CAROL ANNE MCCORMICK (NPI# 1821004458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821004458 |
| Entity Type | Individual |
| Full Name | CAROL ANNE MCCORMICK |
| Credential | NP |
| Practice Address |
2400 Mission St San Marino CA 91108 |
| Mailing Address |
4525 E Atherton St Long Beach CA 90815-3700 |
| Practice Telephone | 6264038989 |
| Practice Fax Number | 6264038969 |
| Mailing Telephone | 5629610155 |
| Mailing Fax Number | 5629610161 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
23089 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2771086 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285199257 | Carol Lynn Mccormick | Counselor | 6285 Lehman Dr Ste 206, Colorado Springs, CO 80918-1498 | 2019-02-04 |
| 1184188674 | Carol Frances Mccormick | Occupational Therapy Assistant | 6830 W 121st Ct, Overland Park, KS 66209-2021 | 2019-01-29 |
| Street Address |
2400 MISSION ST |
| City | SAN MARINO |
| State | CA |
| Zip Code | 91108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417999418 | Berry L. Mccord | Psychiatry & Neurology | 2400 Mission St, San Marino, CA 91108-1632 | 2006-06-12 |
| 1699220145 | Pch Pasadena, LLC | Community/Behavioral Health | 2400 Mission St, San Marino, CA 91108-1632 | 2016-08-24 |
| 1649626359 | Integrated Forensic & Clinical Psychological Services | Psychologist | 2400 Mission St, San Marino, CA 91108 | 2016-05-11 |
| 1174987630 | Barbara L. Janetzke, Phd | Psychologist | 2400 Mission St, San Marino, CA 91108-1632 | 2016-04-11 |
| 1164811691 | San Marino Psychiatric Hospitalists, Inc | Psychiatric Hospital | 2400 Mission St, San Marino, CA 91108-1632 | 2015-01-21 |
| 1477993889 | Rebecca Najera | Psychiatry & Neurology | 2400 Mission St, San Marino, CA 91108-1632 | 2013-06-29 |
| 1174777908 | Susan Bredhoff | Marriage & Family Therapist | 2400 Mission St, #105, San Marino, CA 91108-1632 | 2008-11-06 |
| 1932359445 | Warren Ritchie Christianson II | Psychiatry & Neurology | 2400 Mission St, San Marino, CA 91108-1632 | 2008-09-22 |
| 1689704561 | Megan Snyder-grossman | Marriage & Family Therapist | 2400 Mission St, San Marino, CA 91108-1632 | 2007-03-07 |
| 1730218264 | Daniel F Doyle | Marriage & Family Therapist | 2400 Mission St, San Marino, CA 91108-1632 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235781808 | Bhc Alhambra Hospital, Inc. | Psychiatric Residential Treatment Facility | 1925 Lombardy Road, San Marino, CA 91108 | 2019-07-12 |
| 1649764374 | Cristine Philina Ong | Registered Nurse | 2233 Huntington Dr Ste 12, San Marino, CA 91108 | 2018-06-16 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1649729831 | Harvey A Luu | Dentist | 1085 Winston Ave, San Marino, CA 91108 | 2016-09-28 |
| 1629438643 | Ellen Marie Tan | Marriage & Family Therapist | 1625 So. Chelsea Rd. Ellen M. Tan, Mft, San Marino, CA 91108 | 2016-03-03 |
| 1144696592 | Vision Institute of Southern California A Professional Medical Corpora | Ophthalmology | 375 Huntington Dr. Ste. D, San Marino, CA 91108 | 2015-08-19 |
| 1386068237 | Dorothy Agnes Mcvann | General Practice | 764 Winston Ave., San Marino, CA 91108 | 2014-02-13 |
| 1215372040 | Doctors Choice Medical Group | Exclusive Provider Organization | 2295-a Huntington Drive, San Marino, CA 91108 | 2013-05-07 |
| 1831449222 | Apcn-aco, A Medical Professional Corp | Exclusive Provider Organization | 2360 Huntington Drive #201, C/o Mso, Inc. of Southern California, San Marino, CA 91108 | 2012-09-13 |
| 1538499777 | Elsa Busch | Psychologist | 1420 Ridgeway Rd, San Marino, CA 91108 | 2010-01-11 |
| Find all providers in zip 91108 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | SAN MARINO |
| Zip Code | 91108 |
Please comment or provide details below to improve the information on CAROL ANNE MCCORMICK.
| 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.