior Technician | 1503 S Coast Dr, Costa Mesa, CA 92626-1534 | 2020-03-25 |
| 1659916948 | James Crawford Roberts | Behavior Technician | 1503 S Coast Dr, Suite 202, Costa Mesa, CA 92626-1527 | 2019-11-11 |
| 1316581176 | Christopher Roy Costa | Behavior Technician | 1503 S Coast Dr, Costa Mesa, CA 92626-1534 | 2019-11-04 |
| 1730722257 | Andrea Rodriguez | Behavior Technician | 1503 S Coast Dr, Costa Mesa, CA 92626-1534 | 2019-10-28 |
| 1740840685 | Christina-marie Stevenson | Behavior Technician | 1503 S Coast Dr, Costa Mesa, CA 92626-1534 | 2019-06-13 |
| 1831658236 | Morgan Garcia | Behavior Technician | 1503 S Coast Dr, Costa Mesa, CA 92626-1534 | 2019-03-15 |
| 1972013134 | Massoud Kashanchi, Dds. Prof. Corp. | Dentist | 1503 S Coast Dr, Costa Mesa, CA 92626-1534 | 2017-10-02 |
| 1871942805 | Diana Alcantar | Marriage & Family Therapist | 1503 S Coast Dr, Ste 202, Costa Mesa, CA 92626-1534 | 2016-06-09 |
| 1215381231 | Joshua Claramunt | Counselor | 1503 S Coast Dr, Suite 202, Costa Mesa, CA 92626-1534 | 2016-04-15 |
| 1790155729 | Garcia Chiropractic | Chiropractor | 1503 S Coast Dr, Suite 319, Costa Mesa, CA 92626-1534 | 2015-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952712580 | Xiaoyan Lu | Psychologist | 657 W 19th St, Costa Mesa, CA 92627-8600 | 2014-05-16 |
| 1639442502 | Gina Chang | Psychologist | 1111 Baker St Ste A, Costa Mesa, CA 92626-4138 | 2012-02-22 |
| 1467740571 | David L Welch | Psychologist | 2900 Bristol St Ste E103, Costa Mesa, CA 92626-7906 | 2011-07-11 |
| 1356579395 | Sarah Elizabeth Bione-dunn | Psychologist | 555 Paularino Ave Apt H105, Costa Mesa, CA 92626-3279 | 2009-06-29 |
| 1528260759 | Stephen Alkus | Psychologist | 151 Kalmus Dr Ste B220, Costa Mesa, CA 92626-7957 | 2007-06-01 |
| 1164564027 | Kyle Pontius | Psychologist | 1700 Adams Ave Ste 214, Costa Mesa, CA 92626-4865 | 2007-02-13 |
| 1922192509 | Brian Lee Mayhugh | Psychologist | 3070 Bristol St., Suite 350, Costa Mesa, CA 92626 | 2006-10-03 |
| 1861595415 | Dabney Blankenship | Psychologist | 1520 Nutmeg Place, Costa Mesa, CA 92626-2597 | 2006-09-07 |
| 1790281798 | Lead To Recovery, Inc. | Psychologist | 3151 Airway Ave Ste D2, Costa Mesa, CA 92626-4622 | 2018-03-30 |
| 1710485727 | Paths To Recovery, LLC | Psychologist | 3151 Airway Ave Ste D2, Costa Mesa, CA 92626-4622 | 2018-01-24 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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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.