KERRY IRELAND SONG (NPI# 1801414248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801414248 |
| Entity Type | Individual |
| Full Name | KERRY IRELAND SONG |
| Practice Address |
1341 N Escondido Blvd Escondido CA 92026-2507 |
| Practice Telephone | 7603179101 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1341 N ESCONDIDO BLVD |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92026-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427190339 | Edina Dawn Martinez | Psychologist | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2007-02-14 |
| 1639778558 | Frederica Rachelle Garcia | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-10-21 |
| 1669086146 | Vasti Jael Galicia | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-09-02 |
| 1306459706 | Karla Jhovana Gutierrez | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-08-25 |
| 1326658642 | Shaza Hummel | Nurse Practitioner | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-08-01 |
| 1831708130 | Gabriela Arroyo Slutsky | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-07-23 |
| 1225656812 | Victoria Luisa Moreno | Nurse's Aide | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-07-09 |
| 1174141246 | Mary Brumbeloe | Registered Nurse | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-07-06 |
| 1396369203 | Cynthia Elizabeth Blount | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-06-05 |
| 1588285274 | Kayla Thomas | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477908663 | Nancy Martinez-molano | Counselor | 1029 N. Broadway Avenue, Escondido, CA 92026 | 2016-04-26 |
| 1114322765 | Christina Boekamp | Speech-Language Pathologist | 1325 Las Villas Way, Escondido, CA 92026 | 2014-10-24 |
| 1609170356 | Pectus Services of Southern California LLC | Durable Medical Equipment & Medical Supplies | 317 N. Elcamino Real, Suite 502, Encinitas, CA 92026 | 2011-01-10 |
| 1518277987 | Maryam Delsen | Social Worker | 1029 N. Broadway Ave., Escondido, CA 92026 | 2010-10-19 |
| 1528372554 | Shirley Dianne Kunkel | Speech-Language Pathologist | 9649 Galatea Lane, Escondido, CA 92026 | 2010-08-02 |
| 1124295266 | Kendell Hales Ricks | Dentist | 8895 Lawrence Welk Dr, Escondido, CA 92026 | 2008-05-08 |
| 1861517005 | Mountain Shadows Support Group, Inc | Nursing Facility/Intermediate Care Facility | 4840 Fairhill Place, Riverside, CA 92026 | 2007-03-20 |
| 1982731253 | Cynthia Louise Canney | Marriage & Family Therapist | 502 W. El Norte Parkway, Excondido, CA 92026 | 2007-02-27 |
| 1992891790 | Vijaya Kv Prabhu | Dentist | El Norte Family Dental., 306 W.el Norte Pkwy. Suite D & E, Escondido, CA 92026 | 2006-10-05 |
| 1104291418 | Escondido Healing Center | Acupuncturist | 11130 Arco Dr, Escondido, CA 92026 | 2015-12-11 |
| Find all providers in zip 92026 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184286361 | Rene S Geronimo | Counselor | 2530 Bear Valley Pkwy Unit 102, Escondido, CA 92027-3596 | 2019-07-08 |
| 1942711908 | Ana Ysabel Davies | Counselor | 200 E Washington Ave Ste 101, Escondido, CA 92025-1806 | 2017-10-18 |
| 1730554940 | April Ortiz | Counselor | 529 S Citrus Ave, Escondido, CA 92027-4201 | 2015-12-14 |
| 1265817613 | Colleen Siegel | Counselor | 200 East Washington St Mhs, Suite # 100, Escondido, CA 92025 | 2015-07-28 |
| 1982085999 | Robert James Williams | Counselor | 910 E. Ohio Ave. #104, Escondido, CA 92025 | 2015-06-16 |
| 1912240318 | Margaret Anello | Counselor | 625 Citracado Pkwy Ste 102, Escondido, CA 92025-6428 | 2013-04-03 |
| 1306118534 | Laura Makey | Counselor | 340 Cypress Crest Ter, Escondido, CA 92025-6646 | 2012-02-03 |
| 1841585635 | Danielle Marie Rubino | Counselor | 200 East Washington Ave, Suite 100, Escondido, CA 92025 | 2011-06-09 |
| 1346545100 | Robert Lee Church | Counselor | 200 E Wshgton Ave Ste 100, Escondido, CA 92025-1806 | 2011-01-25 |
| 1063725976 | Loren Goldstein | Counselor | 117 N Elm St, Escondido, CA 92025-3410 | 2010-07-20 |
| Find all providers in ESCONDIDO | ||||
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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.