DR. MAURA N MITRUSHINA (NPI# 1891993861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891993861 |
| Entity Type | Individual |
| Full Name | DR. MAURA N MITRUSHINA |
| Credential | PH.D. |
| Practice Address |
18111 Nordhoff St Psychology Department Northridge CA 91330-0001 |
| Practice Telephone | 8186772827 |
| Practice Fax Number | 8186772829 |
| Mailing Telephone | 8186772827 |
| Mailing Fax Number | 8186772829 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY10973 | CA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PSY10973 | CA | Behavioral Health & Social Service Providers |
| Street Address |
18111 NORDHOFF ST PSYCHOLOGY DEPARTMENT |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91330-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922097138 | James Steven Merrin | Internal Medicine | 18111 Nordhoff St, Northridge, CA 91330-8270 | 2005-10-19 |
| 1649886508 | Steven J Grech | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-8200 | 2020-09-16 |
| 1235747148 | Kaitlynn Michelle Wright | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-07-16 |
| 1194343343 | Jailene Alejandra Pina | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-07-13 |
| 1932727013 | Haley Nicole Tsarofski | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-07-06 |
| 1487271524 | Fredy Celedon | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-07-04 |
| 1346867868 | Daiki Sugawara | Student in an Organized Health Care Education/Training Program | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-06-30 |
| 1811513351 | Maria V Shibata | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-06-21 |
| 1487270146 | Kelly Yanover | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-06-18 |
| 1013533892 | Adriana Urrutia | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285122 | Marilyn Magaram Center for Food Science, Nutrition & Dietetics | Clinic/Center | 18111 Nordhoff Street, Northridge, CA 91330 | 2019-09-23 |
| 1831703453 | Habib Toubedjian | Specialist/Technologist | 18111 Nordhoff St Redwood Hall 124, Northridge, CA 91330-0001 | 2020-09-01 |
| 1568012672 | Yugandhar Ramakrishna | Audiologist | 100 Monterey Hall 18111 Nordhoff Street, Northridge, CA 91330-0001 | 2019-09-19 |
| 1013574201 | Michael Kelly Carter | Specialist/Technologist | 1811 Nordoff Street, Northridge, CA 91330-0001 | 2019-05-22 |
| 1548824469 | Youmna Haddad | Speech-Language Pathologist | 18111 Nordhoff Street Monterey Hall 100, Northridge, CA 91330-0001 | 2019-04-25 |
| 1295201820 | Vickie Yu | Speech-Language Pathologist | 18111 Nordhoff Street Monterey Hall Csun, Northridge, CA 91330-0001 | 2018-10-22 |
| 1275024861 | Ellie Ann Jones | Specialist/Technologist | 18411 Nordhoff St, Northridge, CA 91330-0001 | 2018-05-20 |
| 1962911867 | Heather Lauryn Gittins | Specialist/Technologist | 1811 Nordhoff Street, Northridge, CA 91330-0001 | 2017-09-22 |
| 1063921963 | John Daniel Espinoza | Specialist/Technologist | 1811 Nordhoff St Cal State Northridge, Northridge, CA 91330-0001 | 2017-09-22 |
| 1780193680 | Naomi Shapira | Specialist/Technologist | 1811 Nordhoff Street Cal State Northridge, Northridge, CA 91330-0001 | 2017-09-22 |
| Find all providers in zip 91330 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
| City | NORTHRIDGE |
| Zip Code | 91330 |
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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.