WILLIE HARDEMAN (NPI# 1902414600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902414600 |
| Entity Type | Individual |
| Full Name | WILLIE HARDEMAN |
| Practice Address |
4700 Von Karman Ave Ste 102 Newport Beach CA 92660-2194 |
| Practice Telephone | 9497431457 |
| Enumeration Date | 2020-07-19 |
| Last Update Date | 2020-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4700 VON KARMAN AVE STE 102 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-2194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164735551 | Nicole Sally Lightman | Psychologist | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660 | 2010-07-14 |
| 1174130652 | Diane Li | Psychologist | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 | 2020-09-28 |
| 1104432228 | Shashonk Illam | Student in an Organized Health Care Education/Training Program | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 | 2020-09-23 |
| 1699387381 | Brittany Nicole Taylor | Counselor | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 | 2020-08-23 |
| 1336767177 | Amin Salek | Psychologist | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 | 2020-07-08 |
| 1265050363 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 | 2020-07-06 |
| 1669010666 | Kathy Le | Student in an Organized Health Care Education/Training Program | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 | 2019-12-20 |
| 1225692726 | Tiffany Justine Trent | Counselor | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 | 2019-04-30 |
| 1861902280 | Julia Evans Phd Psychology PC | Clinical Neuropsychologist | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660 | 2017-10-11 |
| 1760924849 | Julia Evans | Clinical Neuropsychologist | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660 | 2016-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1669951513 | Ellen Gerken Mainthow | Counselor | 1965 Port Trinity Pl, Newport Beach, CA 92660-7127 | 2018-08-11 |
| 1346776499 | Share Our Selves Corporation | Counselor | 20151 Sw Birch St Ste 100, Newport Beach, CA 92660-1794 | 2017-05-11 |
| 1841680840 | Karen Espinoza | Counselor | 1441 Superior Ave Ste F, Newport Beach, CA 92663-2704 | 2015-01-28 |
| 1578987046 | Carol Caddes | Counselor | 833 Dover Dr Ste 28, Newport Beach, CA 92663-6945 | 2014-02-04 |
| 1720412950 | Tonya Marie Torres | Counselor | 4000 Macarthur Blvd # 677, Newport Beach, CA 92660-2558 | 2013-08-23 |
| 1043653173 | Kecia Van Mechelen | Counselor | 1101 Dove St Ste 250, Newport Beach, CA 92660-2803 | 2013-04-08 |
| 1841593605 | Natasha L Demaio | Counselor | 4000 Macarthur Blvd Ste 600, Newport Beach, CA 92660-2517 | 2010-12-15 |
| 1437466893 | Cassandra Jean Moore | Counselor | 4667 Macarthur Blvd Ste 320, Newport Beach, CA 92660-1867 | 2010-09-07 |
| 1730495987 | Stephanie Marie Richards | Counselor | 901 Dover Drive, Suite 239, Newport Beach, CA 92660-5515 | 2010-08-26 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on WILLIE HARDEMAN.
| 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.