PHITCHAYAPHAK BOLLIG (NPI# 1902432735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902432735 |
| Entity Type | Individual |
| Full Name | PHITCHAYAPHAK BOLLIG |
| Practice Address |
321 Cassidy St Oceanside CA 92054-5314 |
| Practice Telephone | 7607212171 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | AMFT95260 | CA | Behavioral Health & Social Service Providers |
| Street Address |
321 CASSIDY ST |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92054-5314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750462248 | Patricia Tapia | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2006-10-18 |
| 1700486867 | Katie Mae E. Bradbury | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2020-10-28 |
| 1841803418 | Danielle Mullen | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2020-08-24 |
| 1669083242 | Michelle Terazawa | Student in an Organized Health Care Education/Training Program | 321 Cassidy St, Oceanside, CA 92054-5314 | 2020-08-16 |
| 1083223507 | Everett Manuel Fryman | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2020-07-30 |
| 1669007589 | Amanda Ferrell | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2020-03-11 |
| 1588298236 | Leah A Yeshnik | Student in an Organized Health Care Education/Training Program | 321 Cassidy St, Oceanside, CA 92054-5314 | 2020-03-02 |
| 1912531161 | Andrea Mulder | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2020-02-26 |
| 1972136661 | Shree L Mcgruder | Peer Specialist | 321 Cassidy St, Oceanside, CA 92054-5314 | 2020-02-20 |
| 1316581499 | Tabitha Hernandez | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2019-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| Find all providers in zip 92054 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649819996 | Katelyn Nicole Camp | Marriage & Family Therapist | 705 Pier View Way, Oceanside, CA 92054-2801 | 2020-01-03 |
| 1316586258 | Jaclyn Suzanne Hunter | Marriage & Family Therapist | 2204 S El Camino Real Ste 315, Oceanside, CA 92054-6390 | 2019-12-23 |
| 1649776055 | Jennifer L Goldenberg | Marriage & Family Therapist | 24 Strangford Ct, Oceanside, NY 11572-5238 | 2018-04-04 |
| 1972025237 | North County Lesbian Gay Bisexual Transgender Questioning Resource Cen | Marriage & Family Therapist | 3220 Mission Ave Ste 2, Oceanside, CA 92058-1354 | 2017-07-07 |
| 1851743330 | Peter Martin | Marriage & Family Therapist | 2170 S El Camino Real # 217, Oceanside, CA 92054-6203 | 2016-07-07 |
| 1609221852 | Emily Irene Orme | Marriage & Family Therapist | 1132 Brighton Dr, Oceanside, CA 92056-6460 | 2016-04-25 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1407225899 | Mcalister Institute for Treatment & Education, Inc. | Marriage & Family Therapist | 3131 Oceanside Blvd, Room 1, Oceanside, CA 92056-2701 | 2015-09-16 |
| 1962894477 | Patricia Wansley Taylor | Marriage & Family Therapist | 2204 S El Camino Real Ste 205, Oceanside, CA 92054-6389 | 2015-02-21 |
| 1780089722 | Jennifer Sterling | Marriage & Family Therapist | 516 S The Strand Unit B, Oceanside, CA 92054-2916 | 2014-11-04 |
| Find all providers in OCEANSIDE | ||||
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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.