MARIE SECRIST (NPI# 1821476516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821476516 |
| Entity Type | Individual |
| Full Name | MARIE SECRIST |
| Credential | PH.D. |
| Practice Address |
3605 Vista Way Suite 258 Oceanside CA 92056 |
| Mailing Address |
3605 Vista Way Suite 258 Oceanside CA 92056-4565 |
| Practice Telephone | 7607581480 |
| Mailing Telephone | 7607581480 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3605 VISTA WAY SUITE 258 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992891030 | Rady Children's Hospital & Health Center | General Acute Care Hospital | 3605 Vista Way, Suite 258, Oceanside, CA 92056-3619 | 2006-10-05 |
| 1841642972 | Emily J Densmore | Counselor | 3605 Vista Way, Suite 258, Oceanside, CA 92056-4565 | 2016-07-13 |
| 1255702296 | Alejandra Stepensky | Counselor | 3605 Vista Way, Suite 258, Oceanside, CA 92056-4565 | 2015-10-16 |
| 1013395623 | Brittany Perkins | Student in an Organized Health Care Education/Training Program | 3605 Vista Way, Suite 258, Oceanside, CA 92056-4565 | 2015-05-14 |
| 1750768115 | Shauntis L Bussey | Student in an Organized Health Care Education/Training Program | 3605 Vista Way, Suite 258, Oceanside, CA 92056-4565 | 2015-05-05 |
| 1699168872 | Kristy Randall | Counselor | 3605 Vista Way, Suite 258, Oceanside, CA 92056 | 2015-03-11 |
| 1104238112 | Kathryn Ward | Student in an Organized Health Care Education/Training Program | 3605 Vista Way, Suite 258, Oceanside, CA 92056-4565 | 2014-05-24 |
| 1871933879 | Rachel Elissa Lipman | Registered Nurse | 3605 Vista Way, Oceanside, CA 92056-4565 | 2013-07-05 |
| 1043654056 | Stephanie Chiquillo Kaiser | Marriage & Family Therapist | 3605 Vista Way, Ste 258, Oceanside, CA 92056-4565 | 2013-04-21 |
| 1427398320 | Rachel E. Perkins | Pediatrics | 3605 Vista Way, Bldg B, Oceanside, CA 92056-4565 | 2013-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
| Find all providers in zip 92056 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684691 | Jayne Wright | Counselor | 2601 Oceanside Rd, Oceanside, NY 11572-1521 | 2020-09-16 |
| 1215557798 | Malissa Horan | Counselor | 401 Oceanside Pkwy, Oceanside, NY 11572-2555 | 2020-04-24 |
| 1659991792 | Nancy Ann Biasotti | Counselor | 117 N Cleveland St Apt 423, Oceanside, CA 92054-2626 | 2020-04-18 |
| 1780215715 | Katherine Crespo | Counselor | 2499 Long Beach Rd, Oceanside, NY 11572-1396 | 2020-01-29 |
| 1902365273 | Mariela Edith Gutterman | Counselor | 79 Alhambra Dr, Oceanside, NY 11572-5425 | 2019-03-17 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1558863621 | Christina Demaria | Counselor | 184 Foxhurst Rd, Oceanside, NY 11572-2301 | 2018-03-05 |
| 1487155958 | Keri Sawyer | Counselor | 150 De La Rondo, Oceanside, CA 92057-6759 | 2018-02-21 |
| 1194240762 | Deborah Cichon | Counselor | 56 Mann Pl, Oceanside, NY 11572-4113 | 2017-08-04 |
| 1871035337 | Diane Morelos | Counselor | 1528 Kelly St, Oceanside, CA 92054-5524 | 2016-11-14 |
| Find all providers in OCEANSIDE | ||||
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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.