DR. LAURA LYNN MANSOURI (NPI# 1932255379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932255379 |
| Entity Type | Individual |
| Full Name | DR. LAURA LYNN MANSOURI |
| Credential | PH.D. |
| Practice Address |
1260 Lake Blvd Ste 217 Davis CA 95616-5667 |
| Practice Telephone | 5308483377 |
| Mailing Telephone | 5308483377 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY15316 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1260 LAKE BLVD STE 217 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-5667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548541873 | Neurobehavioral Programs, Incorporated | Psychologist | 2659 Portage Bay E Apt 204, Davis, CA 95616-3050 | 2011-08-31 |
| 1427216167 | Counseling & Psychological Services | Psychologist | 219 North Hall, Davis, CA 95616 | 2008-05-29 |
| 1417115114 | Bai-yin Chen | Psychologist | One Shields Ave, Counseling and Psychological Services 219 North Hall, Davis, CA 95616-8568 | 2008-05-29 |
| 1346421831 | Emily Katonah Hartley | Psychologist | Caps 219 North Hall, University of California, Davis, Davis, CA 95616 | 2007-11-26 |
| 1285829820 | Cassandra Marie Majestic | Psychologist | 132 E St Ste 320, Davis, CA 95616-4796 | 2007-09-06 |
| 1295851392 | Trudy Maria Baltz | Psychologist | 1621 Oak Ave Ste B, Davis, CA 95616-1000 | 2007-03-21 |
| 1902935034 | Dana Simon Paskowitz | Psychologist | 102 E St, Davis, CA 95616-4633 | 2007-03-05 |
| 1275549271 | Joseph M Spector | Psychologist | 2050 Lyndell Terr, Suite 130, Davis, CA 95616-6205 | 2006-07-31 |
| 1578528386 | Sally Medora Wood | Psychologist | 604 3rd St, Davis, CA 95616-4553 | 2006-04-18 |
| 1871561142 | Beth Amy Cohen | Psychologist | 112 A St, Davis, CA 95616-4608 | 2006-03-10 |
| Find all providers in DAVIS | ||||
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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.