DR. DIANE ESCOFFON (NPI# 1831473727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831473727 |
| Entity Type | Individual |
| Full Name | DR. DIANE ESCOFFON |
| Credential | PH.D. |
| Practice Address |
1001 Broadway Jackson CA 95642-2649 |
| Mailing Address |
Po Box 106 Jackson CA 95642-0106 |
| Practice Telephone | 2092561998 |
| Mailing Telephone | 6504838991 |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2012-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY18636 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1001 BROADWAY |
| City | JACKSON |
| State | CA |
| Zip Code | 95642-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366842965 | Lori Weir-weber | Marriage & Family Therapist | 1001 Broadway, Suite 202, Jackson, CA 95642-2649 | 2014-09-02 |
| 1790124329 | Adam H. B. Mcdonald | Marriage & Family Therapist | 1001 Broadway, Suite 105, Jackson, CA 95642-2649 | 2013-06-17 |
| 1790906972 | Bryce L Stein | Counselor | 1001 Broadway, Suite 201, Jackson, CA 95642 | 2007-05-02 |
| 1427270495 | Steven Higgins | Counselor | 1001 Broadway, Suite 201, Jackson, CA 95642 | 2007-05-02 |
| 1912129982 | Brenda Armstrong | Counselor | 1001 Broadway, Suite 201, Jackson, CA 95642 | 2007-05-02 |
| 1053532127 | Carolann Ardis | Counselor | 1001 Broadway, Suite 201, Jackson, CA 95642 | 2007-05-02 |
| 1801018874 | Robbi Geyser | Counselor | 1001 Broadway, Suite 201, Jackson, CA 95642 | 2007-05-02 |
| 1043431190 | Diane Vanoverloop-mcnown | Counselor | 1001 Broadway, Suite 201, Jackson, CA 95642 | 2007-05-02 |
| 1629297155 | Ron M Majano | Counselor | 1001 Broadway, Suite 201, Jackson, CA 95642-2649 | 2007-04-24 |
| 1235358755 | Denise Ann James | Marriage & Family Therapist | 1001 Broadway, Suite 201, Jackson, CA 95642-2649 | 2007-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
| 1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
| 1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
| 1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
| 1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
| 1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
| 1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
| 1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
| 1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
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| 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 |
|---|---|---|---|---|
| 1144792169 | Snake River Consulting LLC | Psychologist | 430 Pine Dr, Jackson, WY 83001-8417 | 2019-01-02 |
| 1972834604 | Sue C Radtke | Psychologist | 4476 Bittersweet Ct, Jackson, WI 53037-9754 | 2010-01-20 |
| 1043549280 | University of Mississippi Medical Center | Psychologist | 2500 N State St # H819-01, Jackson, MS 39216-4500 | 2009-12-17 |
| 1356511562 | John Patterson Thorn | Psychologist | 270 Veronica Lane, Suite C-1, Jackson, WY 83001-0000 | 2008-03-04 |
| 1013109552 | Terri Martin Revelle | Psychologist | 111 E. Jefferson St., Jackson, NC 27845 | 2007-08-17 |
| 1184830143 | Toby S Altfeld | Psychologist | 156 C West University Parkway, Jackson, TN 38305 | 2007-05-15 |
| 1497968911 | Mollie Wyatt | Psychologist | 4055 I-55 North, Suite 293, Jackson, MS 39211 | 2007-05-08 |
| 1124249719 | John David Vickery | Psychologist | 3363 Highway 45 North, Jackson, TN 38305 | 2007-05-01 |
| 1215157425 | Angela O'briant Herzog | Psychologist | Forty-five Hundred Interstate Fifty-five North, Suite 208, Jackson, MS 39211 | 2007-04-27 |
| 1295877165 | Rose Margaret Hochheiser | Psychologist | 140 King Street, Jackson, WY 83001 | 2007-02-13 |
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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.