DR. CLARISSA GONZALEZ-IDIART (NPI# 1831553890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831553890 |
| Entity Type | Individual |
| Full Name | DR. CLARISSA GONZALEZ-IDIART |
| Credential | PH.D. |
| Practice Address |
23370 Road 22 Chowchilla CA 93610-8504 |
| Practice Telephone | 5596655531 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CDCR | 1417318569 | 01 |
| Street Address |
23370 ROAD 22 |
| City | CHOWCHILLA |
| State | CA |
| Zip Code | 93610-8504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639286974 | Petros Ghermay | Psychiatry & Neurology | 23370 Road 22, Chowchilla, CA 93610-8504 | 2006-08-24 |
| 1366077166 | Corrections and Rehabilitation | Pharmacy | 23370 Road 22, Chowchilla, CA 93610 | 2020-03-12 |
| 1518598952 | State of California Prison Industry Authority | Eyewear Supplier (Equipment, not the service) | 23370 Road 22, Chowchilla, CA 93610-8504 | 2020-02-03 |
| 1902362924 | Heather Moore | Psychologist | 23370 Road 22, Chowchilla, CA 93610-8504 | 2019-02-14 |
| 1356869887 | Hyeree Jang | Pharmacist | 23370 Road 22, Chowchilla, CA 93610-8504 | 2017-09-05 |
| 1659805455 | Laura Choi | Pharmacist | 23370 Road 22, Chowchilla, CA 93610 | 2017-04-18 |
| 1013448836 | Nancy Frleigh | Case Manager/Care Coordinator | 23370 Road 22, Chowchilla, CA 93610-8504 | 2017-03-23 |
| 1144778077 | Regina Rose | Pharmacist | 23370 Road 22, Chowchilla, CA 93610-8504 | 2016-09-20 |
| 1568824084 | John Pryce | Social Worker | 23370 Road 22, Chowchilla, CA 93610-8504 | 2016-03-23 |
| 1902267008 | Michael Idiart Jr. | Psychologist | 23370 Road 22, Chowchilla, CA 93610-8504 | 2016-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598199150 | Hazel Rose Castro | Social Worker | 14285 Spyglass Circle, Chowchilla, CA 93610 | 2013-08-30 |
| 1225306293 | Melissa A Kuhno | Registered Nurse | 513 Plum Ct, Chowchilla, CA 93610 | 2011-12-06 |
| 1356592307 | Danilo D. Ching | Psychiatry & Neurology | 7335 Edgewater St, Chowchilla, CA 93610 | 2008-10-08 |
| 1407055783 | Central California Health | Assisted Living Facility | 160 South 13th Street, Chowchilla, CA 93610 | 2007-07-16 |
| 1306045059 | Shalon Denise Nash | Internal Medicine | 21633 Ave. 24, Chowchilla, CA 93610 | 2007-07-13 |
| 1235336710 | Pal Singh Virk | Internal Medicine | Valley State Prison for Women, 21633 Avenue 24, Chowchilla, CA 93610 | 2007-06-28 |
| 1003925439 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 48 Robertson Blvd, County Wood Plaza, Chowchilla, CA 93610 | 2006-08-30 |
| 1235164898 | Nicholas Eugene Nomicos | General Practice | 101 N Front St Ste B, Chowchilla, CA 93610 | 2006-07-12 |
| 1760669907 | Lisa Snauffer Dunshee | Dentist | 21633 Avenue 24, Chowchilla, CA 93610 | 2008-01-30 |
| 1114104254 | Carlos E Calderon | Dentist | 21633 Avenue 24, Chowchilla, CA 93610 | 2008-01-30 |
| Find all providers in zip 93610 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528215472 | Jorge R. Gonzalez | Psychologist | 23370 Rd 22, Chowchilla, CA 93610-1501 | 2008-08-22 |
| 1902267008 | Michael Idiart Jr. | Psychologist | 23370 Road 22, Chowchilla, CA 93610-8504 | 2016-03-16 |
| 1457793408 | Sandy Schulte-day | Psychologist | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2013-07-18 |
| 1598991465 | Jodena Opheim | Psychologist | 23370 Road 22, Chowchilla, CA 93610-8504 | 2009-06-05 |
| 1922255942 | Stephanie Neumann Bese | Psychologist | 23370 Road 22, Chowchilla, CA 93610-8504 | 2008-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049130 | Ashley Cohen | Psychologist | 320 Linda Dr, Hollister, CA 95023-6646 | 2019-12-05 |
| 1174185540 | Daisy Covarrubias | Psychologist | 9727 Diana Ave, Riverside, CA 92503-4281 | 2019-07-05 |
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982169587 | Jocelyn Roland | Psychologist | 2937 Veneman Ave Ste B125, Modesto, CA 95356-0690 | 2019-02-07 |
| 1265997936 | Shanda Angioli | Psychologist | 4640 Cass St # 90422, San Diego, CA 92109-2804 | 2019-02-06 |
| 1841755626 | Brianna Marie Alcantar | Psychologist | 855 E Laurel Dr Bldg H, Salinas, CA 93905-1300 | 2019-02-05 |
| 1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
| 1003308446 | Kiara Dixon | Psychologist | 15501 San Pablo Ave # G-317, Richmond, CA 94806-5848 | 2018-06-01 |
| 1700322633 | Lindsay Heber | Psychologist | 28204 Picadilly Pl, Castaic, CA 91384-3830 | 2017-01-17 |
| 1295193738 | Schuyler Weifu Liao | Psychologist | 2576 W San Ramon Ave, Fresno, CA 93711-2749 | 2016-01-28 |
| Find all providers with the same taxonomy | ||||
| City | CHOWCHILLA |
| Zip Code | 93610 |
Please comment or provide details below to improve the information on DR. CLARISSA GONZALEZ-IDIART.
| 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.