DR. DENISE AJALAT THEBERGE (NPI# 1851584528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851584528 |
| Entity Type | Individual |
| Full Name | DR. DENISE AJALAT THEBERGE |
| Credential | PH.D. |
| Practice Address |
23030 Lyons Ave # 202 Newhall CA 91321-2752 |
| Practice Telephone | 6612543577 |
| Mailing Telephone | 6612543577 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0000X |
Psychologist Specialization: Family |
PSY16031 | CA | Behavioral Health & Social Service Providers |
| Street Address |
23030 LYONS AVE # 202 |
| City | NEWHALL |
| State | CA |
| Zip Code | 91321-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497204697 | Nicole Gend | Behavioral Analyst | 23030 Lyons Ave, Suite 200, Newhall, CA 91321-2752 | 2016-09-28 |
| 1871943076 | Steven Alan Monroe | Marriage & Family Therapist | 23030 Lyons Ave, Suite 202, Newhall, CA 91321-2752 | 2016-06-17 |
| 1225495492 | Hannah Mendelsohn | Behavioral Analyst | 23030 Lyons Ave, #200, Newhall, CA 91321-2752 | 2016-01-19 |
| 1801261987 | Elia Escobedo | Behavioral Analyst | 23030 Lyons Ave, Suite 200, Newhall, CA 91321-2752 | 2015-12-01 |
| 1265762256 | Nancy Garrett King | Marriage & Family Therapist | 23030 Lyons Ave, Suit 205, Newhall, CA 91321-2752 | 2010-01-13 |
| 1992907653 | Virginia Carol Cammarano | Marriage & Family Therapist | 23030 Lyons Ave, Suite 205, Newhall, CA 91321-2752 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275157265 | Lauren Tolcher | Behavioral Analyst | 23502 Lyons Avenue, Suite 304a, Santa Clarita, CA 91321 | 2020-06-04 |
| 1427613900 | Weston William Lensing | Behavior Technician | 3502 Lyons Ave, Ste 304a, Santa Clarita, CA 91321 | 2019-05-09 |
| 1174005003 | Eparthenos | Psychologist | 23504 Lyons Ave #304, Santa Clarita, CA 91321 | 2018-09-06 |
| 1740761105 | The Center for Creative Therapy, Inc | Marriage & Family Therapist | 23030 Lyons Ave Ste 207, Santa Clarita, CA 91321 | 2018-08-23 |
| 1982196879 | Brandi Wright-dohopolski | Acupuncturist | 27820 Freemont Court, Unit 5, Suite E, Valencia, CA 91321 | 2018-06-06 |
| 1780113209 | Jennifer Ann Woods | Physician Assistant | 23645 Meadowridge Drive, 110, Newhall, CA 91321 | 2017-06-08 |
| 1942661624 | Sina Tebi Md Inc | Internal Medicine | 23938 Lyons Avenue, #204, Newhall, CA 91321 | 2016-03-09 |
| 1720452220 | Julie Kim | Pharmacist | 26863 Sierra Hwy, Santa Clarita, CA 91321 | 2015-11-20 |
| 1568855773 | Carly Nikiforuk | Counselor | 24625 Arch St., Newhall, CA 91321 | 2015-03-12 |
| 1437562741 | Teresa Cha Waggoner | Nurse Practitioner | 23772 Newhall Avenue, Newhall, CA 91321 | 2014-06-04 |
| Find all providers in zip 91321 | ||||
| Taxonomy Code | 103TF0000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Family |
| Definition to come... |
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| 1538772447 | Alice Elliott Smith | Psychologist | 3033 St George St, Los Angeles, CA 90027-2516 | 2020-08-28 |
| 1619520319 | Puneetbir Singh | Psychologist | 4127 Bay St Ste 5, Fremont, CA 94538-4240 | 2019-07-22 |
| 1922666346 | Trashanay Lakeya Johnson | Psychologist | 15374 Coleen St, Fontana, CA 92337-9040 | 2019-05-31 |
| 1275199705 | Svitlana Bondar | Psychologist | 15211 Vanowen St Ste 209, Van Nuys, CA 91405-3624 | 2019-05-09 |
| 1750843603 | Chelsea K Morris | Psychologist | 112 7th St Unit C, Santa Rosa, CA 95401-6203 | 2019-04-01 |
| 1124513379 | Sarah Edem | Psychologist | 900 E 1st St Apt 108, Los Angeles, CA 90012-4038 | 2018-06-28 |
| 1588152573 | Kenneth Jones Jr. | Psychologist | 13634 Mayflower St, Victorville, CA 92392-8366 | 2018-04-25 |
| 1932565207 | Home Base: Parenting Fundamentals | Psychologist | 411 30th St Ste 514, Oakland, CA 94609-3303 | 2016-01-02 |
| 1821470337 | Devon Cortright | Psychologist | 4421 Gilbert St, Apt 111, Oakland, CA 94611-4652 | 2015-06-19 |
| 1730510744 | Robyn Lisa Bettenhausen Geis | Psychologist | 840 Town & Country Rd, Orange, CA 92868 | 2013-12-02 |
| Find all providers with the same taxonomy | ||||
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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.