ATOMIC SHRINK PSYCHOLOGY, INC (NPI# 1770922817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770922817 |
| Entity Type | Organization |
| Organization Name | ATOMIC SHRINK PSYCHOLOGY, INC |
| Practice Address |
40585 Big Bear Blvd Suite 2 Big Bear Lake CA 92315 |
| Mailing Address |
17328 Ventura Blvd Suite 134 Encino CA 91316-3904 |
| Practice Telephone | 9092555351 |
| Practice Fax Number | 8009760803 |
| Mailing Telephone | 8184816581 |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. PATRICIA KEIKO MASUDA-STORY (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 8184816581 |
| Authorized Official Credential | PSYD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY20385 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40415 Big Bear Blvd, Big Bear Lake, CA 92315 | 8184816581 |
| Street Address |
40585 BIG BEAR BLVD SUITE 2 |
| City | BIG BEAR LAKE |
| State | CA |
| Zip Code | 92315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265912711 | Kimberly Hurtarte | Case Manager/Care Coordinator | 41945 Big Bear Blvd Suite 221, 222, 223, Big Bear Lake, CA 92315 | 2018-08-15 |
| 1225522667 | Dalilah Narda Hernandez | Counselor | 41945 Big Bear Blvd Ste 221, Big Bear Lake, CA 92315 | 2018-06-19 |
| 1871001453 | Tyne Kay Henry | Case Manager/Care Coordinator | 41945 Big Bear Blvd Suites 221, 222,223, Big Bear Lake, CA 92315 | 2018-01-17 |
| 1396255212 | Tonya R. Schour | Marriage & Family Therapist | 41943 Big Bear Blvd, Big Bear Lake, CA 92315 | 2017-10-05 |
| 1639539026 | Maria Negrete | Counselor | 41945 Big Bear Blvd 222, Big Bear Lake, CA 92315 | 2016-02-29 |
| 1568827459 | Robert Miko | Acupuncturist | 42184 Moonridge Rd #4, Big Bear Lake, CA 92315 | 2015-12-21 |
| 1710359856 | Katheryn Poole | Dentist | 41628 Big Bear Blvd., Big Bear Lake, CA 92315 | 2015-10-28 |
| 1437556362 | Deanna Marina Almaguer Flores | Counselor | 41945 Big Bear Blvd. Suit #221 #222, Big Bear Lake, CA 92315 | 2014-11-20 |
| 1417372186 | Kelli Gora | Nurse Practitioner | 41870 Garstin Rd., Big Bear Lake, CA 92315 | 2014-03-04 |
| 1922349976 | Shelly L. Nuzzo | Counselor | 41945 Big Bear Blvd. Suite 208, Big Bear Lake, CA 92315 | 2013-03-14 |
| Find all providers in zip 92315 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339887 | Jessica Nolan | Psychologist | 41945 Big Bear Blvd Ste 222, Big Bear Lake, CA 92315-2030 | 2020-09-01 |
| 1902989759 | Robin Ann Bradley | Psychologist | 41945 Big Bear Blvd, Big Bear Lake, CA 92315-8946 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | BIG BEAR LAKE |
| Zip Code | 92315 |
Please comment or provide details below to improve the information on ATOMIC SHRINK PSYCHOLOGY, INC.
| 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.