DR. STACEY BERARDINO (NPI# 1942373949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942373949 |
| Entity Type | Individual |
| Full Name | DR. STACEY BERARDINO |
| Credential | PH.D. |
| Practice Address |
517 N Main St Santa Ana CA 92701-4619 |
| Mailing Address |
26895 Aliso Creek Rd Ste B # 627 Aliso Viejo CA 92656-5302 |
| Practice Telephone | 7145685111 |
| Mailing Telephone | 9492354874 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 17545 | CA | Behavioral Health & Social Service Providers |
| Street Address |
517 N MAIN ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742420 | Nancy Ann Wahidi | Physician Assistant | 517 N Main St, Santa Ana, CA 92701-4686 | 2020-08-26 |
| 1942639760 | Tracie Lee Kelly | Registered Nurse | 517 N Main St, Santa Ana, CA 92701-4686 | 2013-11-02 |
| 1730425695 | Lynda Yamileth Lopez-freyre | Nurse Practitioner | 517 N Main St, Suite 100, Santa Ana, CA 92701-4686 | 2012-12-21 |
| 1588911598 | Ricardo R Limon | Physician Assistant | 517 N Main St, Suite 100, Santa Ana, CA 92701-4686 | 2012-08-08 |
| 1568614451 | Net Rx Inc | Pharmacy | 517 N Main St, Suite 101, Santa Ana, CA 92701-4686 | 2008-10-22 |
| 1922271063 | Robert Edmund Balette | General Practice | 517 N Main St, Suite # 100, Santa Ana, CA 92701-4686 | 2008-04-09 |
| 1780744474 | Julio E Caceres Dds, Inc | Dentist | 517 N Main St, Suite300, Santa Ana, CA 92701-4619 | 2006-12-11 |
| 1275607962 | Sally L Dorsey | Marriage & Family Therapist | 517 N Main St, Santa Ana, CA 92701-4619 | 2006-11-17 |
| 1346312949 | Linda Kay Price | Registered Nurse | 517 N Main St, Santa Ana, CA 92701-4619 | 2006-11-15 |
| 1073686531 | Diane Skirzynski | Registered Nurse | 517 N Main St, Santa Ana, CA 92701-4619 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290094 | Holistic Mental Health | Psychologist | 1801 Park Court Pl Ste F201, Santa Ana, CA 92701-5031 | 2019-11-19 |
| 1780245241 | Nancy Bement | Psychologist | 1651 E 4th St Ste 140, Santa Ana, CA 92701-5173 | 2019-06-25 |
| 1144572009 | Annie Nguyen Bui | Psychologist | 1634 W 19th St # C, Santa Ana, CA 92706-2301 | 2012-10-02 |
| 1861767386 | Kelly Don Krueger | Psychologist | 3711 S Sea Clf, Santa Ana, CA 92704-7142 | 2012-03-16 |
| 1184930919 | Philip Stephen Pines | Psychologist | 1633 E 4th St Ste 156, Santa Ana, CA 92701-5170 | 2010-08-31 |
| 1801122486 | Ronald L. Scott | Psychologist | 2220 E. Fruit Street, Suite 109, Santa Ana, CA 92701-4459 | 2009-11-02 |
| 1710129374 | Geraldine Marie Olin | Psychologist | 2021 E 4th St, Suite 116, Santa Ana, CA 92705-3912 | 2009-03-28 |
| 1184871048 | Jennifer Ann Morey | Psychologist | 2100 N Broadway Ste 101, Santa Ana, CA 92706-2624 | 2008-08-22 |
| 1366606386 | Michelle Protes Roth | Psychologist | 405 West 5th Street, Cys, Santa Ana, CA 92701 | 2008-07-18 |
| 1861664088 | Jennifer Mitolo | Psychologist | 1526 Brookhollow Dr, Suite 73, Santa Ana, CA 92705-5421 | 2008-03-27 |
| Find all providers in SANTA ANA | ||||
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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.